The Sixth Patient Report of the National Emergency Laparotomy Audit - 2020
Source: data.gov.uk (2020-12-08)

NELA Year 6 Hospital Level Data Spreadsheet-2020. Explanatory notes on the NELA Data:
- Timeframe – Data was collected from December 2018 to November 2019
- Please follow this link to see the Inclusion/Exclusion criteria - http://www.nela.org.uk/NELADocs  
- For an explanation as to why these indicators were selected and reported on please see the Fourth Patient Report of the National Emergency Laparotomy Audit – http://www.nela.org.uk/reports  
- Grey rows indicate Hospitals submitting less than ten cases in the Sixth year of data collection
- Cells with N/A mean that Data was not available / Not able to calculate
- Changes to variables:
              - Risk of death - NELA considers the predicted mortality to be the highest of NELA Risk Model predicted mortality / Clinical judgemen

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National Emergency Laparotomy Audit

Welcome to the National Emergency Laparotomy Audit (NELA)

NELA aims to enable the improvement of the quality of care for patients undergoing, or considered for, emergency laparotomy through the provision of high quality comparative data from all providers of emergency laparotomy in England, Wales, and Northern Ireland.

NELA is being carried out by the Royal College of Anaesthetist’s Centre for Research and Improvement (https://www.rcoa.ac.uk/research/research-bodies/rcoa-centre-research-improvement-cri), in conjunction with surgical and other key stakeholders.

YEAR 10 REPORT LAUNCH WEBINAR

NoLap Resources

We've created several resources local teams can use to help progress the NoLap workstream locally. These include:

NoLap Poster (../NELA_Parent/file/179/NoLap_Poster.pdf)

Top Tips (../NELA_Parent/file/155/NoLap_Strategies2024.pdf)

Webinars (https://www.youtube.com/playlist?list=PLmIDe-j6iZk5N7U2gmD0iTFYZYXgdawA2)

Patient Leaflet - Recovering Well

Clinicians from Cardiff and Vale Health Board, in collaboration with the NELA team, have created a leaflet for patients for what to expect after surgery. We think this is a hugely valuable resource and we hope you will share it with your patients, or let them know where they can find it. It is now available on our website: ../information/nelappi

Improving Timeliness to Emergency Laparotomy Project

The RCoA, in collaboration with The Healthcare Improvement Studies (THIS) Institute at the University of Cambridge, are designing a project aimed at improving timeliness to theatre for emergency laparotomy patients. For more details on the project, see https://rcoa.ac.uk/research/research-projects/improving-timeliness-emergency-laparotomy

RCEM Statement regarding the management of adult patients in the ED who may require an emergency laparotomy

The Royal College of Emergency Medicine have released new guidance for the management of adults presenting to ED who may require an emergency laparotomy. You can find the full document here (https://rcem.ac.uk/wp-content/uploads/2024/10/RCEM-Advisory-Statement-regarding-the-management-of-adults-presenting-to-the-Emergency-Department-who-may-require-an-emergency-laparotomy-2-2.pdf), which includes recommendations for how to manage these patients.

Quick Links
- To see the outputs of the audit, please visit our (../information/nelareports)Reports pages (../information/nelareports).
- QI Resources, including timelines for monthly reports and repository of monthly reports, can be found on our QI Resources page (../information/qi).
- NELA QI Videos (https://www.youtube.com/watch?v=vByhUM2de4Q&feature=youtu.be&list=PLmIDe-j6iZk5N7U2gmD0iTFYZYXgdawA2) - Watch the full series of NELA Quality Improvement animations, showing you how to use your data for local improvement.
- Please contact the team (mailto:xxx@xxx.xx) if you have any further questions regarding this audit.
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