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AIBU?

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

516 replies

ScuderiaSedici · 30/07/2025 14:43

As above

OP posts:
ExtraOnions · 30/07/2025 18:29

I was in for a gynaecology procedure earlier this year … fairly simple. I was told they do the more difficult cases first, so I was last down… just sat on the bed reading, and listening to music.

ScuderiaSedici · 30/07/2025 18:28

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Kirbert2 · 30/07/2025 18:27

ScuderiaSedici · 30/07/2025 18:06

If you genuinely think making people sit until evening without eating is humane or okay, then that’s on you.

My son at 9 years old had to fast 2 days before the surgery and 2 days after the surgery too as it was bowel surgery and he'd already had several previous bowel surgeries. If he can fast for that long, an adult can fast up until evening if necessary, I wish that is all my son had to fast for.

Unfortunately someone always has to be last on the list and they aren't going to be any less hungry or fed up as you are. It's just how it is when you need surgery and there's a list.

ScuderiaSedici · 30/07/2025 18:26

haveyouopenedyourbowelstoday · 30/07/2025 18:24

OP it’s people like you that make me absolutely love my job.
oh, wait, I’m a nurse!!

Treat us with respect then? There’s no reason I couldn’t have a call this afternoon to say im X position, start fasting at X time and come into the hospital at X tome.

OP posts:
TomatoSandwiches · 30/07/2025 18:26

There is no reason for you to be the first in line. You don't get to choose, its best you accept that because you're working yourself up for nothing.

ScuderiaSedici · 30/07/2025 18:25

FreeWifi · 30/07/2025 18:24

You are clearly trolling now. But if this is true, I suggest you leave the attitude and tax-talk at home. It won’t help you get seen sooner on the day!

I’m not trolling. I’m anxious, stressed, and pissed off.

OP posts:
Houndsahollering · 30/07/2025 18:25

ScuderiaSedici · 30/07/2025 17:43

Because I’ll have been fasting for near on 24 hours at that point and if it’s got to 2pm and I’ve not been operated on, it’s quite clear u won’t be operated on that day!

That’s utter tosh. And you’ll survive 24 hours Nil by mouth ffs. If you’re going to piss around and waste everyone’s time at least let them know now you won’t be attending so they have a chance to call in someone who’ll take a cancellation slot.

FreeWifi · 30/07/2025 18:24

You are clearly trolling now. But if this is true, I suggest you leave the attitude and tax-talk at home. It won’t help you get seen sooner on the day!

Rooroobear · 30/07/2025 18:24

ScuderiaSedici · 30/07/2025 18:23

It’s not fair. Why am I being punished for being healthy?

Hahahah awwww didums.
What if you’re all “healthy” that day?? I really hope you are last

haveyouopenedyourbowelstoday · 30/07/2025 18:24

OP it’s people like you that make me absolutely love my job.
oh, wait, I’m a nurse!!

ScuderiaSedici · 30/07/2025 18:23

Rooroobear · 30/07/2025 18:23

Starving? It’s a day of fasting, it won’t kill you. You wait or you don’t wait. If you leave you leave. They won’t care that you’ve gone. Your attitude is awful tbh! The healthiest should go first? Meh, you’re a knob

Edited

It’s not fair. Why am I being punished for being healthy?

OP posts:
mynameiscalypso · 30/07/2025 18:23

But someone always has to be left until last. Why is it more unfair for it to be you vs anyone else?

Rooroobear · 30/07/2025 18:23

Starving? It’s a day of fasting, it won’t kill you. You wait or you don’t wait. If you leave you leave. They won’t care that you’ve gone. Your attitude is awful tbh! The healthiest should go first? Meh, you’re a knob

ScuderiaSedici · 30/07/2025 18:20

Catsonskis · 30/07/2025 18:19

Ok you’re just being goady now.

fortunately the NHS prioritises those the most clinically urgent, not the most entitled

So the rest of us just get screwed over? Seems fair to leave someone anxious and starving till 6pm

OP posts:
Catsonskis · 30/07/2025 18:19

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Ok you’re just being goady now.

fortunately the NHS prioritises those the most clinically urgent, not the most entitled

PeachPumpkin · 30/07/2025 18:17

GrannyAchingsShepherdsHut · 30/07/2025 16:46

I think the surgeon can switch it around if they want to - I was once slated first on list for an 8 hr operation, and the surgeon came to me and said they'd switched me with the lady who was supposed to be after me as hers was only an hour and it was mad for her to wait all that time. Seemed entirely reasonable to me but whatever person/software had planned it originally obviously thought the opposite!

