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A Joint BADS & Healthcare Conferences UK Conference
Find out more about virtual attendance
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.
The Covid-19 pandemic has put extraordinary strain on hospital services, staff and facilities with hospitals having to restructure pathways and spaces. During the first wave, the majority of elective surgery was suspended resulting in long delays for elective and some urgent surgery. The recovery of elective surgery in the NHS depends not only on the needs to address the back log of patients now requiring treatment but also the recognition that many patients remain increasingly reluctant to come into hospital.
It is therefore essential to rapidly develop provision for elective and urgent surgery via efficient day case pathways:
• To tackle expanding waiting lists
• To reduce the secondary impact of Covid-19 relating to morbidity associated with delayed surgery
• To provide an environment and pathway which enables patients to attend with confidence.
• To meet patient preference for day surgery over inpatient care.
As elective surgery resumes performing as many procedures as possible as a day case has never been more vital. Cold site surgery should be considered, ideally within a dedicated unit as part of an acute hospital site, and ensure that properly designed units are protected from surges in emergency care admissions. We will hear from Senior Charge Nurse Catherine Jackson, about Queen Margaret Hospital “Cold site” Day Surgery Unit experience.
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 (SDEC) group, Mr Arin Saha, speaking on SDEC and discussing how it has been affected by COVID. The president of the International Association of ambulatory surgery, Professor Doug McWhinnie, will be discussing the “New Normal” for day surgery pathways following COVID 19.
We will also hear 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 by nationally renown surgeon.
- 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.