Day Surgery Experience in the United Kingdom
Over the last decade long surgical waiting lists, shortage of staffing and lack of financial resources have all contributed to the reduction in elective surgery within the British National Health Service (NHS). Several influential reports have been published on day surgery, firstly the Audit Commission (1990) indicated that day surgery provided a quicker, more efficient service with decreased costs (1). Then followed the NHS Management Executive Report on day surgery (1991). Several British day units were studied and the report identified areas of good organisation and management (2). The advantages and disadvantages of day surgery are shown in Table 1.
KeywordsNational Health Service Surgery Unit Hospital Admission Rate Audit Commission British National Health
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- 1.Audit Commission (1990) A short cut to better services. Day Surgery in England and Wales. HMSO, LondonGoogle Scholar
- 2.NHS Management Executive Value For Money Unit (1991) Day Surgery: Making it happen. HMSO, LondonGoogle Scholar
- 3.Commission on the provision of surgical services (1992) Guidelines for day case surgery. Revised ed; Royal College of Surgeons of England, LondonGoogle Scholar
- 4.NHS Management Executive Day Surgery Task Force (1993) HMSO, LondonGoogle Scholar
- 5.Report on specialist training in anaesthesia (1994) Royal College of Anaesthetists, LondonGoogle Scholar
- 6.Ogg TW, Heath PJ, Brownlie GS (1988) A case for the expansion of day surgery. Health Trends 21:114–117Google Scholar
- 7.Natof HE (1987) FAS A survey results revised, as reported by Wetchler BV, Outpatient anaesthesia, no double standard. Anaesth Patient Safety Foundation Newsletter 2:8Google Scholar
- 8.Keenan RL (1988) Anaesthetic disasters: causes, incidence and preventability. Refresher course of lectures, American Society of Anaesthesiologists. Lippincott, Philadelphia, pp 242Google Scholar
- 10.Ching F, Baylon GJ (1993) Persistent symptoms delaying discharge after day surgery. Can J Anaesth 40:A21Google Scholar
- 13.Ogg TW, Hitchcock M (1994) Post-operative nausea and vomiting. J One Day Surg Spring 18–19Google Scholar