Name of your NHS Trust / Local Health Board / Health and Social Care Trust:
1. Does your organisation offer patients a prehabilitation programme?
Are you planning to set up a prehabilitation programme in the next 12 months in your organisation?
2. For how long has your prehabilitation programme been running?
3. Please provide the name and contact details of your organisation’s prehabilitation lead/s
4. The prehabilitation programme is being offered to patients undergoing:
5. For surgical specialties that involve cancer and benign disease, prehabilitation is offered to:
6. What does your prehabilitation programme include and where / how is it delivered?
7. Has the delivery of your prehabilitation programme changed due to the COVID-19 pandemic?
8. Which of the following clinical specialties are involved in delivering your prehabilitation programme?
9. Which of the following risk factors are patients screened for before starting prehabilitation?
10. At which point in the treatment pathway are patients referred to your prehabilitation programme?
11. Do you collect any of the following as part of a service audit, quality assurance or improvement framework?
12. Do you use any of the following to assess patient adherence / engagement with the prehabilitation programme?
13. Who funds your organisation’s prehabilitation service?
