Description
The presentation outlines the ongoing efforts and updates regarding revision knee replacement networks in the UK as led by Andrew Toms. It emphasizes the challenges faced in this complex area of healthcare, including insufficient evidence, inadequate payment systems, and the necessity for coordinated problem-solving across different domains.
The working group has focused on improving care for revision knee patients, collaborating on education, political domains, financial structures, guidelines, and research. Previously recognized issues from patient prioritization initiatives highlighted the importance of organizing surgeries, managing painful knee replacements, and addressing infections as critical components for success.
Nationally, there is a move towards creating regional multi-disciplinary team (MDT) driven networks to establish centers of excellence for revision knee surgeries. This initiative aims to align with successful models seen in trauma care and establish standards and guidelines for patient care pathways. It proposes the establishment of major revision centers that will handle complex cases, while primary arthroplasty units will focus on non-revision surgeries.
A crucial aspect of this plan is the GIRFT (Getting It Right First Time) inspection process to maintain standards across all units, wherein networks must work collaboratively to meet the prescribed quality of care. The presentation also discusses the effects of the COVID-19 pandemic on the timeline and implementation of these networks, with adjustments made to accommodate the impact.
Despite setbacks, significant progress has been made in developing guidelines and educational resources designed to improve the quality of revision knee replacement services. The presentation highlights the importance of establishing clear communication and collaboration among different units while ensuring that the focus remains on enhancing patient care.
Looking ahead, the work will involve continuing to establish networks, facilitating training courses, and developing a comprehensive database to enhance data collection and improve outcomes. Key challenges remain, especially regarding patient care amid ongoing elective treatment backlogs, but the commitment to improving revision knee care is evident.