Transformation Directorate

Perioperative pathway

A step by step guide to the perioperative pathway

  1. Primary care

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

  2. Shared decision making and consent for surgery

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

  3. Prehabilitation

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

  4. Perioperative patient education

    Remote education to support patients preparing for surgery.

  5. Preoperative assessment

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

  6. Intraoperative

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

  7. Postoperative inpatient care

    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.

  8. Discharge care, Patient Reported Outcome Measures (PROMs) and surgical virtual wards

    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.

  9. Surgical follow up

    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).