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For commissioning purposes, suggested indicators of quality of a DSU include: ¹⁰

• day surgery existing as a separate and ‘ring-fenced’ administrative care pathway
• a senior manager directly responsible for day surgery
• preoperative assessment undertaken by staff familiar with the day surgery pathway
• provision of timely written information
• appropriate staffing levels
• nurse-led discharge
• provision for appropriate postoperative support including follow-up and...

An anaesthetic preoperative assessment service should involve consultant anaesthetists and staff grade, specialty and associate specialist (SAS) doctors.^39,40,41 Dedicated anaesthetic presence in the preoperative assessment and preparation clinic is required for:

• the review of results and concerns identified by preoperative staff
• consultations with patients identified using a triage process to allow optimal delivery of preoperative...