Follow the conversation on twitter #BADSGeneralSurgery
A Joint BADS & Healthcare Conferences UK Conference
Day surgery is now provided for an increasing range of procedures, in patients ranging from the very fit to the rather frail. It has become the standard of care for many elective surgery procedures and should be the default option for all 200 procedures within the BADS Directory of Procedures.
As the healthcare industry faces a cost predicament, it is incumbent upon healthcare professionals to identify and reduce unnecessary practices without worsening patient outcomes. A new procedure that creates both a reduction in cost and improved patient outcomes is desirable. Hospital stays after complex general surgery constitute a large percentage of the entire procedure's cost.
Currently, the average hospital length of stay (LOS) after a colectomy and fundoplication is 7 days to 10 days and 3 days respectively in the United Kingdom. However, a trend is emerging toward shorter LOS following colectomies and fundoplications by changing the perioperative procedures. The improvement of patient selection, pre-operative optimisation and surgical advances have all contributed to a shorter LOS.
We shall hear from centres who have successfully introduced day case and 23 hour stay Laparoscopic Fundoplication and colorectal resection pathways respectively.
Additionally, as the principles of ambulatory care are changing we have the National Lead for the Surgical Ambulatory Emergency Care Network and Chairman of the Surgical Same Day Emergency Care group, Mr Arin Saha, speaking on the RCS and NHS England 10 year plan and the minimum standards all acute units in England and Wales will be expected to achieve by March 2021 as well as the models of care around the country. This will include, but not limited to, information on requirements for staffing, consultant rotas and ways to optimise your service.
We will also hear from the Royal College of Anaesthetists Joint clinical perioperative medicine lead about GIRFT data in the day case setting. The GiRFT programme has recognised the importance of day surgery. The GIRFT general surgery report acknowledges there are opportunities to learn from centres where the use of day case surgery for less complex procedures is most common. Within the Anaesthetic and Peri-operative medicine work stream GIRFT look at procedures from the BADS Directory of procedures which appear to have wide variations in successful day case rates. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings.
There will be an opportunity for discussion with the speakers, experts from BADS and participants from across the UK which will be of interest to those with medical and nursing backgrounds.
Attending this conference will enable you to:
- Gain insight into the NEW Same Day Emergency Care (SDEC) standards expected to be achieved by all units by March 2021 set by the RCS and NHS England.
- The GIRFT general surgery report aims to help units tackle variations in the way services are delivered across the UK. The joint peri-operative GIRFT lead will help you identify changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings.
- Improve the way we manage emergency pathways in the daycase unit to improve the patient journey.
- Learn from outstanding practice in day case Fundoplication and 23hr stay Colonic resections by nationally renown surgeons.
- Understand how you can improve the day case Laparoscopic Cholecystectomy service in your unit.
- Identify key strategies for patient selection to create a successful daycase unit
- Self assess and reflect on your own practice
- Gain CPD accreditation points contributing to professional development and revalidation evidence
- Network with colleagues who are working to improve and optimise their general surgery day case service.