1. Enhanced Recovery Partnership Programme Vitality Partnership - Enhanced Recovery Programme Primary Care-integrated Enhanced Recovery Programme Debra Sprague, Vitality Partnership debra.sprague@nhs.net 07976 558892

2. Enhanced Recovery Partnership Programme Vitality Partnership - Enhanced Recovery Programme Primary Care-integrated Enhanced Recovery Programme Primary Care influenced Enhanced Recovery Programme : ensures active patient-engagement in spell of care prepares patients for surgery and for rehabilitation to work/social activity minimises physical, psychological, social & financial impact of surgery upon the patient Benefits include improvements in: patient experience clinical outcomes (up to 50% reduction in post-op complications) staff experience, lengths of stay and rates of readmission increased capacity and/or reduction in NHS & social costs. 2

3. Enhanced Recovery Partnership Programme Vitality Partnership - Enhanced Recovery Programme Primary Care role in Enhanced Recovery 1. GPSI Orthopaedics assessment & aided decision-making 2. Pre-referral bloods, optimising of LTCs, pharmacist review. 3. Pre-op assessment and patient teaching in primary care 4. Contingency discharge-planning from day of referral – incorporating social / family / work / environmental factors 5. Patient presents in prime condition for surgery. 6. Peri-operative care – primary care liaison & post-discharge review 7. Post-op rehabilitation in the community

4. Enhanced Recovery Partnership Programme Vitality Partnership - Enhanced Recovery Programme 4 Enhanced Recovery offers benefits across health and social economy – to patients, providers and commissioners. Clinicians must embrace aims and understand crucial part that each plays in outcome Commissioners must be on board to support rollout Key messages for Primary Care Clinicians

5. Enhanced Recovery Partnership Programme Vitality Partnership - Enhanced Recovery Programme Networks and further reading Clinical Evidence Compendium Enhanced Recovery, For copy, email - enhancedrecovery@dh.gsi.gov.uk enhancedrecovery@dh.gsi.gov.uk Dr Alan Nye, Clinical Advisor Elective Care, Dept of Health email: alan.nye@nhs.net alan.nye@nhs.net ‘Decision Aids reduce rates of discretionary surgery’ O’Connor et al., Cochrane Library, 2009 On-line DH validated patient decision-aid - knee arthritis http://admin.decisionaids.nhsdirect.nhs.uk/ Fit For Work programme – Richard Equilant c/o ffw@ingeus.co.ukffw@ingeus.co.uk www.ingeus.co.uk/ffw

6. Enhanced Recovery Partnership Programme Vitality Partnership - Enhanced Recovery Programme Primary Care-integrated Enhanced Recovery Programme Debra Sprague, Vitality Partnership debra.sprague@nhs.net 07976 558892