Following the announcement from National Cabinet on 25 March 2020, NSW Health postponed non-urgent elective surgery to free capacity in hospitals, preserve personal protective equipment and ensure workforce safety and continuity.
Moving to resume these critical services presents an opportunity to rethink the way surgery is organised, furthering our efforts to shift from volume to value and from outputs to outcomes.
The NSW Health Elective Surgery Roundtable was hosted by NSW Health on behalf of the Minister for Health and Minister for Medical Research on 9 July 2020. The forum was a system-wide and collaborative workshop, with experts from the public and private sectors working together to deliver the outcomes that matter most to patients waiting for elective surgery.
The roundtable brought together expert clinicians, health service managers and executives. The ambition for the day was to identify:
- challenges to delivering the additional surgery required to manage the surgical backlog associated with the impact of the pandemic
- successful strategies for building surgical capacity
- actionable recommendations for implementation.
These discussions led to the development of eight ‘Big Ideas’ for change in surgical services, with an action plan to address various elements of the ideas created to support next steps.
The Agency for Clinical Innovation and Surgical Services Taskforce will be leading the following initiatives from the roundtable:
|Enhanced Recovery After Surgery||Developing and trialling a statewide Enhanced Recovery After Surgery model. The model will apply to colorectal surgery initially, with a view to expanding the scope to other procedures / specialties in future.|
|Non-beneficial Surgery||Developing a position paper on non-beneficial surgery, and guidelines to support minimisation of potentially low value surgical procedures in NSW hospital|
Models of care
|Nurse-led Endoscopy||Reviewing evidence in literature around nurse-led endoscopic procedures to provide recommendations for NSW Health on next steps.|
|Centres of Excellence||Reviewing evidence in literature around consolidating specialty services into ‘centres of excellence’, assessing the value of these models and making recommendations to NSW Health on next steps.|
Reviewing evidence in literature and local examples of prehabilitation models.
Developing prehab protocols and trialling them at select sites.
|Multidisciplinary Team Care|
Exploring evidence around the expansion of multidisciplinary team care for key surgical procedures and patient cohorts to develop a model of care.
Making recommendations for next steps and trialling multidisciplinary team care models in select sites.
To get involved in a project, let us know how you’re tackling these topics in your hospital, or to stay up to date on this project’s progress please contact the ACI Surgery & Anaesthesia Team. We would love to hear from you!