Table 1.

Key changes introduced as part of the lower-limb total joint replacement clinical pathway

Lower-limb arthroplasty integrated care pathway
Noncompulsory patient education programme (including new information packs and facilitated session)
Paper-based integrated care pathway (ICP), including formalised specific patient management goals to replace patient notes
Staff education in the use of the ICP to overcome barriers to implementation
Variance mapping
Daily facilitated meetings (nurses, physiotherapists, occupational therapists)
Day of surgery admission policy