Are day surgery and interventional radiology unsafe without back-up of in-patient services?
The scarcity of stand-alone Ambulatory Care Centres in the UK, the lack of published data on complication rates, and to-days more exposed medico-legal position of doctors have caused some doctors to express this anxiety. There is a stand-alone Ambulatory Care day surgery service at Bexhill in Sussex which has operational links to the Conquest Hospital in Hastings (around 7 miles away). It has undertaken 14,000 day cases, of which only 71 (0.5%) have required transfer to Hastings. Admissions are usually for the side effects of anaesthesia or pain medication and are usually confined to nausea and vomiting. Annex 4 provides a report compiled following a visit to the Unit. Data provided by Stobhill shows that in 1998\99 out of 12,045 day cases 105 (0.87%) were subsequently admitted to an in-patient bed. The reasons included: 20 “social reasons” 24 experienced post-operative nausea and vomiting (usually due to analgesia). 7 were classified as “under recovered”. 2 were kept in for “observati
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