The Getting It Right First Time (GIRFT) report published in 2019 set out the goal to establish 14 RSNs nationally. Under the network model, some providers would be the Spinal Hubs (providing 24/7 emergency services) and others would act as Partners (some with spinal surgeons and some without). Independent Sector providers would be included. Specialised cases go to the Centres that have the facilities and teams capable of delivering the best outcomes. Non-specialised care is allocated across providers within the network, matching cases to each provider’s capabilities and ensuring capacity is used appropriately across the network. Clinical teams across the network work together to support one-another, to ensure surgery is being provided in the right locations.
RESPONSIBILITIES OF RSN'S
The RSNs are responsible for guiding how spinal services are organised within a region, reviewing and tracking success and implementing regional pathways, guidelines and policies for elective and emergency spinal surgery.
RSNs are also responsible for confirming that all cases are entered on the British Spine Registry, collating and analysing monitoring data, reviewing clinical governance issues, identifying areas for service improvement and good practice, working with Commissioners to ensure equality of access across a region; and co-ordinating the Spinal workforce and services in the region.
The Network approach is an opportunity to: (i) optimise how capacity is used across a region; (ii) strengthen clinical governance; and (iii) improve patient outcomes and experience.
(GIRFT, 2019)