Redesigning clinical pathways to improve productivity and reduce elective waiting lists for high volume, low complexity (HVLC) procedures
The NHS electives recovery plan outlined the scale of the impact COVID-19 has had on elective care, with millions of people now waiting longer for planned operations and a rapidly increasing waiting list.
Between 50 and 60 per cent of people waiting for surgery need a high-volume procedure, such as cataract removal, hernia repair or joint replacement. Since mid-2020, Getting It Right First Time (GIRFT) has been working to enable health systems and regions to tackle this backlog of patients through its high volume low complexity (HVLC) programme.
Focusing on 29 procedures in six high-volume specialties – ophthalmology, general surgery, trauma and orthopaedics (including spinal surgery), gynaecology, ENT and urology – HVLC supports ICSs and regions to identify and utilise system-level opportunities by agreeing standardised pathways, pooling capacity and resources, increasing capacity through effective surgical hubs, and improving theatre utilisation.
This session will offer a brief overview of the HVLC programme and its objectives, followed by best practice examples, practical solutions and innovations from frontline teams who have successfully adopted HVLC principles to redesign pathways and carry out low complexity procedures at scale, reducing their elective backlog.