Emergency laparotomy is a major surgical procedure, with 30,000 to 50,000 performed every year in the UK. However, around 15% of patients are reported to die within 30 days of surgery. Over 25% of patients remain in hospital for more than 20 days after surgery, costing the NHS over £200m a year.
Funded by the Health Foundation, the Emergency Laparotomy Collaborative (ELC) was established in 2015 to use a quality improvement (QI) approach to tackle this. The Collaborative brings together 28 hospitals and 24 NHS trusts across three AHSN regions: Kent Surrey Sussex; Wessex; and West of England.
The ELC grew from the successful Emergency Laparotomy Pathway Quality Improvement Care bundle project (ELPQuiC) carried out three years ago in four hospitals in the South of England. Over an eight-month period, crude 30-day mortality was reduced by 25% and P-POSSUM risk adjusted 30-day mortality by 42%.
All six acute trusts in the West of England adopted this evidence-based practice as part of the collaborative pathway.
If you are in the West of England and wish to get involved or to find out more about our Emergency Laparotomy work then please contact Kevin.
- 18 May 2017 agenda and evaluation
- 24 November 2016 agenda and evaluation
- 10 June 2016 agenda and evaluation
- 20 November 2015 agenda and evaluation