Fig. 2
From: Re-designing the pathway to surgery: better care and added value
The pathway “re-engineered”—a model of process evolution in perioperative pathways. This re-engineered model aims to shift the timing of pre-assessment to much earlier in the pathway using simple online risk stratification tools and then early staging using objective physiological assessments (namely CPET). The aim is to have detailed information prior to any decision to operate with true collaborative decision-making taking centre stage. Surgery school and any “bolt-ons” occur in conjunction aiming to have things optimized prior to final decisions regarding surgery