Perioperative pathway

Digital support for referral and communication between primary and secondary care. This includes shared care records, clinical decision support tools and patient optimisation.

Streamlined digital pathways, including shared decision making, decision support tools and remote consent.

• Improving shared decision making and digital informed consent at Nottingham University Hospital NHS Trust
• Digital consent to treatment in North West London
• Remote surgical prehabilitation
• Worcestershire Acute Hospitals NHS Trust consent for surgery

Digital support for patients to physically and mentally prepare for surgery.

• Kent and Medway prehabilitation telehealth delivered home-based patient optimisation
• Using a digital prehabilitation tool to support patients preparing for surgery
• Development of an app based integrated prehabilitation, perioperative pathway management and patient assessment platform
• University Hospitals Bristol and Weston (UHBW) prehabilitation service
• Hywel Dda University Health Board virtual orthopaedic prehabilitation

Remote education to support patients preparing for surgery.

• Improving shared decision making and digital informed consent at Nottingham University Hospital NHS Trust
• Implementing a virtual patient group education programme
• A virtual pre-operative patient education class

Electronic preoperative assessment to reduce staff administration and improve patient experience.

• Developing a digital preoperative assessment pathway and clinical decision support
• Digital preoperative assessment (POA) at Guy’s and St Thomas’ NHS Foundation Trust (GSTT)
• Making digital preoperative assessment (POA) the default at South West London Elective Orthopaedic Centre (SWLEOC)
• Digitally supported elective pathways at West Hertfordshire Hospitals NHS Trust (WHHT)
• Patient-completed, web-based preoperative assessment (POA) electronic questionnaire at Sheffield Teaching Hospitals
• Digital preoperative assessment triage
• Optimising patient flow and filling surgical slots through an electronic preoperative assessment process

Evidence-based surgical and anaesthetic best practice, standardised care, enhanced recovery, postoperative planning and communication.

• Use of scanning technology in theatres to improve efficiency
• Enhancing trauma theatre list planning using an end-to-end digital system

Digital solutions to support enhanced recovery, prevention and management of surgical and medical complications. Solutions also support physical and cognitive rehabilitation, psychological recovery, proactive discharge planning and data collection.

Providing accurate information and supporting people to manage their own condition following discharge. This includes discharge communication to primary care, patient education and self-care plan and proactive follow-up guided by patient needs and point of contact within the surgical team.

• Implementing remote monitoring of surgical wounds using smartphones
• Preoperative virtual ward reducing bed occupancy through monitoring of hot gallbladder
• Enhancing recovery and addressing the theatre backlog with the help of virtual wards
• Post operative monitoring and communication using a mobile app to improve patient experience and safety at Kettering General Hospital NHS Foundation Trust

Streamlined digital pathways for messaging clinical teams and booking appointments, most of which are virtual. These are managed through portals, remote platforms and patient-initiated follow-up (PIFU).

• Implementing remote monitoring of surgical wounds using smartphones