RT Journal Article
SR Electronic
T1 Delivering perioperative care in integrated care systems
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 450
OP 453
DO 10.7861/clinmed.2019.0241
VO 19
IS 6
A1 Anne-Marie Bougeard
A1 John Moore
YR 2019
UL http://www.rcpjournals.org/content/19/6/450.abstract
AB In 2016, NHS England set up 10 integrated care systems (ICSs) which aim to devolve some responsibility for delivery of health and social care services to local healthcare providers in partnership with local government, social care, primary care networks, and voluntary and charitable organisations. These are new ways of working and provide an opportunity to better integrate perioperative care across the entire pathway from the moment of contemplation of surgery through to recovery at home. This review describes the ways in which the aims of many ICS plans can be met with good perioperative care, and how clinicians can use this opportunity to make significant progress in improving outcomes for patients. We describe examples of initiatives in cancer pathways which are already proving successful and have caught the imagination of the local community at all levels, as well as examples of integrated perioperative care across the country which can be applied to other systems. We hope to demonstrate ways in which perioperative care can add value to a local health population given the right support and chance to deliver it.