This report provides the insight to support clinicians, managers and hospital leaders to improve how care is delivered, and how theatre resources and clinical expertise can be best used. Key findings include: A third of operating lists started 30 minutes
NHS England will not routinely commission surgery for pectus deformity in accordance with the criteria outlined in this document. In creating this policy NHS England has reviewed this clinical condition and the options for its treatment. It has considered the
The time preparing for, undergoing and then recovering from an operation is known as the perioperative period and the College believes that tailored care throughout this time will improve long-term outcomes for patients after surgery. It suggests exercise and nutritional
The UK Advisory Panel for Healthcare Workers Infected with Bloodborne Viruses (UKAP) specialist working group has compiled a list of exposure prone procedures (EPPs) and non-EPPs carried out in vascular surgery. Each procedure has been categorised into the level of risk of
This annual report covers surgical site infection (SSI) data collected by NHS hospitals and independent sector NHS treatment centres. Data in this report includes voluntary submissions and data submitted as part of the Department of Health’s mandatory healthcare-associated infection surveillance programme.
This guidance has been developed with the occasional trauma team in mind, for example, surgeons in a trauma unit who need to treat a deteriorating P2 patient, or a P1 patient who has been conveyed to the trauma unit, during
Report that finds Nearly two thirds of procedures were coded to the wrong specialty, meaning outcomes, treatment volumes and which units did what was hard to measure. The British Association of Oral and Maxillofacial Surgeons has pledged to start collecting
Torbay and South Devon NHS Foundation Trust was one of the first trusts to recruit surgical care practitioners (SCPs) within England. This case study explores how the trust has successfully integrated SCPs within its orthopaedics department and developed the role,
This guideline covers renal replacement therapy (dialysis and transplantation) and conservative management for people with chronic kidney disease stages 4 and 5. It aims to improve quality of life by making recommendations on planning, starting and switching treatments, and coordinating
This quality standard covers renal replacement therapy services for adults with kidney failure. It includes treatment options, such as dialysis and kidney transplant. It describes high-quality care in priority areas for improvement.
Evidence-based recommendations on iFuse for treating chronic sacroiliac joint pain. The case for adopting the iFuse implant system to treat chronic sacroiliac joint pain is supported by the evidence. Using iFuse leads to improved pain relief, better quality of life
Evidence-based recommendations on the E-vita open plus for treating complex aneurysms and dissections of the thoracic aorta. This guidance has been updated to include a review of the cost model using more recent values. New evidence and updated costs identified
Evidence-based recommendations on leadless cardiac pacemaker implantation for bradyarrhythmias in adults. This involves inserting a device into the heart that helps it beat at a normal rate. Evidence on the safety of leadless cardiac pacemaker implantation for bradyarrhythmias shows that
Evidence-based recommendations on superior rectal artery embolisation for haemorrhoids in adults. This involves blocking the blood vessels supplying the haemorrhoids with tiny plastic particles or metal coils. Current evidence on the safety and efficacy of superior rectal artery embolisation for
Royal College of Obstetricians and Gynaecologists report into benign gynaecological care, The report identifies a number of national indicators to provide an overview of benign gynaecological care in England. This includes inpatient care, emergency readmission and longer-term surgical outcomes. It
Evidence-based recommendations on sutureless aortic valve replacement for aortic stenosis in adults. This involves removing the narrowed aortic valve and replacing it with an artificial valve that holds itself in place. This guidance replaces NICE interventional procedures guidance on sutureless
National Ophthalmology Database (NOD) cataract audit to report on all NHS funded cataract surgery in England and Wales. Included in this second prospective report are operations undertaken between 1st September 2016 and 31st August 2017. For comparisons with results from the first year of
Evidence-based recommendations on transaxial interbody lumbosacral fusion for low back pain in adults. This involves removing a damaged disc through a small cut at the base of the spine, and replacing it with an artificial implant. This guidance replaces NICE interventional
Evidence-based recommendations on superior capsular augmentation for massive rotator cuff tears in adults. This involves using a graft to stabilise the shoulder joint, reduce pain and improve shoulder function.
This report provides information related to organ donation and transplantation within the Black, Asian and Minority Ethnic (BAME) communities in the UK. It is published as a supplementary report of the Organ Donation and Transplantation Activity Report 2017/18. This report defines BAME as