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Earlier pre-assessment. More patients ready for surgery.

MyPreAssess brings the MyPreConsult approach to surgical pre-assessment. Patients complete an adaptive, structured digital assessment soon after being listed for surgery, so the clinical team identifies relevant risk factors, optimisation needs and the appropriate level of review earlier in the pathway.

From decision to operate

  1. 01
    Assess earlyDigital assessment issued after listing
  2. 02
    Act earlyReview and optimisation needs surfaced
  3. 03
    Schedule ready patientsAssessment status visible before booking

A larger surgery-ready pool

8.7%of operations postponed at pre-operative assessment
37.3%of last-minute cancellations potentially avoidable
SC3.18early screening, risk assessment and optimisation required

The capacity constraint

Pre-assessment should prepare the list, not constrain it.

Pre-assessment capacity can become a limiting step in surgical throughput. Paper and fixed digital questionnaires collect information, but they do not adapt to the patient or prepare the clinical review.

Important optimisation needs are then identified late, when they are more likely to delay surgery or contribute to cancellation. MyPreAssess moves that work upstream.

Three practical gains

Assess earlier. Focus capacity. Keep the list ready.

01

Identify needs earlier

Capture relevant medical history, medications, functional status and perioperative risk factors soon after the decision to operate.

  • Surface information requiring clinical or anaesthetic review earlier.
  • Start optimisation while the patient is waiting.
02

Use pre-assessment capacity proportionately

Support locally agreed, clinician-led pathways so straightforward patients follow a streamlined route and scarce specialist time is focused on patients who need it most.

  • Proportionate review and pre-operative investigations.
  • Less routine work for already constrained teams.
03

Build a surgery-ready pool

Create a larger cohort of patients who are fully assessed and ready when theatre capacity becomes available.

  • Fewer avoidable delays and late cancellations.
  • Better theatre utilisation and list productivity.

The pathway

Move pre-assessment to the start of the wait.

The assessment happens early enough to change the pathway, not simply document a problem when the operation date is already close.

  1. 01

    Listed for surgery

    The locally agreed assessment is issued early, rather than waiting until an operation date is close.

  2. 02

    Adaptive digital assessment

    The patient completes it remotely, without an app. Questions adapt to the information they provide.

  3. 03

    Structured clinical review

    Relevant history, medicines, function and risk factors are organised and ready for the team.

  4. 04

    Locally agreed next step

    The clinical team decides whether review, optimisation or investigations are needed.

  5. 05

    Ready for scheduling

    Assessment status is visible before a theatre date is committed.

GIRFT alignment

Built for current perioperative priorities.

MyPreAssess supports GIRFT principles of early screening and risk assessment, patient optimisation, standardised pre-operative pathways, proportionate testing and focusing specialist capacity on higher-risk patients.

GIRFT theatres and perioperative medicine
  • Earlier risk assessment and health optimisation
  • Consistent intake across sites and surgical hubs
  • Proportionate pre-operative investigations
  • Fewer avoidable postponements and cancellations
  • A larger pool of assessed, surgery-ready patients

Clinician controlled

The information is prepared. The team decides.

MyPreAssess structures information for clinical review. It does not autonomously clear a patient for surgery, determine clinical priority, order investigations or replace clinical judgement.

Pathway partnership

No-cost evaluation period.

Sagence provides the platform, setup and support free.

We agree the pathway, baseline measures and evaluation period with the service. Trust staff time may also be grant-funded, subject to eligibility and award.

Discuss your pathway

Build the pre-assessment pathway around the service you run.

Start with Orthopaedics or General Surgery. Define the local pathway, the review thresholds and the measures that matter. Sagence provides the platform, setup and support.

Discuss your pre-assessment pathway