Proactive Patient Care: Reducing Delays, Cancellations, and Readmissions Through Peri-Operative Optimisation

This poster describes a project transform the Pre-Operative Assessment Clinic (POAC) into a Peri-Operative Assessment service at Somerset NHS FT. The goal was to improve elective surgical patient outcomes by proactively managing co-morbidities (e.g., diabetes, anaemia, smoking cessation) and reducing delays, cancellations, length of stay, and readmissions.

Key points:

Problem: Elective surgical patients were being assessed too close to surgery, leading to negative impacts on patient outcomes and experiences.

Aim: Increase screening and optimisation for patients requiring major inpatient surgery, focusing on diabetes, anaemia, and smoking cessation.

Team and Stakeholders: A diverse team of healthcare professionals and a patient partner collaborated on the project.

Test and Learn: Multiple PDSA cycles were used to test and refine change ideas. For example, posters and clinician communication improved questionnaire return rates.

Measures: Outcomes (percentage of patients receiving and returning questionnaires), process (number of patients supported), and balancing (ensuring capacity aligns with demand) measures were used.

Change Ideas: Numerous change ideas were generated, including using questionnaires, collecting Hb results, and improving referral pathways.

Spread and Sustainability: First-year funding secured to launch the enhanced Peri-Operative Service, with plans for progressive transformation of POAC resources, digital improvements, and resource reallocation.

Click on the poster below to read and download

For further information about the project, please contact Annie Allen ([email protected]) or Jacqui Wilson ([email protected]).

  • Acute
  • Acute > Surgery
  • Acute > Surgery > General Surgery
  • Leadership and Management
  • Leadership and Management > Quality and Performance
  • Leadership and Management > Quality and Performance > QI
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