In this section you will find resources relevant to perioperative care, from CPOC's partners and relevant third-party organisations.
CPOC works with its partners, stakeholders and third party organisations to ensure we provide a wealth of up to date resources in perioperative care and sign post where necessary.
If you believe there is a relevant resource that can be added to this page please email CPOC@rcoa.ac.uk
The Modernising Patient Pathways Programme is dedicated to improving patient journeys by delivering sustainable changes to support safe, effective, and person-centred care.
The programme has over twenty one areas of focus all across medical specialites and is undertaking projects in this area.
To find out up to date information on the work please view the MPPP on twitter,
The 2011 NCEPOD study on perioperative care ('Knowing the Risk', see above) looked at risk and outcome in patients undergoing inpatient surgery. One of the principal recommendations in the report from this study included a need for a way to rapidly and easily identify high risk patients, and in response NCEPOD and SOuRCe created the Surgical Outcome Risk Tool (SORT), a rapid percentage mortality risk estimate for patients who are undergoing non-cardiac, non-neurological inpatient surgery.
A collection of resources from the Proactive Care of Older People Service (POPS), an award-winning service and the first of its kind in the UK. It started in 2003 and has rapidly become an essential surgical support service. It is recognised locally and nationally as being of high quality, innovative and clinically effective.
Developed by Perioperative Local Leads in Scotland, you can access and download the Scottish Standard here.
The Royal College of Anaesthetists commissioned this report in May 2018 at a time when existing sustainability and transformation partnerships (STPs) were beginning to evolve into ICSs. The College was keen to assess the extent to which improvements in perioperative medicine, or opportunities for its role in transforming outcomes, were acknowledged or featured in the emerging thinking.
It identifies best practice and a series of recommendations to embed this within the NHS, as well as highlighting a series of pilot projects that can be scaled up once their impact has been fully assessed.
This NCEPOD report highlights the quality of diabetes care for patients aged 16 years or older who underwent a surgical procedure. The report takes a critical look at areas where the care of patients might have been improved. Remediable factors have also been identified in the clinical and the organisational care of these patients.
This essay collection from the Health Foundation looks at improving various aspects of public health – and at the potentially game-changing social and economic benefits to society of doing so. It concludes by proposing the need for a paradigm shift in policy, whereby health is seen as a fundamental component of a prosperous and sustainable society and a priority in all policy areas.
Currently, one in six hospital beds are occupied by someone with diabetes and by 2030 it is predicted this will rise to one in four. In hospital, people with diabetes have high infection rates, longer lengths of stay and increased mortality. In 2017, 260,000 people with diabetes experienced a medication error which could have resulted in serious harm or even death, and 58,000 an episode of severe hypoglycaemia.
This report has been created by Diabetes UK in alliance with groups and individuals striving to improve hospital care for people with diabetes. Through engagement with diabetes inpatient teams, ward staff, people with diabetes and hospital management, this report addresses the depth of the challenges facing the NHS in improving diabetes inpatient care.
The Specialised Clinical Frailty Network supports specialised healthcare teams to improve the way specialised care and treatment is tailored to the needs and preferences of individuals living with frailty. The Network commenced in 2018, and has been working with specialised teams to explore how frailty assessment and management can best be integrated into specialised service pathways. The Network is a clinically led quality improvement collaborative.
The Network delivers a programme of support framed around frailty assessment, that will help inform a clinically appropriate and holistic response to meet patient needs. Shared decision making is a key part of this response, ensuring that a patient-centred plan is agreed with patients and their carers, adopting a “what matters to you” philosophy.
The SCFN provides a range of tools and resources to support healthcare staff to improve NHS specialised services for older people living with frailty.
The network is also endorsed by the British Geriatrics Society (BGS.)
Find out more about the network.
Patient-driven online preoperative assessment
Ultramed has developed MyPreOp®, a cloud-hosted programme, enabling patients to enter, own and share their preoperative assessment information. A report is electronically provided to the hospital to integrate into the Electronic Patient Record. Complex algorithms suggest which preoperative tests and actions should be considered. MyPreOp® empowers patients and saves nursing time.
Before an operation a person’s fitness needs to be assessed by a registered nurse. A lot of time is spent collecting information from the patient. Many hospitals have paper-based systems which cannot automatically process the information or give guidance to the nurses about what preoperative tests and actions might be needed.
MyPreOp® provides a patient-owned, cloud-hosted solution to these problems. Through the programme, the patient completes a comprehensive assessment of their general health and medical history, which is then digitally submitted to the healthcare provider. By facilitating one-stop preoperative assessment, MyPreOp® helps patients potentially avoid a further hospital appointment and saves time for healthcare professionals.
- 30% of patients completing MyPreOp® avoid having a face-to-face appointment
- In the NHS this could save 1m outpatient appointments per year
- 78% of patients said they would be extremely likely or likely to recommend MyPreOp®
- Avoiding an appointment saves mileage, carbon and patient transport costs
LifeBox is a digital pre-operative assessment ePOA tool which supports pre-op patient assessment, hospital decision-making and personalised patient care.
LifeBox (ePOA) offers patients a platform to complete part of their pre-operative assessment in their own time, at their own pace. The information provided is then available for clinicians to securely access, allowing for early triage and risk stratification which streamline workflows and support personalised patient care.
The Low Card Program is empowering people living with type 2 diabetes, prediabetes and obesity to improve their health and wellbeing through reassuringly impactful behaviour change.
The resource aims to help people lose weight, improve their HbA1c, reduce medications and place type 2 diabetes into remission.
CPOC has not tested these sites and does not partner with the mentioned organisations or promote the effectiveness of any of the products listed. CPOC is simply providing links to these resources.
Please contact us at CPOC@roca.ac.uk if you would like us to include another example.