Re: Should we consider devolution of “head and neck” surgery from the specialties of oral and maxillofacial surgery; ear, nose and throat surgery; and plastic surgery?

We were interested in Islam's editorial regarding the devolution of head and neck surgery from the parent specialties that feed into it.1 We have had a devolved arrangement of practice at University Hospitals Coventry and Warwickshire Hospitals NHS Trust since 2003. To the best of our knowledge this is the only service in the country in which this is the case, and it is recognised as such within the clinical and management structure of the hospital. The service has a separate clinical lead, QIPS (Quality, Improvement, and Patient Safety), business, and departmental meetings.

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