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The GMC states that ‘credentials will bring assured training and regulatory oversight to areas where consistent clinical standards, recognised across the UK, are necessary for better patient care. They will support areas of practice where patients are at risk due to workforce gaps…’
In 2018, the Faculty of Pain Medicine applied to the GMC to be one of the first five pilot credentials on the basis that:
I started working part-time for GIRFT (Getting it Right First Time) as a POA (Preoperative Assessment) national advisor in September 2022. Most POA non-medical leads will recognise that you are often working in a silo in a POA department. While we have a number of expert multidisciplinary-team (MDT) professionals who feed into and out of the department, the core ‘everyday’ team are predominantly non-medical staff.
It’s an area that has seen significant variation across the country, but for many POA will be the sole job for the staff who work there. The reason? They absolutely LOVE IT! Highly skilled and hugely rewarding, this area brings a huge amount of satisfaction and unity to identify potential challenges for our patients undergoing elective surgery, and is an opportunity to help educate and inform on perioperative risk.
Post pandemic, we have seen pivotal changes to the perioperative pathway with a focus on early assessment and optimisation for patients ‘while they wait’.1 Working for GIRFT and NHS England (NHSE) colleagues, specifically in elective recovery, has brought a new dimension to my role and, I hope, skills of influence, engagement and innovation to help drive forward the importance of all POA clinics, everywhere.
Chapter 6: Guidelines for the Provision of Anaesthesia Services for Day Surgery 2021
All high risk patients should be considered for critical care. As a minimum, patients with an estimated risk of death of ≥10% should be admitted to a critical care location (unless there is a contraindication).3 The 10% threshold for risk of death is historical and should be perceived as an absolute minimum standard. The exact percentage mortality risk that...