To ask anyone in the NHS how day surgery lists are determined?

I hope you are doing well now xx

This isn’t remotely true, I’ve been taken in for surgery at 5pm before. It’s really rude and disrespectful to staff and patients to just up and leave… do you need the surgery or not? Also if you just leave, you might get discharged.

No if you look at what I posted about my son he was having the longest op, presumably the most anaesthetic and needed to be observed longest after the op so it would have made sense to do his early so he wouldn't need a bed overnight on a ward. Not that he actually took the advice and stayed in but that's a separate issue.

Sounds similar to me. Complex as they say

and how, exactly, are you trying to alleviate that?

You are working yourself up into a frenzy @ScuderiaSedici, it really is not helpful FOR YOU

Oh god this reminds me that I accidentally ate the crust from my kids toast and remembered when they asked if I had fasted. When I told them (as they were about to take me down) they then made me wait another 6 hours. Worst day of my life 😂

It depends on lots of factors. I’m allergic to latex so always have to go in first (have had lots of surgeries sadly)

didn't realise this @MatildaTheCat, posted, myself, about half an hour ago.

So frustrating, I agree

I had a hip arthroscopy and labral repair in March was told on admission to day surgery unit I was second I kept getting bumped and ended up going down at 2:20pm for a 3 hour surgery

Medical need first (so anyone with diabetes/Addisons etc that need to go first or with needs that mean they couldn't cope with a day of waiting)

When my son had day surgery we were told to be there at 7. We watched a series of people go, come back after a short period and leave within two hours. He went last at 3.30. came back over two hours later and told the day unit was closing at 8 but he couldn't be discharged he needed to be observed for a certain number of hours after a GA. He declined a bed on surgical ward, said he was living in a student house with 7 other student nurses in their third year and he'd be fine. I was worried but he was fine.

I could never understand why they did him last when they knew he would need to be transferred to a ward overnight. Seemed a crazy waste of a bed to me. So I have no idea how they work it out.

STOP EVERYONE, PLEASE!

@ScuderiaSedici has been posting relentlessly on this and at least one other thread all day. Not once has she thanked any of the many people who have experience in the field for their advice and she has become ruder and ruder in her responses. She hasn’t listened to anyone and has cherry picked the information to ‘nobody cares about me, knows how to do their job and I will be left starving all day long while others less deserving than me are seen.’

Let’s stop feeding this one and send our sympathies to the staff who are blessed with her company.

I was the most simple case for stomach surgery and I was last. I was gutted as they told me to go in at 7 so I stupidly thought that meant I was first . Just always assume you’re last so you’re not disappointed. Im the least patient person I know and caught myself getting grumpy about it and realised it was my own fault for assuming

My son was treated at a children's hospital too, though it is attached to the main hospital but all paeds surgeries including ortho, urology etc would be done in the children's part with paeds surgeons.

I think complex cases with children tend to be at a specific children's hospital which sounds like you were and it was the case with my son. At one point, he was under 10+ specialities. Now it is thankfully not quite as many!

Not read all the replies...but it's so variable. Clinical reasons (eg diabetes or clinical urgency) first, previously cancelled on the day by the hospital are usually next. Often it can depend on the bed situation on the day too. So if beds are tight, minor, quick turnaround surgeries will go first to enable more of the list to proceed. Plus skill mix needed and anaesthetic input. Things like anxiety and LD are taken into consideration but can't be guaranteed. Mrsa positive but clinical needed, last.

I am definitely rooting less for you OP to be early on the list, than I was when I started this thread. Sorry.

you don't need paediatricians in theatre. Some surgeons/anaesthetists do subspecialise in super-snazzy paed surgery and do most of their work on kids (tend to be in the tertiary centres that do the superspecialist stuff). Most surgeons/anaesthetists will be perfectly happy doing some operations on kids, perhaps with different age limits depending on the procedure and the child (and certainly for anaesthetists, we have to be comfortable anaesthetising kids because if they come in in a heap and need emergency intubation for whatever reason we have to be able to look after them - if a hospital takes acute paediatric admissions then theatres needs to be able to deal with all acute paed theatre emergencies at least for stabilisation and retrieval). All theatre areas will have an appropriate stock of kit for the patients they routinely look after, including paediatric stuff.

Most often a DGH type hospital will try and cohort kids having elective surgery onto specific lists so that it's only children, but occasionally it doesn't work like that. Probably the commonest thing that might cause a child to be on an adult ENT list (using this example as it's the OP's list) would be to retrieve a foreign body from a nose or ear or maybe stick in a grommet. In other areas it might be removing a k-wire from a broken bone on an otherwise adult elective ortho list. Kids turn up on emergency lists with appedicitis/testicular torsion/broken bones... all sorts. The recovery area has to have a dedicated paeds space that can be shut off from the grown-ups, and there has to be a paed bedspace and nursing staff for them to go back to, but that's not often a problem.

Some children’s surgeries will be done by specific paediatric surgeons, but depending on the procedure some might be operated on by ENT surgeons, general surgeons, urologists etc who will be treating patients of all different ages.

If youre simple you might well end up being the 'golden patient' that goes first (Google it) as theres a lot to be said for how the list starts off.

But that said, with your attitude I really hope that everyone else who is nicer, politer, and less of an arse gets to go way before you. Perhaps you can have a think about who you are as a person whilst you're sat there.

But you’re just assuming they are.

You’re having a hissy fit over a made up situation you e decided that’s going to happen that you have no evidence is going to happen.

I get you’re anxious. Everyone is anxious before surgery. But being anxious and being rude aren’t the same thing. You’re tipping into the latter.

OK iv never had any of them sort of surgeries so must be different plus I was in a seperate children's hospital until I was 16. Mine have always been cardiac, brain and vascular and been completely seperate everywhere iv been

so then you do the smart thing and wait for your turn, not throw a childish strop.

Are you really of the mindset that our NHS workforce are there solely to service your petulance?

Seriously, @ScuderiaSedici give your head a wobble!

eta; or go private 😂