THE CHALLENGE ORH was commissioned by the National Burn Care Group to evaluate different configurations of burns centres across England and Wales. A previous review had identified the need for burns facilities to be accessible across the country, with a more limited number of burns units providing resuscitation, and a small number of burns centres for those requiring the most complex care. The broad objective of the study was to model access times to potential burns centres, both by private car and public transport. ORH’S APPROACH There were 13 potential burns centres: four adult and paediatric centres and nine adult-only centres. A large set of towns and villages across England and Wales was chosen to develop a nodal framework, and ORH identified travel times for

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