Perioperative Pharmacy Optimisation Pathway : Royal Marsden FT

The perioperative pharmacy pathway is a collaborative medications management project between the anaesthetic pre-assessment unit and the surgical pharmacy team. It involves referral of pre-operative surgical patients by the pre-assessment nurses and/or anaesthetists to the surgical pharmacist. The project serves the perioperative patients of the Royal Marsden Hospital (RMH). As we are a specialist cancer centre, many of our patients are frail and on complex prescriptions of oral systemic anti-cancer medications. They often have multiple-morbidities and are awaiting major cancer surgery. The time between pre-assessment and surgery, provides us a unique opportunity to create individualized perioperative pharmacy plans.