The MCNs for Care of Burns in Scotland (COBIS) was launched in April 2007. It aims to fulfil the core principles outlined in policy documents including the Better Health, Better Care Action Plan and Health Department Letter (2007) 21: ‘Strengthening the Role of Managed Clinical Networks’. The mission of the MCN is to ensure that patients who suffer serious burn injury in Scotland:
- Are treated at an appropriate centre
- Are transported safely and expeditiously to that centre
- Receive a standard of care for burn patients irrespective of where they live
Since designation the network has developed Clinical Guidelines (care protocols) for both paediatric and adult burns patients, established a skin bank for Scotland and worked with the national disaster planning group to ensure that burns care requirements are included in any plans, as well as developing a specific plan for the management of a major incident involving burn injuries.
The concept of Managed Clinical Networks (MCNs) began with the report of the Acute Services Review of June 1998 followed by Management Executive Letter (1999) 10, which defined MCNs as ‘linked groups of health professionals from primary, secondary and tertiary care, working in a coordinated manner, unconstrained by existing professional and Health Board boundaries, to ensure equitable provision of high quality clinically effective services throughout Scotland’.