Day case surgery: challenges and opportunities

The Fifth Annual Operating Theatres Show 2025 took place earlier this year at the Kia Oval. Organised by the Institute for Government & Public Policy, high on the agenda was the need to ‘think day case first’, to further the recovery of elective surgery.

Patient backlogs persist as a significant challenge in the NHS, with over 7 million people on a hospital waiting list in England. Improving efficiency and theatre productivity to reduce elective long waits and backlogs has never been more critical. While significant progress has been made in terms of expanding day surgery, there remains further opportunity to increase and broaden day case surgery across the UK.

As part of national efforts to get to grips with the elective recovery, Trusts are being encouraged to 'think day case first'. With this in mind, the Getting It Right First Time (GIRFT) programme has worked in collaboration with the British Association of Day Surgery (BADS) and the Centre for Perioperative Care (CPOC) to update its guidance to support Trusts and systems to maximise the use of day case surgery.1

This approach offers clear benefits for patients, staff and services, as David Bunting, President of the British Association of Day Surgery (BADS), pointed out during his presentation at the Annual Operating Theatres Show.

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