Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what discussions he has had with NHS Trusts on ensuring that community rehabilitation is offered as a viable alternative to (a) medicine and (b) surgery.

NHS England has published guidance setting out five core perioperative requirements relating to the care of adult patients awaiting planned inpatient surgery. As part of the core requirements, patients must be involved in shared decision-making conversations to discuss the benefits, risks, alternatives, and likely outcomes of the surgery. This could involve discussing whether community rehabilitation is offered as a viable alternative to surgery. This allows patients to confirm their decision to proceed with the surgery, seek further specialist advice if required, or make the informed choice to pursue alternative options.

Local providers are best placed to decide how to embed and maintain perioperative care approaches into their organisations, to reflect local needs and circumstances. The national elective recovery and outpatients programme is working with NHS England’s regional teams to help oversee and support compliance, and will continue to do so throughout 2024/25.