Agreed. I had surgery years ago and was told I was second, behind a diabetic patient. I ended up being operated on last. I don’t know why they changed it and didn’t ask as I didn’t want to seem difficult and there was likely to be a very good reason.

ScuderiaSedici · 30/07/2025 18:17

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Catsonskis · 30/07/2025 18:15

You’d be surprised how many people waste NHS time with this entitled attitude. “Would not wait” is a sadly used to often reason for cancellation on the day and results in wastage annd elongated waits. Just FYI, if you refuse to wait you’ll go back to bottom of the waiting list. Though to be fair, the biggest reason for cancellations on the day is patients not fit for surgery (coughs/colds/ not followed pre op advice re meds), would not wait is definitely not the majority. But you do see it more in the simpler cases/LA/injections, rather than those waiting for say hip surgery or major abdominal surgery.

conversely, many people wait all day if that’s what it takes as they’re so desperate to be treated. Issues come up some times on the day meaning the list don’t go to plan. For example, with the hot weather recently, one of our theatres broke and the only space we had was in the afternoon, so people had to wait. Cancers were on the morning lists and we couldn’t cancel them, just because someone else had paid their taxes/fasted and therefore should go first.

i absolutely get your frustration and anxiety re list order, wait time and fasting. Not much worse than being hungry! So many factors determine list order and it quite often changes on the day: kit availability, anaesthetist caught in traffic so start off with the LA cases instead, urgent case being added.

if it’s a morning session though you’ll know well before 2 if you’re being cancelled - more like 10:30/11 at the latest.

Wish you all the luck and hope all goes to plan and you are first on the list. There’s more adults/non-diabetic, non transport patients so chances are you’d be really unlucky to have that combo on the same list as you

MatildaTheCat · 30/07/2025 18:12

ScuderiaSedici · 30/07/2025 18:09

I’d also rather the staff just did their jobs.

What on earth do you mean?

I’m out.

ScuderiaSedici · 30/07/2025 18:12

scaredysquiggle · 30/07/2025 18:09

I’ve just had surgery on a day unit and my care was excellent. The nurses were wonderful. They certainly don’t deserve your attitude and walking out at 2pm if you, a non clinical person, doesn’t get what you think you deserve when you want it.

They honestly don’t get paid enough for that.

Then surely they should just operate on me, instead of leaving me sat there till 6pm!

OP posts:
ScuderiaSedici · 30/07/2025 18:12

scaredysquiggle · 30/07/2025 18:09

I’ve just had surgery on a day unit and my care was excellent. The nurses were wonderful. They certainly don’t deserve your attitude and walking out at 2pm if you, a non clinical person, doesn’t get what you think you deserve when you want it.

They honestly don’t get paid enough for that.

Then surely they should just operate on me, instead of leaving me sat there till 6pm!

OP posts:
scaredysquiggle · 30/07/2025 18:09

I’ve just had surgery on a day unit and my care was excellent. The nurses were wonderful. They certainly don’t deserve your attitude and walking out at 2pm if you, a non clinical person, doesn’t get what you think you deserve when you want it.

They honestly don’t get paid enough for that.

ScuderiaSedici · 30/07/2025 18:09

MatildaTheCat · 30/07/2025 18:08

But that could easily be the case with a future appointment by that argument?

If you have a morning slot the likelihood is that your surgeon will have other commitments in the afternoon and the unit will be busy admitting the afternoon list patients by 1pm. Day units tend to run a very tight ship.

Are you the same poster having difficulty with your father? If so please just have a snack before bed, tell him clearly that you will be in contact when you are ready ( actually probably the staff will) and take along something to occupy you. You really are overthinking this entire thing. You go in, wait your turn and then go home when you’re ready. All done.

That sounds patronising but it’s just the truth.

I’d also rather the staff just did their jobs.

OP posts:
ScuderiaSedici · 30/07/2025 18:08

CastleCrasher · 30/07/2025 18:07

Think of the flip side of that. Should someone who is in pain, with issues that are affecting their everyday life, who's facing a risky surgery, complications and/or lengthy recovery have to wait all day worrying about their op, or be taken asap?

I’m in pain everyday. I have issues affecting my everyday life.

OP posts:
youalright · 30/07/2025 18:08

I was giving priority once as id travelled further when others where cancelled and sent home