Evidence Papers

NHS Improvement � Delivering tomorrow�s improvement agenda for the NHS

National Clinical Spread Networks
Day Case or One Night Stay breast surgical model - Evidence papers

WHO surgical safety checklist: reducing harm by consistent use of best practice
National Patient Safety Agency - Quality and productivity example - September 2011

Presentation to the British Association of Day Surgery (BADS) May 2011

Pathway Gap Analysis Results 2011

BJS article summarising accelerating breast surgery discharge "Evidence based review of enhanced post operative recovery after breast surgery"(2010)

BMA Quality Time: The value of consultants support professional activities to the NHS (November 2010 8 - 9)
Mr Hamish Brown, Consultant Breast Surgeon (City Hospital, Birmingham) "The average stay for women undergoing mastectomies and other breast cancer surgery has fallen from 5 days to less than one, and the Trust has saved an estimated £300,000 a year."

Systematic review of day surgery for breast cancer (August 2009)

British Journal of Cancer "Patient, carer and health service outcomes of nurse led early discharge after breast cancer surgery: a randomised controlled trial" (2004)

Acceptability of early discharge with drain in situ after breast surgery (December 2002)

Ambulatory surgery for breast cancer patients(April 2000)

Breast cancer: better care for less cost. Is it possible? (2000)

Early discharge after surgery for breast cancer (April 1999)

Early discharge after surgery for breast cancer (May 1999)

Cost of care in a randomised trial of early hospital discharge after surgery for breast cancer (December 1998)

Early discharge after surgery for breast cancer (November 1998)

Early discharge after surgery for breast cancer is safe (1998)

Advantages of outpatient breast surgery (1994)

A controlled trial of short-term versus standard axillary drainage after axillary clearance and iridium implant treatment of early breast cancer (1991)