Principles of Prehabilitation: Evidence and Practice
Professor Sandy Jack, Consultant Clinician Scientist and Professor of Prehabilitation Medicine in the Anaesthesia/Critical Care and Perioperative Medicine Research Unit, University Hospital Southampton NHS Foundation Trust
Sandy is Professor of Prehabilitation Medicine in Clinical and Experimental Sciences Dept., Faculty of Medicine, at the University of Southampton. She is also Consultant Clinician Scientist in the Anaesthesia/Critical Care and Perioperative Medicine Research Unit, University Hospital Southampton NHS Foundation Trust (UHS). She was Director of the Clinical Diagnostic and Preoperative Assessment Exercise service at Aintree University Hospitals NHS Foundation Trust and is now the lead Clinician Scientist at UHS.
"What are the barriers for prehabilitation? The pre surgery pathway – this is a wasted time. This time should be all about personal care, but patients are isolated waiting for care"
A Patient Perspective
Susannah Hill, Person with lived experience of prehabilitation
A patient’s perspective of the psychological benefits of prehabilitation, including how talking about prehabilitation can improve the consent process. From the perspective of a patient who suffered major surgical complications, the presentation will cover how prehabilitation can help the patient’s emotional and physical recovery if complications occur.
"Do I regret having my surgery? No, because I was aware of the generic risks. I knew that and it was my decision… It’s the difference between patient expectations and reality – patients don’t think [major complications] will happen to them. We trust our surgeons, but talking about prehabilitation, saying to a patient to do this and that because it will reduce your risk of complications – it will not stop major complications but it will reduce the risk, and improve the recovery time afterwards. We can talk about the benefits, how it can reduce length of stay, reduce recovery time, get people back exercising more quickly"
Integrating Prehabilitation into the Care Pathway. Focus: Prehabilitation for People with Cancer
June Davis, Allied Health Professional Advisor, Policy and Impact, Macmillan Cancer Support
June has 27 years’ experience working in and with the NHS as a Dietitian, service and professional lead, general manager for a number of service areas within the acute setting and senior project lead for several large scale change projects across London. June has over 10 years’ experience working as Head of Therapies for large acute Trusts. These roles involved both the strategic and operational management of one of the largest therapy services in the UK as well as being at the forefront of integrating research, service delivery and education across AHP services. June is a Director of Allied Health Solutions, Allied Health Professions Advisor (part time) for Macmillan Cancer Support and a professional advisor to the Care Quality Commission.
"What is prehabilitation? Ask 10 different [clinicians] and you’ll get 10 different answers. We need to be really clear what it is about – sometimes I’d much rather learn from the patients how we should describe it. I have a patient who says, 'just tell me what to do in plain English, and I’ll do it!'”