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Enhanced Recovery – Helping Patients get better sooner after surgery

Enhanced Recovery – Helping Patients get better sooner after surgery. West Herts NHS Trust Enhanced Recovery Team 17 th June 2010. Aims. Provide information on where WHHT is in implementing Enhanced Recovery

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Enhanced Recovery – Helping Patients get better sooner after surgery

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  1. Enhanced Recovery – Helping Patients get better sooner after surgery West Herts NHS Trust Enhanced Recovery Team 17th June 2010

  2. Aims • Provide information on where WHHT is in implementing Enhanced Recovery • Agree how Primary Care can further support the patient experience through engagement in the Enhanced Recovery Partnership Programme.

  3. Overview • What is Enhanced Recovery? • Benefits of Enhanced Recovery • What WHHT has achieved to date • Benefits of Primary Care engagement • Next Steps • Contact details

  4. What is Enhanced Recovery? • A new approach to the preoperative, interoperative and postoperative care of patients under going surgery • Evidence based approach involving a selected number of individual interventions which when implemented as a group demonstrate a greater impact on outcomes.

  5. Benefits of Enhanced Recovery • Empowers patients to be a partner in their own care • Improved patient experience • Improved Quality • Clinical outcomes • Early detection of complications • Quality standards met • QUIPP initiative

  6. Benefits of Enhanced Recovery • Productivity • Reduced length of stay • Increased capacity • Team working • Cross organisational working • Opportunity for service redesign • Map of Medicine and pathway improvement/redesign

  7. What WHHT has achieved • National innovation site • Implementing in • Colorectal Surgery • MSK – Hips & Knees • Gynaecology – Hysterectomy • Urology • Positive outcomes • Proactive Multi Disciplinary Teams in place • Agreed Care Pathways in place • Positive patient and staff feedback • Reduced length of stay • Reduced readmission rates • Social Services engagement

  8. Benefits of Primary Care engagement • Manage patient expectations • Optimise patient health prior to referral – “Fit for List” • Enhance the patient pathway and experience further • Further opportunities for service redesign and joined up working across the Local Health Community • National support from the DoH for innovation sites • Cost savings and financial benefits

  9. Where do we go next? • Generic: • “Fit for List screening” • Implementation and development of Map of Medicine and agreed care pathways • Engagement and involvement in Project Groups and Enhanced Recovery Board • Gynaecology: • Diagnostics prior to referral • Low priority treatment criteria met

  10. Where do we go next? • MSK: • Diagnostics prior to referral • Front end physio support • Low priority treatment criteria met • Colorectal Surgery: • Bowel preparation – day before operation • Reducing preoperative bed days

  11. Contact Details • Colorectal Helen Broadwell 01923 244366 (1569) • MSK Sylvia Nawathe/ 01727 866122 (2918) Paula King 07795 398759 • Gynaecology Janette Buckley 07795 398761 • Urology Karen Bowler 07979 457177 • Generic Lead Kirsty Green 01923 436229 • Executive Lead Russell Harrison 01923 436229 • Clinical Lead Russell Griffin 01727 866122

  12. Questions and agreed way forward

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