Project Title: Establishing a Post Anaesthetic Care Unit for high risk elective Surgical patients Medical Director: Dr Graham Shortland Organisation: Cardiff and Vale University Local Health Board Project Summary: The purpose of the project will be the introduction of a new elective Surgical post-operative care area to improve patient care, reduce cancellations from lack of critical care beds and develop the ongoing enhanced recovery programme at Cardiff and Vale. Current elective cancellation rates have warranted an innovative and fresh approach to the management of the surgical elective pathway. This will be an exciting development to develop a brand new service from the bottom up – involving patient scheduling, clinical workforce and rostering, clinical pathway and guideline development. All on the background of an already successful development of an Enhanced Recovery Programme. Seamless communication between different Clinical Directorates and different professional groups will be essential to ensure the smooth running of this brand new service. The fellow will specifically develop the pathways, troubleshoot and resolve problems supported by the Clinical Directors of Theatres and Critical Care. The Critical Care Directorate has already invested and considerable amount of time and effort to ensure that this clinical priority is properly developed. This project, although led by Critical Care for workforce, has stakeholders from various Surgical Subspecialties, Anaesthesia and Theatres and as such would appeal to doctors from any speciality. Cardiff and Vale has considerable experience and learning in supporting Welsh Clinical Leadership Fellows over the last two years to make the most of their programme. There is significant commitment to the Fellows in the UHB, part of which is a full programme with senior executive staff (including the Chief Executive), coordinated by the Medical Director, to ensure a comprehensive and worthwhile experience during the time spent with the UHB. Immediate Supervisor: Dr G Scholey, Consultant Intensivist and Clinical Director at University Hospital of Wales and has been responsible for developing the recent changes of the Critical Care Service at Cardiff, most recently the outreach programme [email protected] Regular reporting of the project by the Trainee and Dr Scholey will be to Alice Cassey, Chief Operating Officer and Dr Navroz Masani, Clinical Board Director, Specialist Services. Biographies: Medical Director Dr Graham Shortland qualified from the University of Southampton. He trained in Obstetrics and Gynaecology, then in Paediatrics, in a range of posts in Southampton, Cardiff and Bristol. Graham has spent time in clinical research and academic medicine. He has had work published in the fields of paediatric nutrition, inherited metabolic disease, medical education and clinical service provision. National and UK recognition includes Chairman of his speciality interest group, the British Inherited Metabolic Disease Group, and more recently as Chairman of the UK, MCADD and PKU Board, which has successfully implemented new newborn bloodspot screening tests for newborn babies. Graham has been Clinical Director for Child Health, Associate Medical Director for Patient Safety and Clinical Governance and Assistant Medical Director for Innovation and Improvement. He was part of a team that was successful in winning the 2009 and 2010 NHS Wales Awards for Patient Safety and has a strong track record in improvement and patient safety. He has been Executive Medical Director for Cardiff and Vale UHB since 2010.