Biomet is now Zimmer Biomet


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Neil Winsor

From our perspective it’s been excellent. I think the greatest barometer of the success of the programme has been the feedback from the staff and particularly the patients and it is clear from this feedback that both have benefitted hugely from the programme.

However, I think success has been an evolutionary process and certainly hasn’t occurred overnight.  At the beginning there was a problem, in the sense that some people initially saw Rapid Recovery as a tool to improve efficiencies only, particularly length of stay and others who appreciated the qualitative benefits of the programme, saw the implementation of Joint School as the ‘be all and end all’ of the programme.  In reality we have appreciated that whilst patient education is crucial, and Joint School is fundamental to the success of the programme, it is also just one element of whole system redesign, which will deliver both quantitative and qualitative benefits. 


Consequently, equally important are changes in pain regimes and anaesthesia so patients can be mobilised on day of surgery. It is about early rehabilitation, about using group dynamics; it is about the support networks that are available post-operatively, consistent messages throughout the patient pathway etc. So it’s a lot more than we initially thought and now we have delivered the entire pathway redesign we can see the ‘fruits of our labour’, including radical reductions in length of stay, improvements in patient outcomes, increased patient and staff satisfaction, reduced costs, reductions in post-operative complication/readmission rates etc.

If you asked me now, whether I could imagine our Orthopaedic Pathway without a Rapid Recovery ethos and the answer would be NO.

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Interview with Neil Windsor, Rapid Recovery Programme Manager