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How patients have got ready for surgery

Waiting Well is an NHS service that helps people improve their physical and mental health while waiting for surgery. Read how Waiting Well has helped a patient in the North East and North Cumbria build on their confidence to live a better life.

Exercise and getting out more is helping a busy grandparent get ready for surgery.

After living an inactive lifestyle, the patient became isolated and could not do the things they wanted to in everyday life. Now, the patient is enjoying daily exercise and meeting new friends. They were referred by the Waiting Well programme to a physiotherapist and regular fitness class.

The patient can do more household jobs, go out more and work towards a healthy body weight. Everyday life is easier, and they can cope better looking after their grandchildren. Pain is lower on those busy days.

They have more confidence and are proud of what they have done so far. Meeting other people and doing exercise sessions has improved the patient’s health and confidence. They can get out more and see people, something they could rarely do before the Waiting Well service helped them.

With no family, friends or local support, a patient from Bangladesh was struggling to support his family while waiting for surgery.

With two children and a pregnant partner, Mr. Mohammed could not do his job before the operation. He was struggling with money. He was unable to pay the bills or buy food or baby items.

As he waited for his hernia operation, Mr. Mohammed was not getting sick pay. He was told he could lose his job unless he did 15 working hours a week.

The Waiting Well programme helped the family get support and services from over 20 organisations. They got financial help, health care, social care, a home assessment, and food bank vouchers. They also got support with clothing and fuel, baby equipment, free school meals and Christmas presents for the children.

Thanking the programme Mr. Mohammed said:

"I am speechless! I have never had support like this before. They helped me with my problems and found a way to fix them."

Small things made a big difference for a patient getting ready for orthopaedic surgery.

The patient was sent to the Waiting Well programme. Before, they did not do much physical activity. The service helped them join their local leisure centre. This was good to get them moving, but it also helped them to see more people. Going to sessions helped them build confidence. Now they swim regularly.

As well as the support provided, the patient also saw further benefits of the programme through weight loss and a lower BMI.

The Waiting Well service also gave the patient equipment. A walking stick, a shower stool and other bathroom equipment make their daily life and mobility more manageable.

Small steps taken by health professionals have had a big impact on the patient, who has become more independent in their own home.

Since being sent to the service, the patient has had their operation and is getting better.

"Before your intervention I thought I just wanted to die, now I realise life is worth living."

said one patient helped by the Waiting Well team.

With bad pain, mental health struggles and the loss of their mother, the patient was feeling very lonely. They were sent to the Waiting Well programme while getting ready for surgery.

The patient had a small appetite due to constant pain that also caused sickness and diarrhoea. This made the patient reluctant to leave home. They were worried about finding public toilets. They lost contact with friends, making their mental health and wellbeing worse.

The programme helped the patient get different medication to control pain levels. It also helped them get counselling and go to the local befriending service.

The patient has now had their operation and has a new outlook on life. They have reconnected with old friends and are interested in going to more community groups.

About the programme

Waiting Well is a programme offering targeted support to certain groups of patients waiting for surgery in the North East and North Cumbria. The programme has been developed by the NHS North East and North Cumbria Integrated Care Board (ICB), in collaboration with partners across primary and secondary care, local councils, the voluntary, community and social enterprise sector (VCSE), and patients.

Our region has some of the starkest health inequalities in the country and it's a situation that has been being exacerbated by the pandemic and the cost-of-living crisis which is having the greatest impact on those living in its most deprived communities.

This picture is reflected in the patients we care for too. In the North East and North Cumbria, we have:

  • more than 263,400* waiting for planned care
  • around 60,000* of these patients are classed priority 4**.
  • around 17,700* of these are from the most deprived areas in the country (Index of Multiple Deprivation - IMD - deciles 1 and 2).

* Figures correct as of June 2023

** Waiting longer than 3 months but often wait for longer.

There is lots of evidence to show that by taking some simple steps before surgery or treatment to improve fitness, diet and mental health, helps patients make a better and quicker recovery. It also reduces the risk of their treatment being cancelled because of them not being well or fit enough to have the operation.

Waiting Well brings together partners with a range of expertise to help us to deliver an offer underpinned by RAIDR, a smart ‘digital dashboard’ that enables identification of patients, based on risk factor profile, at GP practice level across our region.

How it works

Co-ordinated by a Central Hub, eligible patients will be contacted and offered help to prepare them for their surgery.

Depending on a patient’s needs, there are tiered levels of support offered ranging from access to online resources to more bespoke and holistic offers such as social prescribing for those patients who require more complex support due to their health and social circumstance. A personalised needs assessment looking at what matters most to the patient will establish what help is needed.

Some of things the Waiting Well Team can help with include:

  • healthier eating
  • stop smoking
  • finding appropriate exercises
  • drinking less alcohol
  • support to help with anxiety and sleep
  • and much more.         

If the offer is accepted, the patients will be referred to Waiting Well Teams, local to where they live, where they are receiving their care.

Not all patients who are waiting for surgery will be offered support from the Waiting Well team as this is determined by the level of help that a patient may need.

Patients cannot refer themselves for the Waiting Well service. Patients who are eligible for support from Waiting Well will be contacted directly.

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