Fast-track hip ops bring improved patient care

March 4th 2002

Following a successful pilot study, the West Suffolk Hospitals NHS Trust is introducing fast-track hip replacement operations. In 1999 the average length of stay following a hip replacement was 13 days. The aim is to improve the service so that fast-track patients can be discharged six days after their operation. Sister Donna Taylor is leading the project.

"A high proportion of the 200 or so people who have hip replacements at the West Suffolk Hospital every year are not unwell," said Donna. "They are often healthy and want to get back home as soon as possible after their operation. With the fast-track scheme we aim to provide better quality treatment so that discharges can take place sooner."

Donna gained 13 years orthopaedic experience working on Ward F4 before moving to the new post of Joyce Parker Orthopaedic Nurse on January 1st. Funded through money from a bequest, the postholder has a wide remit to improve the patient journey through the hospital in orthopaedics.

The pilot study took place for 15 weeks during 2000. It successfully reduced the length of stay for all hip replacement patients to 9 days, with a third of patients discharged on or before 6 days.

All hip replacement patients will be routinely assessed to check their suitability for fast-tracking. They need to be fit and well and have no need for Social Services input. If they meet these criteria, the patient has a choice whether to take part. Most want to do so.

During a pre-admission assessment, the patient is seen by a doctor, nurse and occupational therapist. Any equipment required for therapy is arranged through occupational therapy and social services so that it is available straight after the operation.

Every patient being fast-tracked is seen by a nurse every working day. The nurse checks their progress and deals with any problems.

"Having this personal contact on a daily basis means an improved quality of service," said Donna. "The patient can safely get back to their own home quicker, and more beds are then made free for other people. I anticipate that around 60% of all hip replacements will be fast-tracked in future. Once the scheme is running successfully, knee operations will be our next target for fast-tracking."