The Webb Johnson oration - using good perioperative care to reduce complications and frustrations
Perioperative care is everything from the moment an operation is contemplated until full recovery. It can be disjointed, with care in silos. This can result in late cancellations, complications and inefficiencies. Pathways and processes should be standardised, with clarity about when to individualise care. Skills should be shared across professional boundaries.
Patients should be included. Optimisation (eg exercise) can reduce complications by 30%-80%. Increased Day case surgery is possible (using a couch not bed, so far more efficient).
The required different approach is easy to learn, involving being very clear about expectations, setting high standards and valuing every contribution. The Centre for Perioperative Care (www.cpoc.org.uk) has many resources.
With backlogs of surgery, good perioperative care improves outcomes, cost-effectiveness, efficiency and staff well-being. Every surgeon and team-member should understand it.