Cardiothoracic Surgery: GIRFT Programme National Specialty Report – GIRFT Programme

Report that finds that changes to the way cardiothoracic surgical services are organised and delivered in England will bring substantial benefits for patients suffering from conditions such as blocked arteries, lung cancer, and heart valve disease. It recommends: more efficient

Vascular Surgery: GIRFT Programme National Specialty Report – Getting It Right First Time

Report that calls for reconfiguration of arterial surgery services so that all patients can be treated on an urgent basis – by establishing hub and spoke networks, where the hubs have the capacity and flexibility to offer a seven-day service. This model is

MiraQ for assessing graft flow during coronary artery bypass graft surgery: Medical technologies guidance [MTG8] – NICE

Evidence-based recommendations on MiraQ for assessing graft flow during coronary artery bypass graft surgery. Having originally been developed to make recommendations on the use of VeriQ, this guidance has been updated to make recommendations on the use of a follow-on

Aortic valve reconstruction with processed bovine pericardium: Interventional procedures guidance [IPG604] – NICE

Evidence-based recommendations on aortic valve reconstruction with processed bovine pericardium. This involves replacing a damaged aortic valve with a new valve made from chemically treated cow pericardium.

Transvaginal mesh repair of anterior or posterior vaginal wall prolapse: Interventional procedures guidance [IPG599]

Evidence-based recommendations on transvaginal mesh repair of anterior or posterior vaginal wall prolapse. This involves inserting a mesh to replace tissue that has weakened and caused the pelvic organs to drop down (prolapse) into the vagina. This guidance replaces NICE interventional

Endobronchial valve insertion to reduce lung volume in emphysema: Interventional procedures guidance [IPG600] – NICE

Evidence-based recommendations on endobronchial valve insertion to reduce lung volume in emphysema. This involves placing small one-way valves in some airways leading to damaged parts of the lungs. This guidance replaces NICE interventional procedures guidance on insertion of endobronchial valves for

Transcutaneous microwave ablation for severe primary axillary hyperhidrosis: Interventional procedures guidance [IPG601] – NICE

Evidence-based recommendations on transcutaneous microwave ablation for severe primary axillary hyperhidrosis in adults. This involves using microwaves to destroy sweat glands in the armpit.

Artificial heart implantation as a bridge to transplantation for end-stage refractory biventricular heart failure: Interventional procedures guidance [IPG602] – NICE

Evidence-based recommendations on artificial heart implantation as a bridge to transplantation for end-stage refractory biventricular heart failure. This involves replacing the 2 lower chambers of the heart with a mechanical device to improve circulation until heart transplantation.

Subcutaneous implantable cardioverter defibrillator insertion for preventing sudden cardiac death: Interventional procedures guidance [IPG603] – NICE

Evidence-based recommendations on subcutaneous implantable cardioverter defibrillator insertion for preventing sudden cardiac death. This involves placing a device under the skin of the chest, which detects and treats fast heartbeats called tachyarrhythmias. This guidance replaces NICE interventional procedures guidance on insertion

General Surgery: GIRFT Programme National Specialty Report – Getting It Right First Time

This report argues that the NHS could see a significant reduction in the amount of people unnecessarily admitted for emergency general surgery if more acute hospitals introduced consultant-led surgical assessments at their ‘front door’. The analysis estimates that this change

Improving the Working Environment for Safe Surgical Care: A discussion paper from the Royal College of Surgeons of Edinburgh – Royal College of Surgeons of Edinburgh

Outlines a number of critical recommendations to government to greatly improve safety in the delivery of surgical treatment and patient care. The report notes factors adversely affecting morale, including a lack of team structure, poor communication, high stress levels, and limited training

Cosmetic procedures: ethical issues – Nuffield Council on Bioethics

Report exploring the potentially troubling factors that underlie the growth in interest in invasive cosmetic procedures, undertaken for appearance-related reasons and provided in a highly commercial environment.  It recognises the increased need to under the ethics of cosmetic interventions.  The report identifies

The Hospital As A Multi-Product Firm: The Effect Of Hospital Competition On Value-Added Indicators Of Clinical Quality – Centre for Economic Performance

This paper examines the impact of the introduction of patient choice in elective surgical procedures on patient reported outcome measures (PROMs). It finds that by introducing competition via the mechanism of patient choice, there may have been a negative effect

Theatre savings flow from TPOT approach – HFMA

Case study from the NHS effciency map considering how one of the UK’s biggest acute hospitals, with more than 50 operating theatres across multiple sites, is seeing some major improvements using a structured approach to theatre improvement.

Minimally invasive sacroiliac joint fusion surgery for chronic sacroiliac pain: Interventional procedures guidance [IPG578] – NICE

Evidence-based recommendations on minimally invasive sacroiliac joint fusion surgery for chronic sacroiliac pain in adults. This involves fixing the sacrum to the ilium using 2 or 3 metal implants.

Sacrocolpopexy with hysterectomy using mesh to repair uterine prolapse: Interventional procedures guidance [IPG577] – NICE

Evidence-based recommendations on sacrocolpopexy with hysterectomy using mesh to repair uterine prolapse. This involves attaching mesh from the top of the vagina to the base of the spine to support the pelvic organs after the womb has been removed. This