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Perioperative Framework

In 2023, the Scottish Government commissioned the Centre of Sustainable Delivery (CfSD) to address the challenges within perioperative services in Scotland.

As a result, the Perioperative Delivery Group (PDG) was established by the Modernising Patient Pathways Programme (MPPP) in November 2023, with the aim of developing a national approach to:

· Maximising flow through perioperative services

· Maximising productive time in theatres

· Reducing the time patients wait for perioperative services

The PDG comprises of clinical, operational and managerial experts from perioperative services across Scotland, as well as representatives from key stakeholder organisations.

We are pleased to publish the Framework for Perioperative Services in Scotland

This Framework has been co-designed in collaboration with clinical, operational and managerial experts from perioperative services across NHS Scotland.

This Framework brings together a set of national principles focused on:

· Scheduling 

· Pre-operative Assessment 

· Protecting Planned Care 

· Wider Perioperative Team Development 

· High-Volume High-Flow Surgery and Data for Improvement

These principles support the delivery of high-quality, safe, effective, person-centred and sustainable perioperative services for the people of Scotland.

Health boards should seek senior executive sponsorship to support any service redesign or local improvement programme.

Senior teams, clinicians and managers are encouraged to review the Framework in full and use local data to identify the greatest opportunities for improvement.

In addition to the key actions outlined in the Framework, teams should access the embedded links in each section.

These provide further detail and practical resources to support implementation in each focus area.

A Self-assessment Tool (Microsoft Word version) has also been developed to help Health Boards benchmark their current position and support the development of local action plans for implementation.

An Equality Impact Assessment (EQIA) has been completed and accompanies the framework.