FUTURE SURGE RY
supported in a professional and personal capacity.
4. The NHS should undertake a strategic review of training and development needs for NHS staff working in elective care departments, outlining programmes which can be supported by industry partners.
5. The Government should consider implementing a programme to establish dedicated day surgery units and teams, in line with the recommendations of the National Day Surgery Delivery Pack and GIRFT best practice guidance on hot and cold sites for operations.
6. New guidelines should be established to use shared decision-making to prepare patients in secondary care settings, to support surgical teams to adjust elective care waiting lists in a way that is reflective of patient need.
7. Standardisation of elective care processes should be undertaken at a regional level to allow intra-Trust collaboration to reduce elective care numbers.
8. A national NHS Task and Finish group should be established to explore the potential for greater implementation of value-based procurement models in reducing the elective backlog.
Global medical director at Mölnlycke, Dr. Tod Brindle, commented: “The current backlog in elective care presents the biggest challenge to delivering effective healthcare in the United Kingdom. Every time a surgical procedure is delayed, it is another patient unable to return to normal life or begin their recovery. In facilitating this report, we at Mölnlycke want to work in partnership with healthcare professionals and experts to understand how we can create a sustainable elective care recovery for the NHS, and identify how Mölnlycke can provide the solutions to support this.”
Dr. Brindle and Prof. McNally were also joined on stage at Future Surgery by Siva Anandaciva, chief analyst at the King’s Fund, as they discussed the challenges ahead. The speakers called for a change in culture with a move away from a model of ‘competition’, towards a more collaborative approach between healthcare providers – sharing ideas, innovation, best practice and resources.
Only two people in the audience were aware of the concept of ‘Provider Collaboratives’. However, these are partnerships that bring together two or more NHS Trusts to work together at scale to benefit their populations. There was optimism among the panel that this could bring significant benefits to patients going forward.
(Download your copy of the Recovering Elective Care White Paper at www.
molnlycke.co.uk/campaigns/ors/recovering- elective-care/)
Innovation in training
As a succession of conference speakers highlighted at Future Surgery 2022, there have been significant challenges around surgical training during the pandemic. Innovations aimed at delivering training opportunities and education were a major focus at the event.
Visitors to the ABHI Surgical Simulation Theatre were able to watch a wide array of cutting-edge demonstrations courtesy of some of the UK’s leading clinics and hospitals, including Guy’s and St Thomas’ NHS Foundation Trust, Moorfields Private Eye Hospital London, the London Osteotomy Centre, The Royal Berkshire NHS Foundation Trust and Orthopaedic Specialists. The state-of-the-art theatre also featured demonstrations of new and pioneering technologies, including Proximie – a novel technology platform that allows clinicians to
virtually ‘scrub in’ to any operating room or cath lab from anywhere in the world. Proximie’s technology enabled the live broadcast of joint preservation surgery, from the Guy’s and St Thomas’ NHS Foundation Trust (GSTT) theatres – performed by renowned consultant orthopaedic & specialist knee surgeon, Mr Raghbir Singh Khakha. A high tibial osteotomy is a minimally invasive procedure that realigns the knee joint. For some patients with knee arthritis – a condition marked by progressive decline – the surgery can delay or prevent the need for a partial or total knee replacement by preserving damaged joint tissue. Speaking about the procedure Mr Raghbir Singh Khakha said: “Joint preservation is the hottest topic in knee surgery at the moment and surgeons and trainees are keen to learn about the latest techniques on how this is performed. Traditionally, this has been a difficult procedure to perform with large incisions and challenging technical elements as well as a long recovery. With recent advances, it is becoming a safe and reproducible procedure with excellent long-term outcomes.” Guy’s and St Thomas’ are dedicated to broadening international professionals’ clinical expertise and enabling them to observe new skills that can be transferred back to their workplace without the need to travel to London. Working with Proximie, the Virtual
Visiting Professional Programme will help provide surgeons, assistants and surgical care practitioners with the opportunity to experience and learn from a multi- disciplinary robotics team no matter where they are based in the world.
The platform allows viewers to experience
the surgery as if they were in the operating room, as well as giving them access to all cases via a library that they can go back to review and analyse. Through the technology, users can speak, chat, and annotate, as well as see up to four views from the surgical site, alongside models, X-Rays, and operating room contextual views. Each placement will be tailored to the learning needs of the observer and can range from broadly generic to highly specific.
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