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BBC News Online: Health


Wednesday, 23 January, 2002, 11:47 GMT

Drive to increase day surgery


Operation
The government has appointed an expert to oversee an expansion of day surgery in the NHS.

The aim is to provide faster, more efficient care for patients and to bring down waiting times.

Health Secretary Alan Milburn sees an increase in day surgery - where a patient undergoes an operation without an overnight stay in hospital - as key to meeting the government's pledge that no-one will wait more than six months for treatment by 2005.


Average waits (Audit Commission, 2000-01)
Hernia:
inpatients 105
day cases 84 days
Varicose veins:
inpatients 179 days
day cases 154 days
Cataract operation:
inpatients 169 days
day cases 163 days

Around 50% of hospital operations are undertaken as day surgery at present, but while some hospitals achieve over 60%, others only achieve half of that or less.

It is planned to establish diagnostic and treatment centres to specialise solely in day surgery.

This will ensure that planned operations are not interrupted, as they often are at busy district general hospitals, by the demands of emergency treatment.

Summit

Professor Ara Darzi
The new initiative will be coordinated by Professor Ara Darzi, of Imperial College, Science, Technology and Medicine, London, who has been appointed as surgical adviser to the Department of Health.

One of his first tasks will be to chair a summit of all the hospitals that are performing below average numbers of day surgery cases.

It will look at what can be done by these hospitals to improve day surgery rates.

Mr Milburn said: "NHS waiting times are falling, but the gap between the best hospitals and the worst hospitals remains too wide.

"Day surgery holds the key to faster, more convenient treatment for patients. More day surgery means less waiting for patients.

"Reforms to protect planned operations from emergency cases are already in place in some NHS hospitals. I want to give other NHS hospitals the chance to learn from the best."

There are nearly 3,200,000 day case operations currently carried out in the NHS.

A recent report by the Audit Commission found that the NHS could increase the number of day surgery cases by around 120,000 a year.

Paul Baskerville, President of the British Association of Day Surgery, said: "We have long recognised the potential for treating many in-patients as day surgery cases, and that this could lead to a reduction in waiting lists and times and free-up hospital beds."


Related to this story:
New centres to cut surgery waits (15 Feb 01 | Health) Waiting times longer in south (04 Sep 01 | Health) Six months: A realistic wait? (27 Jul 00 | NHS reform)


Internet links: British Association of Day Surgery | Department of Health | Professor Darzi |
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