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Enhanced Recovery: Case studies and practical examples

  • Last modified date:
    15 April 2011

Developed using learning from clinical teams across the UK with experience in enhanced recovery, this section provides information to support the adoption and spread of this model of care.

The are some sites around the country already using enhanced recovery care pathways, and the programme is keen to both learn from these sites and share their learning with the wider NHS. On this page, we have collected documentation and guidance which could be of interest to those working on enhanced recovery pathways. They have been divided into areas of interest.

The enhanced recovery implementation guide

The guide, 'Delivering enhanced recovery: Helping patients to get better sooner after surgery', is now available for download:

Core script, summary, Q&A

The enhanced recovery core script is a succinct information pack about enhanced recovery and the national programme.

The summary of Enhanced Recovery Partnership Programme (ERPP) contains more detailed information on the elements of enhanced recovery, the benefits in line with the Quality, Innovation, Productivity and Prevention (QIPP) agenda, the investments required to implement and the ER pathway.

Impact assessment

Early in 2010, the Enhanced Recovery Partnership Programme went through an equality impact assessment.

The successful document can be downloaded here.

Implementation plans

Practical examples

Colchester Hospital University Foundation Trust

Epidural anaesthesia may improve cardiac output in patients undergoing major laparoscopic colorectal surgery: A review of 6 patients.

East Kent Gynaecological Oncology Centre

Dartford and Gravesham NHS Trust

St Marks Hospital, North West London NHS Hospitals Trust

Wrexham Maelor Hospital, North Wales NHS Trust

Map of Medicine - visualising and integrating clinical pathways

A collection of patient pathways, information leaflets, and case studies from sites around the country with experience in enhanced recovery can be found here.

Map of Medicine is a visual representation of evidence-based, practice-informed care pathways for common and important conditions.
Pathways are created using an innovative, rigorous editorial process that brings together disparate information into a single source of best practice. They allow the user to follow a patients' care journey, from presentation, through the confirmation of the diagnosis, initiating treatment, referring as required, and providing ongoing care.
Providing web-based access to over 300 easy to use pathways, the Map creates clinical consensus, ensuring best practice is applied at every step of a care journey. It does this by helping resolve the growing information, communication and governance issues faced in healthcare. Centred around the patient, the Map cuts across the traditional silos between care settings to bring multiple organisations and teams together.
Offering flexibility for extensive local input, Map of Medicine is a powerful knowledge management and communications tool. It delivers a range of benefits including more consistent care, more appropriate referrals, more efficient use of resources and reduced waiting times.
The Map is licensed for use by the NHS in England and in Wales.

NHS Improvement case studies

  • Queen Mary's Sidcup NHS Trust
  • Scarborough and North East Yorkshire Healthcare NHS Trust

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