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Contents


THE CLINICAL SERVICES JOURNAL


OPERATING THEATRES


Inside this issue


5 Editor’s Comment Tackling the backlog: what’s next?


www.clinicalservicesjournal.com l July 2025 THE CLINICAL SERVICES JOURNAL


6 Cover Story - Raising the bar in surgical innovation


Brandon Medical discusses the evolution of operating table technology and highlights a step forward with the launch of Anteris Ultra.


Looking East at leadership in robotics Championing civility, safety and collaboration


9 News 12 Products


14 Exploring surgical trends in the OR


Kate Woodhead RGN DMS looks at the latest surgical trends – from robots and artificial intelligence to 3D printing and virtual reality. She considers the steps that theatre teams need to take to ensure safe implementation of new technologies.


18 Delivering the SAFE OR Programme


AfPP Trustee, Lisa Tierney is set to travel to Sri Lanka as part of the SAFE OR Programme, a training initiative that is designed to enhance surgical safety through effective teamwork and communication.


21 Championing civility, safety and collaboration


In the high-pressure, fast-paced environment of perioperative practice, clinical excellence must be matched by behavioural integrity. It is not enough to have the skills and knowledge to care for patients undergoing surgery; we must also create a working culture that is safe, respectful, inclusive, and supportive, says AfPP’s Susan Preston.


27 Reducing SSIs in vascular patients


Vascular patients are at higher risk of surgical site infection, so what can we do to ensure better outcomes following surgery? At IPC 2025, Jane Todhunter, President of the Society of Vascular Nurses, provided an insight into key initiatives and best practice aimed at reducing SSIs.


OPERATING THEATRES


Exploring surgical trends in the OR


37 Teamwork vital for successful robotic surgery


In this article, Minija Joseph and colleagues at the King’s College NHS Foundation Trust discuss the critical role of theatre nurses and anaesthetic practitioners in robot-assisted surgery.


41 Addressing inefficiencies in the operating room


Operating rooms (ORs) are among the most vital and resource-intensive areas of any hospital. They are central to surgical care and a major driver of hospital productivity. Yet, despite their critical role, ORs are often hindered by inefficiencies that compromise patient outcomes, strain staff wellbeing, and reduce overall operational effectiveness. A recent pan-European report, The Non-Value Report, sheds light on these challenges and offers a practical framework for improvement. Mikael Olsson provides an insight.


45 Enhancing culture and teamwork in theatres


Dora Bilan explains why the adoption of non-technical skills is essential for ensuring effective and efficient operating theatres and discusses the need for strategies to help minimise the high-pressure environment of the workplace.


51 ‘Too small to be a surgeon’: cutting out gender bias


A new survey by the Confederation of British Surgery (CBS) has identified continuing gender bias in surgical disciplines. The feedback suggests that women face barriers that men do not. In this article, the surgical trade union comments on the latest findings and calls on the surgical community to take action.


56 Day case surgery: challenges and opportunities


The Fifth Annual Operating Theatres Show 2025 took place earlier this year at the Kia Oval. Organised by the Institute for Government & Public Policy, high on the agenda was the need to ‘think day case first’, to further the recovery of elective surgery.


31 Looking East at leadership in robotics The AfPP Robotics Symposium was recently held at the Norfolk and Norwich University Hospitals NHS Foundation Trust, which has achieved some impressive milestones and advances in robotic surgery in recent years. Leading experts gathered at the centre to discuss the challenges and opportunities in this pioneering field.


July 2025


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July 2025 I www.clinicalservicesjournal.com 3





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