The Faculty Board agreed to lead a working party on Enhanced Care which will meet for the first time in May 2018. The group is chaired by Dr Alison Pittard, our Vice Dean. See Critical Eye for further updates on progress to date.
What is Enhanced Care?
The first stage of the project is to consider the perioperative care of patients who do not require admission to a High Dependency Unit (Level 2) but need a higher level of care than can be provided on a general ward. Where facilities have already been developed to meet this need they are variously known as Post-Operative, Post-Anaesthetic or Enhanced Care Units, or ‘Level 1+’ care. FICM wishes to ensure that delivery of care in these areas is both safe for patients and of the highest quality with an evidence based strategy for their development.
Longer-term, the working party will be extended beyond this work stream into enhanced care in other areas (i.e. medicine) with a revisited core membership.
Working Party aims
- A consensus statement on the need for enhanced care units/services, including potential benefits in reducing the risk of cancelled operations and improving the patient experience and journey in the postoperative period.
- A broad definition of;
- Agreed terminology,
- provision requirements, and
- Recommendations to relevant professional bodies for additions to existing standards documents, guidelines and training curricula.
- A summary of current evidence in the area.
- A summary of examples of current enhanced care in practice.
- Faculty of Intensive Care Medicine (Chairing organisation)
- Royal College of Anaesthetists
- Royal College of Surgeons
- UK Critical Care Nursing Alliance
- British Anaesthetic and Recovery Nurses Association
- NHS England Clinical Reference Group for Adult Critical Care
- Intensive Care Society
- Lay input via the Board
- A wider stakeholder and consultation group are under discussion but will reflect the diverse range of sites that would need to manage these services.
As a result of a collaboration between the National Outreach Forum (NOrF) and the Critical Care National Network Nurse Leads Forum (CC3N). This document outlines the latest evidence based competencies for registered practitioners working in enhanced care areas and with Level 1 patients on general wards.