1. Pre-operative Assessment Improving the surgical pathway

2. Who we are

3. Outpatient Surgical Clinic
Pre-Operative Assessment Clinic
Further investigations
“Prehabilitation”
Patient Optimisation
Declared fit for surgery
Surgery Booked
Operation
(On the day review by surgeon / anaesthetist)

4. The situation Target Our performance
80% of patients seen within 2 weeks (inpatient surgery)
80% of patients seen within 1 week (daycase)
Our performance
In patient surgery 57%
Day case surgery 51%

6. Approach
Assess the Problem
Proposal
Barriers to Change
Iterations

8. So what happened?
What do the patients think?

13. Learning Points

15. anupamsharma@nhs.net Dr Anupam Sharma
ST6 Anaesthetist / Former FLP Fellow (Quality Improvement)