FICM and CPOC publish new guidance on Enhanced Perioperative Care

23 October 2020

Following the publication of our Enhanced Care Guidance in May this year, the Faculty of Intensive Care Medicine is delighted to collaborate with the Centre for Perioperative Care (CPOC) and numerous other professional bodies to produce Guidelines on Establishing and Delivering Enhanced Perioperative Care Services


Dr Alison Pittard, Dean of the Faculty of Intensive Care Medicine, said: 


“I am delighted to see the release of this guidance document and the further development of Enhanced Care in the UK. Experience during the COVID-19 pandemic highlights the need for our services to be safe, flexible and resilient and to welcome opportunities to innovate. Enhanced perioperative care will provide a service for patients with needs which cannot be met on normal postoperative wards, but who are not expected to require Level 2 or 3 care. We must also be clear that Enhanced Care is not a ‘step down’ ward from ICU or the chance to do ‘critical care on the cheap’.”


It is envisaged that Enhanced Perioperative Care facilities will release critical care capacity previously used to support initial postoperative care for such patients, leading to a reduction in ‘last minute’ cancellation of inpatient surgery, for which one of the biggest risk factors is requirement for postoperative critical care. 


Collaboration on the guidance came from many national bodies – we thank them all for their input. This includes, amongst others, the Association of Surgeons of Great Britain & Ireland, the Intensive Care Society, the National Outreach Forum, the Royal College of Anaesthetists, the Royal College of Nursing, the Royal College of Physicians and the Royal College of Surgeons of England.


Click here for the full guidance.

Click here for more on Enhanced Care.