Table 1.

Key enablers and barriers to general practitioner-led preoperative optimisation

‘Buy-in’GPs reported agreement that preoperative medical optimisation of older people can improve postoperative outcomes.Self-perception among GPs as having low importance in the surgical pathway.
OpportunityGPs reported identifying modifiable risk factors in many of the older patients referred to surgeryLow frequency of exposure to older patients in the surgical pathway in routine practice.
ParticipationGPs reported that they have a role in discussing modifiable surgical risk factors with patients.Low levels of awareness of, and interaction with, perioperative medical services.
CollaborationGPs reported that they have a role in shared decision making in the surgical pathway.Low exposure to interdisciplinary training in perioperative medicine.
  • GPs = general practitioners.