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More efficient hospital theatres 'would cut cancelled ops' | More efficient hospital theatres 'would cut cancelled ops' |
(about 1 hour later) | |
Running hospital theatres more efficiently would lead to fewer cancelled operations, the auditor general has said. | Running hospital theatres more efficiently would lead to fewer cancelled operations, the auditor general has said. |
A Wales Audit Office (WAO) report said a lack of beds was a common cause of postponed procedures. | A Wales Audit Office (WAO) report said a lack of beds was a common cause of postponed procedures. |
It said some health boards had daily staffing difficulties for theatre. | It said some health boards had daily staffing difficulties for theatre. |
But the Welsh Government said the study showed nearly half of postponed planned operations were because patients cancelled them or did not attend. | |
The report, published on Thursday, said problems surrounding the availability of beds were "a frequent barrier to the smooth running of operating theatres, and a common cause of cancelled operations". | The report, published on Thursday, said problems surrounding the availability of beds were "a frequent barrier to the smooth running of operating theatres, and a common cause of cancelled operations". |
The report added: "Staff frequently told us about the demoralising impact of not being able to run theatres efficiently because of problems with bed availability." | The report added: "Staff frequently told us about the demoralising impact of not being able to run theatres efficiently because of problems with bed availability." |
The lack of an available ward bed was cited as the most common reason for operations cancelled at short notice - 16% of such cases. | The lack of an available ward bed was cited as the most common reason for operations cancelled at short notice - 16% of such cases. |
Prioritisation of emergency patients at times of high demand "can cause short-notice cancellations of operations and disruption to planned theatre lists," the report said. | Prioritisation of emergency patients at times of high demand "can cause short-notice cancellations of operations and disruption to planned theatre lists," the report said. |
Poor planning of operating lists, with unrealistically high or low numbers of operations being booked on to a list, was also an issue, it added. | Poor planning of operating lists, with unrealistically high or low numbers of operations being booked on to a list, was also an issue, it added. |
The audit office said in some health boards there were "daily difficulties" in ensuring sufficient cover for theatres by shuffling staff to work in different areas. | The audit office said in some health boards there were "daily difficulties" in ensuring sufficient cover for theatres by shuffling staff to work in different areas. |
The report said there were nearly 82,000 cancelled planned operations in 2014-15, more than 11,500 of which were cancelled after patients were admitted to surgery. | The report said there were nearly 82,000 cancelled planned operations in 2014-15, more than 11,500 of which were cancelled after patients were admitted to surgery. |
Some 38,990 cancelled planned operations were due to patients cancelling or not turning up. | Some 38,990 cancelled planned operations were due to patients cancelling or not turning up. |
'Better performance' | 'Better performance' |
Auditor General Huw Vaughan Thomas said it was good to see the focus on safety in theatres growing. | Auditor General Huw Vaughan Thomas said it was good to see the focus on safety in theatres growing. |
"However... there is a lot more that health boards can do to ensure that their theatre capacity is used efficiently and effectively," he said. | "However... there is a lot more that health boards can do to ensure that their theatre capacity is used efficiently and effectively," he said. |
"Achieving this will have benefits for both patients and health boards with fewer cancelled operations, and better performance against waiting time targets." | "Achieving this will have benefits for both patients and health boards with fewer cancelled operations, and better performance against waiting time targets." |
A Welsh Government spokesman said it was taking action to make planned care in the health service more efficient. | |
"The auditor general again highlights the stark fact that nearly half of all postponed procedures were because patients either cancelled or did not attend their appointment," he said. | "The auditor general again highlights the stark fact that nearly half of all postponed procedures were because patients either cancelled or did not attend their appointment," he said. |
The spokesman added the government wanted to create a "shared responsibility NHS where people attend their appointments". | The spokesman added the government wanted to create a "shared responsibility NHS where people attend their appointments". |
The report is based on work done between early 2014 to late 2015 in all health boards other than Powys. | The report is based on work done between early 2014 to late 2015 in all health boards other than Powys. |
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