The question of whether these benefits translate into a positive experience for fast-tracked patients, in the context of their hospital stay and healthcare team care, has not been previously explored in detail. The Sydney Gynaecological Oncology Group, New South Wales, Australia, has previously shown the benefits of a fast-track surgery programme for gynaecology patients with both complex benign gynaecological pathology and gynaecological malignancy. This study investigates the experience and satisfaction with care of fast-tracked gynaecological patients. Philp, S Carter, J Pather, S Barnett, C D'Abrew, N White, K Patients' satisfaction with fast-track surgery in gynaecological oncology. Neurosurgical patients, appropriately selected, can be admitted on the day of surgery with high staff and patient satisfaction and without delaying theatre start times.

Theatre start time was on average 27 minutes earlier in patients admitted on the day of surgery. 90% of staff were positive about day of admission surgery and all staff members were satisfied that there were no negative effects on surgical outcome. Overall 79% of patients gave positive responses throughout their patient pathway. 83% of patients felt positive on arrival in the NAL and 88% felt positive on being seen by the doctors and nurses prior to surgery. Theatre start times were obtained retrospectively from the theatre database for lists starting with patients admitted on the day of surgery, and lists starting with patients admitted prior to the day of surgery. Patients completed an anonymised emotional mapping patient satisfaction questionnaire, and short interviews were carried out with staff members. 378 patients admitted on the day of surgery, 16 doctors (5 anaesthetists, 7 neurosurgeons and 4 neuro high dependency unit, HDU doctors) and 5 nurses.

Theatre start times were compared with those whose patients had been admitted prior to the day of surgery. Staff members involved in the care of these patients also completed a satisfaction questionnaire. All patients in the NAL were asked to complete patient satisfaction questionnaires. Patients were admitted to a Neurosciences admission lounge (NAL) for neurosurgery on the morning of their operation if deemed appropriate by their neurosurgical consultant. To evaluate patient and staff satisfaction with day of admission surgery in a neurosurgical unit and its effect on theatre start times. Sofela, Agbolahan A Laban, James T Selway, Richard P Patient and staff satisfaction with 'day of admission' elective surgery.

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