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West Midlands Paediatric Anaesthetic Network (PAN)

The PAN was established in 2003, to address the issues relating to the safe delivery of paediatric anaesthetic services.   Meetings are held 3 times a year and Annual Study Days organised (usually in February or March).

The network provides a forum within which paediatric anaesthetists can share issues and problems with other anaesthetists from both specialist and non-specialist units.

Membership includes the lead anaesthetists for paediatric anaesthesia from all the Trusts (who provide children’s services) within the West Midlands and the wider ‘Partners in Paediatrics’ area - which includes East Cheshire. 

The co-chairs are Dr Nuala Bywater, Consultant Anaesthetist at Wye Valley NHS Trust and Dr Simon Crighton, Consultant Anaesthetist at South Warwickshire NHS Foundation Trust.

The main objectives of the PAN are to: 

  • Address the issues relating to the safe delivery of paediatric anaesthetic services across the region and partnership area
  • Ensure a comprehensive, quality service dedicated to the care of all paediatric patients
  • Develop educational packages dedicated to meeting the training and developmental needs of all staff

Click here to view the Terms of Reference

 Click here to view the PAN Representatives


The date for the 2020 Study Day to be confirmed.


Network meetings for 2019 will take place on:

Thursday, 13th June 

Friday, 11th October - venue TBC

All meetings are held from 9.30 am to 12.00pm.






Current workstreams

Members of the PAN are participating in, and providing anaesthetic advice to, the General Paediatric Surgery project, which is being led by BCH and supported by PiP.  

Link to West Midlands Network for General Paediatric Surgery


Paediatric Anaesthesia and Recovery Training (PART) 

The PAN received funding to develop a competency based training package – to improve the quality and consistency of training for Theatre staff – those Nurses and Operating Department Practitioners who normally work with adults. 

This work is ongoing and is a priority area for the PAN. 


Study Days

Members of the Network organise Annual Study Days which are aimed at the children’s anaesthetist working in the DGH. 

The Study Days represent excellent value for money, and evaluate well: 

Comments from anaesthetists who attended the study days

28th February 2014: “I can trust the PiP “Brand” to deliver high quality education.” 

27th February 2015 "Excellent speakers with talks relevent to DGH's"

                             "Good practical advice, relates to everyday problems in paediatric anaesthesia in a DGH"



Guidelines for Acute Pain Management in Children

Members of the PAN have developed paediatric analgesia guidelines. This generic document can be modified to suit individual Trust needs.  It provides direction to medical and nursing staff on the safe and effective relief of acute pain and postoperative nausea and vomiting.

These Guidines are currently been updated - February 2019



PiP Clinical Guidelines

Members contribute to the development and revision of the PiP Paediatric Clinical Guidelines.


Paediatric Clinical Guidelines are not available to download from this website but are available for purchase.  Please contact us for further information


The 2018/20 Edition of the Guidelines are now available for purchase


Standards for the Care of Critically Ill and Injured Children

Members have provided anaesthetic input into the West Midlands Peer Review process and helped to set achievable standards for the provision of paediatric anaesthesia.

Members revised the Anaesthetic Standards section of the “Standards for the Care of Critically Ill and Injured Children in the West Midlands”. 

The revised standards have been incorporated into the fourth version of the Standards Document.


"PiP has a lot of credibility amongst paediatricians and health care professionals. Working in collaboration, members have consistently established clinical networks in a number of speciality areas."

Jonathan Howell, Former Consultant in Public Health

"I have worked closely with PiP over a number of years, and their work has been highly influential in developing networks, both nationally and regionally".

Hilary Cass, Former President, RCPCH

"….the upskilling was excellent. The master classes covered the management of children’s acute care and everyday health problems..."

Staffordshire Moorlands GP

"PiP has raised the profile of Child Sexual Abuse across the region, encouraging, training and supporting clinicians to work in this sensitive and challenging area..."

Cheryl Sherratt - Assistant Director of Nursing (Quality and Safety)

"The Paediatric Anaesthetic Network (PAN) provides a great forum for discussion and sharing problems and ideas with like-minded people working in different hospitals."

Richard Crombie, member of the Paediatric Anaesthetic Network.

"Tēnā koutou - greetings from New Zealand...the approach PiP has adopted in the development of clinical networks....has helped inform initiatives now implemented in New Zealand’s child & youth health sector". 

Mollie Wilson, CEO , Paediatric Society of New Zealand

"I can trust the PiP 'Brand' to deliver high quality education".

Consultant Anaesthetist (attendee at Study Day)

Thank you for that amazing Workshop! I gained such a lot of invaluable knowledge' (attended Cerebral Palsy & Spasticity study day - November 2018)

Menik Upatissa, Registrar at Dudley Group NHS Trust

PiP just goes from strength to strength – well done & sincere thanks for all your leadership particularly in bringing people together & nurturing collaboration, its sincerely valued, PiP remains a ‘bright spot’ on the national landscape (November 2018)

Kath Evans, Experience of Care Lead, Maternity, Infants, Children and Young People, NHS England

I’m writing to thank everyone in PIP for their excellent guidelines, study days, senior nurse support and above all professional friendship.  My career is now taking me overseas but your philosophy will be going with me - and a copy of the PIP clinical guidelines book! 


Tess Haynes, Former Modern Matron & CNS, UHNM

Many thanks for the invitation to present. It was a really informative and thought-provoking conference and I'm happy to have been able to contribute. Also a very well organised event too!

Speaker, Learning from Child Deaths event May 2019

The event was well put together and it was a privilege to be part of the special day.

Tracey Harewood, Bereavement Care Coordinator, BWCNHSFT on Learning from Child Deaths event May 2019