Demand for a Unified Surgical Consent Process at North ......gastro/hepatology, anaesthetics. •...
Transcript of Demand for a Unified Surgical Consent Process at North ......gastro/hepatology, anaesthetics. •...
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DemandforaUnifiedSurgicalConsentProcessatNorthBristolNHSTrust
JessicaPreshaw,SusieHogg,SanjayVyas
Results132responsesreceived,64%performingproceduresrequiringwrittenconsent.• Fewspecialtiesuseprepopulatedconsentforms:O&G,
gastro/hepatology,anaesthetics.• 58%utilisepooledoperatinglists.• ‘Requestfortreatment’formssparselyused(5%),adopted
bygeneralsurgery,urogynaecology,T&O.• Majority(77%)supportsanonline,mobileconsentprocess
&resource.• Majority(71%)supportsatrust-widepolicyontimingof
consent.
AimTodeterminethesurgicalconsentprocessesadoptedbycliniciansacrossthelargestNHStrustintheSouthWest,UK.MethodAcrossspecialtyonlinesurveytoconsultantsfromallsurgicalspecialtiesfocusingonelectivesurgeriesperformedundergeneralorregionalanaesthesiawithinanoperatingtheatre.Ambulatoryproceduresexcluded.
Conclusions• Highresponseratewithcrossspecialtyinputillustratesengagement&importance.• Consentisrecognisedasaprocessstartinginclinictodayofsurgery;thisjourneyvarieswidelydependingon
specialty.• Mostconsentfinallyundertakenonadmissionforsurgery&executedbyconsultanttier;somespecialtiesuse
separateconsentclinics.• Thereisdemandforaunifiedprocesspertinentnotonlyatlocallevelbutalsonationally.
76%
10%
9%
4% 1%Ondayofadmissionforsurgery
Subsequentoutpatientappointment
Consentclinic
Pre-opassessmentappointment
Firstoutpatientappointment
Whendoyouroutinelytakeconsentforsurgery?
0 20 40 60 80 100
Specialistnurse
SHO
Registrar
Seniorregistrar
Clinicalfellow/associate
Consultant
Major
Intermediate
Minorprocedures
Whotakeconsentforsurgicalprocedures?
Desireforconsentpriordayofsurgery
Consentisa
process
Consentclinics
favoured
Geographicaldifficultiesrelatedtotertiarycentrestatus
Anaestheticconsiderations
Standardisedprocesses
Onlineinfoandconsentsupported
Pre-populatedconsentformscontroversial
Themesdetected