There is a need to tackle variation across Trusts in the adoption of day case surgery. The Rotherham NHS Foundation Trust has made day case surgery its default approach and is on a mission to expand it further.
There are now around 200 procedures identified as being suitable for day case surgery. However, there is still wide variation between Trusts in terms of day case rates and studies suggest that more patients could be sent home on the same day as their surgery.
The National Day Surgery Delivery Pack – developed by the Getting it Right First Time (GIRFT) Academy, the Centre for Perioperative Care (CPOC) and the British Association of Day Surgery (BADS) – points out that, in the lowest quartile of NHS Trusts, twice as many eligible patients are admitted as inpatients as in the highest quartile, which must be addressed.1
There are significant patient benefits associated with shortened hospital stay and earlier mobilisation – day case surgery not only reduces the risk of hospital-acquired infection and venous thromboembolism, but also offers benefits in terms of freeing resources and capacity for the NHS.
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