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London Private Hospital, The Harley Street Clinic

Enhanced Recovery Programme

The Enhanced Recovery After Surgery Programme aims to optimise our patients’ recovery post oesophageal and cancer related surgery.

At The Harley Street Clinic we want to ensure that our patients are in the optimal condition prior to their operation, anaesthesia and post-operative rehabilitation. The aim of the ERAS Programme is for our patients to recover quicker and return to their normal routing and activities. We encourage patient involvement throughout their treatment and recovery period to ensure a faster recovery time.

The four stages of ERAS


To aid the recovery of the patient there are four stages to the ERAS programme:

  • Planning and preparation before admission (including nutrition and physiotherapy)
  • Reducing the physical stress of the operation
  • A structured approach to patients’ aftercare (including pain relief and early mobilization)
  • A patient diary stating what our patients can expect and what is expected from them.

Pre-Assessment


The first three stages of the ERAS programme are included in our pre-assessment.

A patient will be referred to see a pre-assessment nurse at the hospital prior to their admission. The nurse will discuss the procedure and pathway with the patient. The nurse will be able to answer and questions and concerns they may have at the time in relation to the surgery.

 

In addition, some routine blood tests, MRSA screening and if applicable an ECG and chest x-ray will be taken.

At the time of the appointment, the patient will meet the physiotherapy team who will discuss with them both pre and post-operative exercises, and, if applicable, a dietitian will meet the patient who will provide information regarding their diet for both pre and post-operation.

 

Patients are recommended to bring a partner or a friend for support as there will be a lot of information to take in about their procedure. Patients should allow 1 ½ – 2 hours for their pre-assessment.

At the appointment it is important that patients should bring a complete list of their medications.

PATIENT DIARY


In the last stage of the ERAS programme we provide each patient with a personal diary. This will allow them and the team who will be caring for them to plan and set a goal for them each day which will be reviewed on a daily basis. It is important for each patient to understand their treatment and recovery pathway as it will allow them to be given the opportunity to be part of the decision making progress when it comes to their care.

 

The diary is intended to be a guide for the patients’ care and it does not replace any clinical judgment or individualised care. It is a tool used to see what we expect from the patient and what their expectations are.

HOW TO GET IN TOUCH


For more information or if you have any further concerns or questions please contact our Cancer Senior Sister via the switchboard on 020 7935 7700

VISITING HOURS


Visiting time on the ward is daily from 9am – 9pm. However, the timing can be flexible depending on circumstances.