High Volume, Low Complexity (HVLC) Surgery

Our HVLC guides provide a comprehensive view of the HVLC programme and are intended to support NHS regional and system leaders in your understanding and communication of the programme, and to enable the development of your local HVLC delivery plans.

The HVLC programme was developed in a true partnership with the London region and, as it is rolled out nationally, is being regionally-led, system-delivered and GIRFT-enabled.


Previous version of HVLC Guidance document (May 2021)

NHS London dialogue and deliberation document

Institute for Healthcare Improvement guide to flowcharts (for developing pathways)

NHS X ‘Mapping a digital HVLC orthopaedic pathway’

Northern Alliance Care NHS Group Super Saturday – A Test of Change (Project PDSA)

Barking, Havering and Redbridge University Hospitals – BONES week

BONES project review

Bury Care Organisation – Super Saturday Day Case Initiative

BCO Super saturday storyboard

Midland Elective Delivery Programme

On 14th May, GIRFT Midlands held a Midlands Elective Delivery Programme webinar with representatives from around the region. During the session, there were three breakout rooms on ENT, orthopaedics and ophthalmology.

The full session, as well as the three breakout sessions, can be viewed below.

Full webinar recording

ENT breakout session

Orthopaedic breakout session

Ophthalmology breakout session

On 7th July 2021, the Midlands Elective Delivery Programme ran a regional learning event for representatives from around the region, sharing good practice with trust and systems leads. The following presentations may be helpful to leads embarking on similar programmes of work.

Croydon Health Services NHS Trust: A hospital within a hospital (Stella Vig)

Gloucestershire Hospitals NHS Foundation Trust: A vision for centres of excellence (Simon Lanceley)

United Lincolnshire Hospitals NHS Trust: The development and successes of hot and cold site working