The Enhanced Recovery Pathway is a Department of Health Initiative. The aim of the pathway is to offer you the patient an educational and informative experience. We provide pre-planning to ensure a smooth discharge and multi-professional care to promote a faster recovery with fewer complications.

Our experienced orthopaedic team aim to support your journey from hospital admission to home within three days.

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Stages of the Enhanced Recovery Pathway (ERP):

Prior to your operation

Your GP will refer you to a consultant, specialising in the enhanced recovery pathway

Once offered joint replacement surgery you will visit the pre-assessment team so that they can assess if you are medically fit for surgery.

You will be referred to joint school which is an informative session around joint replacement run by, physiotherapy, the arthroplasty nurse and the occupational therapy team.

Here, we will give you information regarding your surgery, including what to expect, the recovery period and how you can best prepare for your upcoming operation. We will answer any questions you may have regarding your surgery and rehabilitation, and teach you exercises to help strengthen your joint before surgery which can positively impact on your recovery.

After joint school you will be waiting for a date for surgery. On the day of your surgery you will be admitted to the elective orthopaedic ward for surgery.

During your hospital stay

You will stay in hospital until you have met the appropriate discharge criteria. This could potentially be the day of surgery but for most will mean an overnight stay. Patients to potentially leave on the day of surgery will be highlighted and follow the day-case pathway prior to the operation.  You will only be discharged when you are medically fit and have been passed as safe by the therapy teams.

We aim to get you up and out of bed on the same day as surgery, and assessed by the therapy team.

You will be referred to the post-operative physiotherapy class in the outpatient gymnasium. This is a rehabilitation class where you will be able to share your experiences with other patients as well as progress your abilities.

You will be given the arthroplasty helpline details on discharge from the elective ward, and you should contact the arthroplasty nurse directly with any worries or concerns you have in-between your follow-up appointments. This includes excessive leaking from the wound, increased pain and swelling, reduced movement etc.

Arthroplasty helpline – 07966 245 632

Following your operation

You will also be referred to the Arthroplasty nurse led clinic or the operating consultants’ clinic within eight weeks of surgery for review. This is to make sure you are meeting your recovery goals and offer any support where needed.

You will then be followed up in clinic by the Arthroplasty nurse at one year following your surgery. Here an x-ray of your operated joint will take place.

Eileen’s Story