Abstract
Purpose: ERAS has long been proven to help reduce hospital length of stay (LOS) and complications following total knee replacement (TKR) surgery. Guy's and St Thomas’ NHS Foundation Trust’ (GSTT) ERAS programme targets an inpatient stay of three nights as best practice for TKR's; yet in 2018 this was not being met. Anecdotal data was suggestive of a growing cohort of multi-morbid older adults undergoing surgery with associated complex post-operative management and discharge planning. Despite Guy's Orthopaedic Outreach Team (GOOT) being an established service it was being under-utilised to facilitate discharges potentially due to poor MDT communication. The aim of this service improvement project was to determine the MDT acceptance of a daily geriatrician-led multidisciplinary meeting and its impact on LOS.
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