Enhanced recovery 

Overview 

Enhanced recovery is a programme that allows you to play an active role in your care and speed up recovery after surgery 

Who can benefit from enhanced recovery?

Enhanced recovery programmes are currently available for the following types of surgery:

Having an operation

If your GP has suggested you may need surgery, this guide is for you

Enhanced recovery is a new, evidence-based approach that helps people recover more quickly after having major surgery.

Sometimes referred to as rapid or accelerated recovery, enhanced recovery aims to ensure that patients:

  • are as healthy as possible before receiving treatment
  • receive the best possible care during their operation
  • receive the best possible care while recovering 

Having an operation can often be both physically and emotionally stressful. Enhanced recovery programmes try to get you back to full health as quickly as possible.

Research has shown the earlier a person gets out of bed and starts walking, eating and drinking after having an operation, the shorter their recovery time will be. 

The enhanced recovery programme

As part of the enhanced recovery programme, you will be able to play an active role in your care. With help and advice from your GP and healthcare team, you will be able to choose what is best for you throughout your treatment.

Important points to consider before your operation include:

  • eating well – your body will need energy for repair
  • exercise – keeping physically active before your operation will help you recover quicker
  • relax – try to relax and not worry about your operation
  • smoking and alcohol – giving up or cutting down will help your recovery and reduce your risk of developing complications

Your GP will advise you about how you can get into the best possible shape prior to surgery. They will identify and stabilise any health conditions you have that may affect the operation.

At this stage, your GP will ensure you understand all the treatment options available to you, so you can make an informed decision about whether to proceed with surgery.

Your overall experience will be improved due to high quality care and, where possible, high quality services, such as keyhole surgery.

Following surgery, you will also have access to rehabilitation services such as physiotherapy. This will help speed up your recovery and enable your discharge from hospital as soon as possible so you can return to normal life.

Depending on your operation, you may be able to go home sooner than traditionally expected. It is therefore important to plan and prepare for your return home before you go into hospital.

The NHS leaflet My Role and Responsibilities (PDF, 1.32Mb) provides further information and advice about how to improve your recovery.

Finding out more

Speak to your GP if you are considering having planned surgery. They will advise you about whether enhanced recovery is suitable for you. Not all hospitals offer enhanced recovery programmes, but the number that do is growing all the time.

You can also find out more about enhanced recovery on the NHS Improvement website, including patient experiences and case studies.

Last reviewed: 18/10/2012

Next review due: 18/10/2014

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Comments are personal views. Any information they give has not been checked and may not be accurate.

ludden said on 29 April 2013

I had major surgery 2 weeks ago, and heard the nurses from recovery, telling the ward staff I was enhanced recovery. I had no idea what this meant, and am still not sure even after looking on the site.
It was by no way a stress free experience. I was told my admission time was 11.00. At 11.15 I was called. Spoke to the anaesthatist whilst taking my coat off. Was raced into the admissions nurse who was still taking particulars when the 2 surgeons arrived. Had my bag taken to be locked away and went into theatre running.
In the 3 days after surgery I was never pain free and 2 of those days was in so much pain that I couldn't eat.
On the 4th day I was discharged and caught a taxi to get me back to where I live which is 75miles from the hospital. Since then I have been admitted into the emergency gynae ward with bleeding and an infection.
So I don't think the NHS should be shouting too loudly about this enhanced recovery. I am a week behind where I should be.

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