Prehabilitation improving the fitness of patients for surgery Standard Page

Title: Preparing For Surgery: The Community Prehabilitation and Wellbeing Project (The PREP-WELL Project)

Funder: The Health Foundation – Innovating for Improvement

DSER staff: Dr Garry Tew

Collaborators: Dr Joanne Gray, Northumbria University; South Tees Hospitals NHS Foundation Trust, Public Health (Middlesbrough and Redcar and Cleveland), South Tees Clinical Commissioning Group, University of York

Overview: Adverse lifestyle choices such as sedentary behaviour, poor diet, smoking and hazardous drinking are associated with poor outcomes following surgery, reduced longer-term survival and increased healthcare costs. Through this quality improvement project, we plan to introduce a new, community-based service for patients preoperatively, to capitalise on the ‘teachable moment’ of impending surgery to encourage behaviour modification. We will use validated comprehensive assessments to create supervised patient-centred management plans around lifestyle and education. The aim is to help patients to improve their fitness for surgery and achieve meaningful long-term lifestyle benefits.

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