NHS surgeons conducting trial that could see hip operation patients discharged the same day


  • Cost of day in hospital bed is £400 and increases chance of complications
  • Surgeons at Hull and East Yorkshire Hospitals are conducting a trial
  • 20 patients will be operated on with the aim to discharge them same day
  • Chris Walker, 71, was and discharged ten hours after his hip surgery

Ben Spencer Medical Correspondent For The Daily Mail

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A hip-replacement patient has become the first in the country to be discharged from hospital on the same day as his operation.

The breakthrough could save the NHS millions as more than 95,000 hip replacements are performed by the NHS in England each year and typically involve a hospital stay of three to five days.

A day in a hospital bed costs the NHS £400 on average and increases the chance of a patient developing heart problems and becoming infected with superbugs such as MRSA.

Surgeons at Hull and East Yorkshire Hospitals NHS Trust are conducting a trial with 20 patients to see if they can operate without keeping them in overnight.

Chris Walker, 71, was booked into Castle Hill Hospital in Hull at 7.30am last Monday – and discharged ten hours later. Patients are kept in hospital for pain management – something Mr Walker said he could do at home

Chris Walker, 71, was booked into Castle Hill Hospital in Hull at 7.30am last Monday – and discharged ten hours later.

‘It has been great,’ the retired electrician said from his home in Beverley, East Yorkshire.

‘It is certainly more relaxed being here than being in a hospital situation and I’m looking forward to being able to walk the dog and get on my bike again. Once I was out of surgery the only thing they could do for me in hospital was to look after me and manage the pain.

‘But my wife Barbara and I are quite able to do that at home.’

Patients have been selected to take part in the trial only if they are otherwise fit and healthy.

A day in a hospital bed costs the NHS £400 on average and increases the chance of a patient developing heart problems and becoming infected with superbugs such as MRSA. Pictured, Chris Walker and wife Barbara

Patients are given a tablet computer with dedicated rehabilitation information and detailed instructions about medication

They will each undergo intensive pre-op physiotherapy, as well as learning how to use crutches and other mobility techniques before the operation. Following the surgery, physiotherapists ensure the patients can get up and down stairs and then they are discharged.

The project relies on high-quality after-care, with each participant given six weeks of physiotherapy at home.

The patients are also given a tablet computer with dedicated rehabilitation information and detailed instructions about medication.

If they have any problems the patients are able to contact their hospital team via video-chat.

Consultant orthopaedic surgeon Elizabeth Moulder, who is leading the project, said: ‘There has been a gradual change in attitudes over recent years.

‘When hip replacements were first done patients would be in bed for two weeks post-surgery, but there has been increasing awareness that early mobility reduces the risk of heart attack and stroke.

‘So long as we can guarantee they are getting the same care and physiotherapy support in or out of hospital, people would rather be at home.’

The trial has been part-funded by Sheffield firm JRI Orthopaedics, which makes the Furlong hip implants used in the trial.

The company is entirely owned by charity Orthopaedic Research UK, which donates its profits to research into bone and joint medicine.

 

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