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The Jack and Jill method for Cataract procedures


by Chris Lewis

I read a very interesting article recently on a methodology I have never heard of before  - the ‘Jack and Jill’ procedure which has been adopted by a trust in Dunfermline to save up to eight minutes per patient on a ‘standard’ cataract removal procedure.

The method is effectively to section a surgical room into two so a surgeon can reduce the time spent in any one procedure. Whilst the procedure is being completed on one patient, the other patient is being prepped by the nursing team so the surgeon can immediately switch between patients.

It’s logical, will save time and ultimately means waiting lists can be drastically reduced. This is surely positive.

A question mark was raised in my mind of the workload this would bring on to surgeons and clinical teams, and an image of a conveyor belt circulating around an operating room with a surgeon in the middle running around in a sweat.

With less time between patients -  the quotes on the above article suggest that the entire operation has been streamlined to accommodate this new move. Operating room efficiencies are a hot topic within the NHS nationally, but this seems to be the first step to multiple patient procedures. Cataract removal is the most common surgical procedure there is in the UK and it is continuing to grow – so something had to be done, but is this the answer? Could this be the new benchmark for day procedures in the future.

Ophthalmology is a large market that RMG operate within and have multiple clients within the space, so I would like to hear from professionals within the Ophthalmology market that have heard of the ‘Jack and Jill’ method, and their thoughts on whether this is a feasible option that could be rolled out across the rest of the UK?  


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