Gynaecology

1
Gynaecology

• Enhanced Recovery
• The South Tees Perspective

2

• Extent of the approach
• ? All Gynaecology
• ? Benign Gynaecology
• ? Gynae Oncology
• ? All procedures
• ? 1 procedure
• ? All consultants
• ? 1 consultant only

3
(No Transcript)
4
Current LOS

• Hysterectomy (Including Oncology)

5
Best in Class

• The best performing Trusts in 08/09 had an ALOS
  of 2.5 days
• South Devon Already started Enhanced recovery
• 3 days
• North Middlesex,
• ?? Does this include Gynae Oncology

6
Gynae Oncology LOS(Hysterectomy)
7
Gynae Oncology

• Both consultants
• Any procedure with a hysterectomy OPCS code
• Q 089
• Q 074
• Q 072
• Q 079

8
Work in progress

• Drawing up draft pathway
• Anaesthetist, Specialist Nurse, Gynaecological
  Oncologists, Clinical Matron, Senior Nurse
• Target date of 8th January completion
• Implementation date to be agreed

9
Ian
Haslock Lecture Theatre, Academic Centre
James Cook
University Hospital
19 January 2010
1230 1500
Local Event

• 1230 1330
• What is enhanced recovery?
• Mr Alan Horgan, Consultant Colorectal Surgeon
• National Clinical Lead for ERPP
• An overview of the generic principles of enhanced
  recovery.
• Ann Driver, Director, NHS Improvement
• What is the Enhanced Recovery Partnership
  Programme (ERPP)?
• 1330 1430
• An overview of the ERPP and why we should support
  implementation.
• South Tees Hospitals FT current and aspiring
  progress.
• An overview of progress within Urology,
  Gynaecology, and Colorectal Surgery.
• 1430 1500 Networking between specialities
  and national leads.