1. Spreading Enhanced Recovery Cat Price Service Improvement Facilitator Pan Birmingham Cancer Network

2. Network Involvement Testing principles with SWBH colorectal team for the national Transforming Inpatients programme Supporting full implementation at SWBH Spreading to colorectal teams across Birmingham Expanding to other specialties

3. Our Approach to Implementation Wide engagement and training Recognition of scope of project and complexity of relationships between areas ‘Bite sized’ work packages No single lead for the work – shared responsibility Driven by clinical teams with management support

4. Work Packages Pre-assessment Pre-op Drinks Admission Surgery & Recovery Nutrition Follow Up Patient Information Pathway Paperwork Anaesthetic & Pain Mobilisation Discharge Primary Care

5. Inter-trust Collaboration Established Network Wide Enhanced Recovery Group Encouraged trust to share their experiences and learn from each other Removed the ‘competitive’ element Shared all the resources developed by each team Acknowledged the contribution of each team

6. Our Results

7. Mr Satish Bhalerao Consultant Colorectal Surgeon Chair West Midlands Enhanced Recovery Forum