This document aims to help local health communities and organisations improve the quality and value of care for cholecystectomy patients. This document has been amended: Conversion rates should now be used in conjunction with complication rates. No routine need for gall bladder routine histopathology and no routine need for on-the-table cholangiography have been reviewed and removed.

Document / tools include
• The key characteristics of organisations providing high quality care and value for money
• Measures for improvement
• Case studies & examples of good practice

Situations it works well in
Day surgery units who want to improve their cholecystectomy pathway

Priorities addressed
Improving the cholecystectomy pathway

Target audience
Day Surgery Units (surgeons, anaesthetists, day surgery managers), Health communities, SHAs, Trusts, PCTs, Service Improvement Teams .

Coming soon - Transforming your Day Surgery Services: Focus on Cholecystectomy
The NHS Institute for Innovation and Improvement is developing a toolkit Transforming your Day Surgery Services: Focus on Cholecystectomy to be launched in April 2010. The toolkit enables trusts to review and assess their current practice in elective and emergency cholecystectomy and day surgery services in general against best practice identified in the NHS Institute's Focus On: Cholecystectomy document. The toolkit includes a blank process map and a set of stickers where trusts can identify where they are against best practice and provides a set of solutions and templates to support implementation.

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