DemandforaUnifiedSurgicalConsentProcessatNorthBristolNHSTrust

JessicaPreshaw,SusieHogg,SanjayVyas

Results132responsesreceived,64%performingproceduresrequiringwrittenconsent.•  Fewspecialtiesuseprepopulatedconsentforms:O&G,

gastro/hepatology,anaesthetics.•  58%utilisepooledoperatinglists.•  ‘Requestfortreatment’formssparselyused(5%),adopted

bygeneralsurgery,urogynaecology,T&O.•  Majority(77%)supportsanonline,mobileconsentprocess

&resource.•  Majority(71%)supportsatrust-widepolicyontimingof

consent.

AimTodeterminethesurgicalconsentprocessesadoptedbycliniciansacrossthelargestNHStrustintheSouthWest,UK.MethodAcrossspecialtyonlinesurveytoconsultantsfromallsurgicalspecialtiesfocusingonelectivesurgeriesperformedundergeneralorregionalanaesthesiawithinanoperatingtheatre.Ambulatoryproceduresexcluded.

Conclusions•  Highresponseratewithcrossspecialtyinputillustratesengagement&importance.•  Consentisrecognisedasaprocessstartinginclinictodayofsurgery;thisjourneyvarieswidelydependingon

specialty.•  Mostconsentfinallyundertakenonadmissionforsurgery&executedbyconsultanttier;somespecialtiesuse

separateconsentclinics.•  Thereisdemandforaunifiedprocesspertinentnotonlyatlocallevelbutalsonationally.

76%

10%

9%

4% 1%Ondayofadmissionforsurgery

Subsequentoutpatientappointment

Consentclinic

Pre-opassessmentappointment

Firstoutpatientappointment

Whendoyouroutinelytakeconsentforsurgery?

0 20 40 60 80 100

Specialistnurse

SHO

Registrar

Seniorregistrar

Clinicalfellow/associate

Consultant

Major

Intermediate

Minorprocedures

Whotakeconsentforsurgicalprocedures?

Desireforconsentpriordayofsurgery

Consentisa

process

Consentclinics

favoured

Geographicaldifficultiesrelatedtotertiarycentrestatus

Anaestheticconsiderations

Standardisedprocesses

Onlineinfoandconsentsupported

Pre-populatedconsentformscontroversial

Themesdetected