Table 4.

The stages of the patient journey.

Stage	Cocreation network	Patients role	Timelines and detailsa
(1) Referral	GPb, social networkc	Information seeking. Decision making: decision to consider surgery.	Private: 2-12 weeks; Public: 12 months.
(2) Consultation	Administrative staff, OSd	Understanding information, deciding on surgeon (private patients), risk management, establishment of a relationship of trust with surgeon.	Private: 2-4 weeks; Public: approximately 12 months.
(3) Prehabilitation	Physiotherapist	Being fit for surgery and exercise completion.	Private: more likely to go straight to surgery; Public: emphasis on home exercise therapy.
(4) Perioperative	Administrative staff, occupational therapist, physiotherapist, registered nurse (RN)	Preparation for hospital admission and discharge.	Public and private: 2 to 4 weeks before surgery.
(5) Hospital stay	Administrative staff, OS, RN, physiotherapist, occupational therapist, social network	Following instructions and providing feedback on progress.	Public and private: walking day 1, discharge day 3 to 5.
(6) Rehabilitation	Physiotherapist	Exercise completion and providing feedback on progress.	Private: in- and outpatient rehabilitation and private physiotherapy; Public: outpatient rehabilitation, limited public funding for private physiotherapy.
(7) Postoperative	Administrative staff, occupational therapist, RN, GP	Detecting and reporting complications. Following medication. Staying positive.	Private: scheduled appointments, removal of surgical clips at clinic or by OS at 2 weeks, OS at 6 and 12 weeks and at 12 months; Public: fixed schedule, removal of surgical clips at clinic or GP at 2 weeks, OS at 6 and 12 weeks and at 12 months.
(8) Complications (restart from perioperative)	GP and/or OS		Private: more access to OS over and above scheduled appointments; Public: more gatekeepers.

^aThere is some variation in practice especially in private surgeons, the time lines suggested reflect common practice.

^bGP: general practitioner.

^cfamily and friends.

^dOS: orthopedic surgeon.