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Pathway Examples

Part of the remit of NELA is to facilitate improvement in the delivery of care for patients undergoing an emergency laparotomy through the dissemination of good practice.

Below you can find and download examples of Emergency Care Pathway documents that have been provided to the NELA team by local participating sites.

These are being made available on the NELA website so that other hospitals can adapt them for their own purposes. NELA is unable to comment on the efficacy of these documents, as they are provided for information only. Hospitals should monitor the implementation of these pathways in their own hospital to ensure they achieve the desired effects.

Each Pathway is credited to the trust that has provided the information to us.


Multidisciplinary Team Pathway Examples

Weston Area Health NHS Trust
-Weston General Hospital - Pathway
 Acute Abdominal Pathway, Weston General Hospital.pdf (188 KB)

Southend University Hospital NHS Trust
-Southend Hospital - Emergency Laparotomy Peri-operative Care Pathway
 Southend Hospital EL Peri-Op Care Pathway - SOU4073_0514_V3 (2).pdf (90 KB)

From North Bristol NHS Trust:
-North Bristol Emergency Laparotomy Pathway
 North Bristol Emergency Laparotomy Pathway (119 KB)
-North Bristol Surgical Admission Proforma
 North Bristol Surgical Admission Proforma (741 KB)

From Harrogate District Hospital:
-Harrogate District Hospital - Pathway
 Harrogate District Hospital - Pathway (360 KB)

From Dudley Group NHS Foundation Trust:
-EL Pathway - Dudley Group NHS Foundation Trust
 EL Pathway - Dudley Group NHS Foundation Trust (196 KB)

From Manchester Royal Infirmary:
-Assessment and initial management SV CMFT v9 full review for update
 Assessment and initial management SV CMFT v9 full review for update (106 KB)
-Assessment and initial management SV CMFT v9 full review for update
 Assessment and initial management SV CMFT v9 full review for update (56 KB)

From Royal Devon and Exeter NHS Foundation Trust:
-ELPQuIC 2 - Royal Devon and Exeter NHS Foundation
 13 - ELPQuIC 2 - Royal Devon and Exeter NHS Foundation Trust (68 KB)

From West Suffolk NHS Foundation Trust:
-Emergency General Surgery Pathway
 West Suffolk NHS Foundation Trust - EGS Pathway.pdf (573 KB)


Other Documents examples

From North Bristol NHS Trust:
-North Bristol ERP Emergency Surgery Leaflet
 North Bristol ERP Emergency Surgery Leaflet (183 KB)

From Manchester Royal Infirmary:
-Timing of surgery SV 02-05-13 V2
 Timing of surgery SV 02-05-13 V2 (18 KB)

-Example of document prioritising CT access for emergency laparotomy patients
 Policy for CT scanning patients presenting with a new acute abdomen (189 KB)