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  • About CPOC
    About CPOC
    • What is Perioperative Care?
      What is Perioperative Care?
      • The Case for Perioperative Care
    • CPOC Partners
      CPOC Partners
      • CPOC Board
      • CPOC Director
      • Incoming CPOC Director
      • CPOC Advisory Group
    • Strategy and vision
      Strategy and vision
      • Current Workstreams
    • CPOC Policy
      CPOC Policy
      • CPOC Manifesto: a blueprint for NHS efficiency
      • Proving the Case for Perioperative Care
      • Multidisciplinary Working in Perioperative Care
      • Perceptions of perioperative care in the UK
  • News
    News
    • News
    • CPOC Newsletter
    • Follow us on X
  • For Patients
    For Patients
    • What is Perioperative Care?
    • Your Perioperative Journey
    • Shared Decision Making
    • Fitter, Better, Sooner Toolkit
    • Patient Information Leaflets
  • Guidelines & Resources
    Guidelines & Resources
    • Guidelines
      Guidelines
      • Prepared for Surgery, Ready for Recovery: Supporting Patients from Pre-op to Discharge
      • Anaemia in the Perioperative Pathway
      • Perioperative Management of Obstructive Sleep Apnoea in Adults
      • Perioperative Care of People Living with Frailty
      • The National Safety Standards for Invasive Procedures (NatSSIPs)
      • Perioperative Care of People with Diabetes
      • Day Surgery
      • Enhanced Perioperative Care
      • CPOC Endorsed Guidelines, Publications & Projects
    • Resources
      Resources
      • SipTilSend
      • Assessment Tools
      • Patient Information Leaflets
      • Shared Decision Making for Clinicians
      • The Key to reducing waiting lists
      • Useful Links
    • Perioperative optimisation: Top seven interventions
      Perioperative optimisation: Top seven interventions
      • Alcohol moderation
      • Assessment, optimisation, shared decision making
      • Exercise
      • Mental wellbeing
      • Nutrition
      • Practical preparation
      • Smoking cessation
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    • Educational Courses
    • Events Calendar
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    • Perioperative Care – Prehabilitation Group
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Implementing perioperative care pathways across ICSs

Changing clinical pathways is one of the biggest challenges in moving to a population health approach. It requires not only development of new care models, but clinical roles and adoption of new ways of working.

While the specialty of anaesthesia is seeing an evolution of the anaesthetist into the ‘perioperative care physician’, this new role cannot work in isolation and the ‘prehab to rehab’ model will only be successful with the buy in of ICSs, their leaders and staff across all providers.

We believe that the implementation of this model of care across system providers can provide the tools needed to help ICSs achieve their goal of improving the health of local populations.

A Teachable Moment

The RCoA’s report A Teachable Moment – Delivering Perioperative Medicine in Integrated Care Systems contains a detailed analysis of the first ten ICSs and offers a series of practical solutions for each to embed perioperative best practice to support their identified clinical priorities and develop related pathways.

 CPOC will strive to facilitate greater collaboration between specialties to improve perioperative care pathways, and we look forward to working with Government and arms-length bodies to support them as they play a key role as catalysts of the culture change needed to achieve this.

Development of a new OSA Guideline at East Suffolk and North Essex NHS Trust (ESNEFT)

A blog by Dr Ben Chisnall describing the development of a new guideline for perioperative management of Obstructive sleep apnoea (OSA) in adults

Using Strategy and Organisational Structure to improve Perioperative Care

A blog by Dr Jennie Rechner describing how strategy and organisational structure was used to improve perioperative services at Royal Berkshire NHS Foundation Trust

Cancer prehabilitation, Northumbria Healthcare Trust

A blog by Dr Karin Ingram on cancer prehabiliation services within the Northumbria Healthcare Trust

Making physical activity business as usual: Learnings from across the Atlantic

A blog by Beth Brown, which explores how we can make physical activity 'business as usual' within cancer care

Public Health Collaboration conference

A blog from Lawrence Mudford about the Public Health Collaboration 8th annual conference

My Improvement Journey

A blog from Lawrence Mudford on his improvement journey and the importance of improvement projects

Development of a new ‘Post Operative Care Unit (POCU)’

A blog by Dr Henry Lewith on the development of a new Post Operative Care Unit

A patient's personal experience of perioperative care

A blog by Gilbert Wheeler about his patient experience of perioperative care

Nutrition in perioperative care - preparation for surgery and recovery after surgery

Professor Scarlett McNally's blog on nutrition in perioperative care - preparation for surgery and recovery after surgery

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