OP E R ATING THEATR E S
April 2020, ‘business as usual’ dropped to 11%, for example. “We knew we had a massive problem coming our way and had to do something different,” said Prof Briggs. In London, GIRFT has been driving the ‘High Volume, Low Complexity’ programme, which is now being rolled out to other areas.
High Volume, Low Complexity pathways
The programme (see figure 1, p22) involves focusing on driving equity of access and excellent clinical outcomes for the population through standardisation of pathways and adoption of best practice.
This includes a drive for ‘top decile’ GIRFT performance on clinical outcomes and productivity, standardised procedure level clinical pathways agreed across all providers (including productivity expectations e.g. 10 cataracts per half day list/4 joint replacements on an all-day list), Fast Track Surgical Hubs for high volume elective procedures, and agreed principles for working across clinical and operational groups e.g. theatre principles. “This is going to require a change in
culture. We are paid by the tax-payer; they expect a certain level of service, and we will have to provide that going forward,” Prof Briggs commented.
He revealed that 29 procedures pathways were standardised in just seven weeks. Before the pandemic, no one thought this would be possible. “We are now going to standardise in the NHS in a way that has never been possible before. It will transform the way we do things,” he continued.
Moving on to discussion of day case
surgery, he added that 85% of all elective surgery (with minimal exceptions, e.g. arthroplasty) should default to a day case surgery pathway. This will free up beds for more complex work.
He revealed that more hub sites are also now being established. In London, there
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