How an Overlapping ‘Flip’ List Initiative Can Help Improve Orthopaedic Efficiency and Theatre Utilisation

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The NHS is experiencing unprecedented challenges as waiting lists reached historic highs in 2023, posing not only significant risks to patients, but notable challenges to surgeons. An innovative strategy implemented by a high-volume single surgeon was to introduce overlapping lists known as ‘flip lists’ on a regular basis at a high volume orthopaedic centre. Overlapping surgery involves organising surgical lists in parallel, with a single consultant moving across operating theatres with the aim of eliminating turnover or gap time between successive cases, thereby maximising theatre utilisation. The aim of this quality improvement project was to identify if there was a difference in theatre utilisation and Patient Reported Outcome Measures (PROMs).

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Contributed to: Community contributions
Community resources are online learning and digital materials provided by the wider Learning Hub community that anyone can contribute to.
Contributed by: Morag Clarkson
Authored by: N. Akram, I. Afzal, S. Radha, Croydon Health Services NHS Trust, Trauma and Orthopaedics
Authored on: 20 June 2024
Licence: Creative commons: Attribution-NonCommercial 4.0 International More information on licences
First contributed: 08 January 2025
Audience access level: Full user

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