Emergency Laparotomy

The Emergency Laparotomy Programme is a nationally endorsed programme and is active across 28 hospitals in 24 NHS trusts, within three AHSN regions.

The programme involves the spread and adoption of the evidence-based Emergency Laparotomy Pathway Quality Improvement Care (ELPQuiC) bundle within NHS Trusts. By following the ELPQuiC pathway, research suggests that the patient mortality rate will decrease and the recovery period in hospital reduces following an Emergency Laparotomy.

The ELPQuiC bundle is evidence based and contains 6 elements:

  1. Early identification of patients who pose the most risk of deterioration
  2. Sepsis screening and early implementation of antibiotics for patients
  3. Prompt diagnosis and surgery with 6 hours for the patient
  4. Consultant delivered care throughout surgery
  5. Fluid optimisation during surgery and critical care
  6. Post operative intensive care for all.

Delivery across the NENC

The AHSN NENC is committed to refining the quality improvement methodology of care for patients within our locality and delivering sustained engagement with clinical networks.

The National Emergency Laparotomy Audit (NELA) Clinical Lead is based within our region at South Tees and they provide the quantitative evaluation of the Emergency Laparotomy Programme. We aim to work closely with the NELA team to develop a regional dashboard to facilitate real time quality improvement activity.

For more information about the implementation of the Emergency Laparotomy Programme nationally visit The AHSN Network Atlas.