A surgeon's perspective
Professor Mark Emberton is Dean of the UCL Faculty of Medical Sciences, Professor of Interventional Oncology at UCL and Honorary Consultant Urologist at University College Hospitals NHS Foundation Trust. Here he reflects upon current issues relating to high-risk surgical patients and shares his perspective on the future of surgery.
“I remember reading the publication of The Royal College of Surgeons report: ‘The Higher Risk General Surgical Patient’. What struck me then, and still does, is how there seems to be so little focus on this high-risk surgical population and how the stark morbidity and mortality figures highlight so much work still to be done.
The nine key recommendations seem to open the door to a new way of practice, one where process and pathways are defined and standardised. Importantly, the report signals that patients should be placed at the centre of decision making. Those considered at high risk of significant morbidity and mortality should have resources allocated which enhance their care to improve their outcomes.
I strongly believe that a new model of care delivered by a multi-disciplinary team of experts will be the most effective way of achieving this. If the future ambition of surgery in the twenty-first century is to be truly realised, future leaders in perioperative care must emerge.”
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