Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn

Model of Care for Elective Surgery

The initial focus of the National Clinical Programmes (NCPS) has been on the elective patient journey.

Model of Care for Elective Surgery (PDF, 3.25MB)

The Elective Programme is successfully working to define ways to improve the delivery of elective surgical care through a range of initiatives as follows:

  • By providing a model of care guideline for pre-admission assessment clinics, day surgery, day of surgery admissions and discharge planning.
  • By setting hospital and specialty targets for the average length of stay of surgical inpatients whether or not they have surgery (and now also including acute patients) as well as targets for day surgery across surgical specialties.
  • By engaging, mentoring and monitoring hospitals for both process and clinical outcomes (such as readmission rates) during hospital site visits. By supporting the National Office of Clinical Audit (NOCA) in its role of auditing surgical outcomes, such as by the Irish Audit of Surgical Mortality (IASM), Irish Audit of Critical Care, Irish National Orthopaedics Register (INOR) and the Trauma Audit Research Network (TARN).

By supporting the National Office of Clinical Audit (NOCA) in its role of auditing surgical outcomes, such as by the Irish Audit of Surgical Mortality (IASM), Irish Audit of Critical Care, Irish National Orthopaedics Register (INOR) and the Trauma Audit Research Network (TARN).

  • Day Surgery Guidelines
  • Discharge Planning Process
  • Pre-admission Assessment Process
  • National Office of Clinical Audit (NOCA)
  • Average Length of Stay (AvLOS) Targets
  • Day of Surgery Admission (DOSA) Process
  • The Productive Operating Theatre (TPOT) Programme
  • Theatre Quality Improvement Programme (TQIP)
  • Standardised, Validated Data Analysis (HIPE) (NQAIS)
  • Elective Care Pathways and Enhanced Recover

Model of Care for Elective Surgery (PDF, 3.25MB)