Lucy Knightley
Introduction
The NHS procurement system has faced significant challenges post-COVID in securing disposable laparoscopic instruments, necessitating frequent searches for alternative solutions. In response, a strategic review was conducted to identify a more reliable and sustainable alternative that could mitigate ongoing supply chain disruptions.
Method
After extensive market research, an alternative reusable laparoscopic instrument was identified. This discovery led to further exploration of other reusable surgical items. A trial was conducted to evaluate the efficacy and feasibility of these instruments, and a competitive process was undertaken to assess market offerings. RENU was identified as the provider capable of delivering a bespoke surgical instrument tray tailored to service needs.
Results
The implementation of 9 reusable instrument trays estimated an initial annual cost saving of approximately £54,000. Additionally, the transition significantly reduced CO2 emissions from the production and disposal of single-use instruments. Following a successful rollout, general surgery faced a procurement issue, leading to the temporary use of Gynaecological trays. This prompted a clinical request to develop a dedicated General tray, leading to 15 additional trays and modifications to include Gynae-oncology. The projected annual savings stand at approximately £220,000. Furthermore, operational efficiency improved, reducing instrument setup time from 45–60 minutes per list to under 10 minutes, as 90% of the required equipment is now consolidated into a single tray.
Conclusion
The transition to reusable laparoscopic instruments has provided substantial financial, environmental, and operational benefits. Future plans include the introduction of reusable trocars, further enhancing sustainability and efficiency within NHS surgical services.
Authors
Lucy Knightley
Gateshead NHS, Gateshead, United Kingdom
Barry Dent
Gateshead NHS, Gateshead, United Kingdom
Iain Cameron
Gateshead NHS, Gateshead, United Kingdom