Executive Summary
- NHS waiting lists are at crisis levels.
- The NHS has too many cancellations, complications, and lengthy hospital stays – often due to patients arriving for surgery in an unfit state.
- These can be avoided by concerted action to turn waiting lists into preparation lists, including screening and actively supporting patients to improve and maintain their health while they wait.
- Better procedures to help patients drink, eat and mobilise after surgery can improve patient outcomes and reduce length of hospital stay, and better discharge planning can reduce readmission rates.
- National NHS bodies, including NHS England, should continue and expand efforts to mandate, encourage and facilitate adoption of these measures.
- Implementing these policies would save the NHS money, but set-up costs are a barrier. Hence, we propose a £100 million ‘NHS efficiencies transformation fund’.
- Health regulators, including the Care Quality Commission (CQC), should incentivise implementation through modifying their assessment frameworks.
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