For patients awaiting surgery | Assessment, advice and support on how to improve general health and underlying health conditions An individualised pre-operative assessment with information on benefits, risks and alternatives to surgery. Screening for conditions known to increase risk of adverse postoperative outcome (eg frailty or chronic pain) with access to specialist services and support Shared decision making A single point of contact for advice and information Advice on patient role in improving postoperative outcome A personalised, perioperative management plan for comorbidities
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For professionals | Access to education and training in perioperative care Access to whole pathway guidelines, rather than specialty-specific guidelines Resources to develop innovative models of care / teams to deliver perioperative care Networks to share learning
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For healthcare services | Enhanced recovery pathways: standardised for all elective and emergency procedures Utilisation of technology solutions (eg virtual consultations) to improve care, efficiency and work towards a net zero NHS. Increase in outpatient-based procedures Day-case surgery to be regarded as the default surgical pathway (aiming for only 15% of all elective surgery to be performed as an inpatient) Optimal patient listing: ‘right place, right time’ Reduce day case to inpatient conversion Reduce reliance on critical care services and increase provision of enhanced care Reduce length of hospital stay Reduce cancellations on the day of surgery Reduce patient harm, complaints and litigation
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