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Day Surgery the Old Fashioned Way

Analyzing day surgery data from Plymouth Hospitals NHS Trust to determine impact on quality, costs and patient outcomes, within the context of NHS efficiency initiatives. Explore if increased day surgery rates are sustainable and if there could be financial penalties for readmissions.

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Day Surgery the Old Fashioned Way

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  1. Day Surgery the Old Fashioned Way By Tim Starkie, Anaesthetic ST5, and Lorraine Alderson, Consultant Anaesthetist Plymouth Hospitals NHS Trust.

  2. Numbers of Day Surgery Cases and Inpatients Cases per Year

  3. Percentage of Elective Procedures Carried out as Day Cases per Year

  4. Jan/Feb 2009 Summary • 6774 day cases • 357 admissions (5.3%) • Urology, ENT, Orthopaedic cases • Total cases 1493 • 119 admissions (8%)

  5. Cases and Admissions by Specialty

  6. Reasons for Admission

  7. Reasons for Admission by Specialty

  8. Inpatients Discharged on the Day of Surgery

  9. So, ‘Old Fashioned’ or ‘Innovative’? • Increased day surgery rates • Administrative process challenged • Uncertain impact on quality

  10. Hospitals to face financial penalties for readmissions 8 June 2010 - Independent. NHS efficiency drive 'necessary' The NHS may need to make more savings than has been planned for.

  11. Any Questions?

  12. Day Surgery Admission Percentages per Year

  13. Total Day Case Rate

  14. Plymouth Hospitals NHS Trusts

  15. Anaesthetic Reason for Admission

  16. Potential Bed Day Savings

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