Enhanced Vitality Partnership Recovery Partnership Enhanced Programme Recovery

Enhanced Vitality Partnership Recovery Partnership - Enhanced. Programme Recovery Programme Primary Care-integrated Enhanced Recovery Programme Debra Sprague, Vitality Partnership debra. sprague@nhs. net 07976 558892

Enhanced Vitality Partnership Recovery Partnership - Enhanced. Programme Recovery Programme Primary Care-integrated Enhanced Recovery Programme Primary Care influenced Enhanced Recovery Programme : • ensures active patient-engagement in spell of care • prepares patients for surgery and for rehabilitation to work/social activity • minimises physical, psychological, social & financial impact of surgery upon the patient Benefits include improvements in: • • • patient experience clinical outcomes (up to 50% reduction in post-op complications) staff experience, lengths of stay and rates of readmission increased capacity and/or reduction in NHS & social costs. 2

Enhanced Vitality Partnership Recovery Partnership - Enhanced. Programme Recovery Programme Primary Care role in Enhanced Recovery 1. GPSI Orthopaedics assessment & aided decision-making 2. Pre-referral bloods, optimising of LTCs, pharmacist review. 3. Pre-op assessment and patient teaching in primary care 4. Contingency discharge-planning from day of referral – incorporating social / family / work / environmental factors 5. Patient presents in prime condition for surgery. 6. Peri-operative care – primary care liaison & post-discharge review 7. Post-op rehabilitation in the community

Enhanced Vitality Partnership Recovery Partnership - Enhanced. Programme Recovery Programme Key messages for Primary Care Clinicians ¢ Enhanced Recovery offers benefits across health and social economy – to patients, providers and commissioners. ¢ Clinicians must embrace aims and understand crucial part that each plays in outcome ¢ Commissioners must be on board to support rollout 4

Enhanced Vitality Partnership Recovery Partnership - Enhanced. Programme Recovery Programme Networks and further reading Clinical Evidence Compendium Enhanced Recovery, For copy, email - enhancedrecovery@dh. gsi. gov. uk Dr Alan Nye, Clinical Advisor Elective Care, Dept of Health email: alan. nye@nhs. net ‘Decision Aids reduce rates of discretionary surgery’ O’Connor et al. , Cochrane Library, 2009 On-line DH validated patient decision-aid - knee arthritis http: //admin. decisionaids. nhsdirect. nhs. uk/ Fit For Work programme – Richard Equilant c/o ffw@ingeus. co. uk www. ingeus. co. uk/ffw

Enhanced Vitality Partnership Recovery Partnership - Enhanced. Programme Recovery Programme Primary Care-integrated Enhanced Recovery Programme Debra Sprague, Vitality Partnership debra. sprague@nhs. net 07976 558892