MY ROLE AND MYRESPONSIBILITIES

Steps to a successfulrecovery start before my operation

IN HELPING TOIMPROVE MY RECOVERY

NHS

GETTING BETTER SOONER

FOR FURTHERINFORMATION

GETTING BETTER SOONER

Information from the National Health Service on conditions, treatments, local services and healthy living.

www.nhs.uk

The EnhancedRecovery Partnership

www.improvement.nhs.uk/enhancedrecovery

NHS Choices –Your health, Your choices

PLEASE VISIT

How am I feeling?

What are my goals?

How much am I eatingand drinking?

How active have I been?

What am I proud ofachieving?

It might be useful to keepa diary or log so you cantrack your daily feelingsand goals to help you onthe road to recovery

GETTING BETTER SOONER

How much sleep andrest have I had?

THERE IS ALWAYSSOMEONE TO CONTACTAND FURTHERINFORMATION AVAILABLE

• WHEN CAN I HAVE A SHOWER OR BATH?• WHEN WILL I BE ABLE TO DRIVE AGAIN?• WHEN SHOULD I GO BACK TO WORK?• WHEN AM I ABLE TO RESUME INTIMATE RELATIONS?

• WHAT ELSE DO YOU NEED TO KNOW?

STAY IN TOUCH - SUPPORTIS THERE FOR YOU AT EVERYSINGLE STEP, BUT DO YOU KNOW WHO TOCONTACT?

HEALTHY STEPS TOIMPROVE MY RECOVERYWHEN I LEAVE HOSPITALRECOVERY DOES NOT STOP BECAUSE I LEAVE HOSPITAL

QUESTIONS YOU MAY WANT TO ASK?

GETTING BETTER SOONERGETTING BETTER SOONER

Add your useful contacts andinformation here

WHAT THIS MEANSFOR ME

Planning and actively participating in thesteps to success before and after youroperation can help you to:

• LEAVE HOSPITAL, SOONER

•MAKE YOU FEEL BETTER, SOONER

• RETURN TO NORMAL LIVING, SOONER

GETTING BETTER SOONER

MY ROLE IN MYENHANCED RECOVERY...“I didn’t know I had a role”says Nick (patient)

GETTING BETTER SOONER

Staying physically active before youroperation will help you get better,faster. Try to relax. Try not to worry andget together with family and friends.

Eat well, your bodyneeds fuel to repair.

SLEEP, REST & PLAY

FOOD & DRINK

If you do drink or smoke, use this asan opportunity to stop or cut down.This will help your recovery and reducethe risk of complications.

SMOKING & ALCOHOL

GETTING BETTER SOONER

TO IMPROVE MYRECOVERY BEFORE MY OPERATION

HEALTHY STEPS PRACTICAL STEPS TOSUPPORT MY RECOVERYSet up your plans for going home before youcome into hospital. The time you will be inhospital is not long.

GETTING BETTER SOONER

I KNOW MY DATEFOR GOING HOME

I HAVE TOLD THE RIGHTPEOPLE WHERE I WILL BE

I HAVE ARRANGED MYTRANSPORT FOR GETTINGTHERE AND BACK

I HAVE PACKED A SMALLBAG WITH THE RIGHTSTUFF (e.g. CLOTHES,READING MATERIAL)

I HAVE CHECKED IHAVE THE RIGHTEQUIPMENT ANDSUPPORT AT HOME

WHAT ELSE DO INEED TO ASK?

I HAVEREMEMBERED TOTAKE MYMEDICATION WITHME

DON’T BE AFRAID,IF NOT SURE, ASK!

This information might be useful to talk through with afriend, carer or family member to ensure that you havethe practical support in place to support your recovery.

MY TO DO LIST

HEALTHY STEPS TOIMPROVE MY RECOVERYWHILST STILL IN HOSPITAL

• Take an active part in myrecovery - follow theadvice and instructions ofmy clinical team

• Be positive about myrecovery

• Start to eat and drink -my body needs fuel torepair (don’t be surprisedto find a cup of tea and asnack box available in therecovery room straightafter your operation)

• Go easy, this is exercise tohelp with my recoverynot to add more fatigue. I need to keep practicingmoving my arms, legs,doing my exercises,walking, before and aftermy operation

• Set myself a daily goal...little steps go a long way

DONT BE AFRAID TOASK QUESTIONS ANDFOR INFORMATION TOBE REPEATED. IF YOUARE NOT SURE... SAY SO

GETTING BETTER SOONER

EXAMPLE OF GOALSYOU MIGHT SET

MY GOALSDAY OFSURGERY• SIT OUT• DRINK• EAT

DAYONE• SIT OUT• WALK• EAT

DAYTWO• WALK• SHOWER• DRESS

BUT REMEMBER,WE ARE ALLINDIVIDUALS,DON’T WORRY IFYOU DON’T REACHYOUR GOAL EVERYDAY... A FEW STEPSALSO MAKE ADIFFERENCE

I NEED TO...

“I had always thought my role before

going into hospital before an operation

was to give myself up to other people

and to shut off my mind to what is

happening to me... if I knew what I

know now, I would have taken more of

a role in my recovery.”

WHAT THIS MEANSFOR ME

Planning and actively participating in thesteps to success before and after youroperation can help you to:

• LEAVE HOSPITAL, SOONER

•MAKE YOU FEEL BETTER, SOONER

• RETURN TO NORMAL LIVING, SOONER

GETTING BETTER SOONER

MY ROLE IN MYENHANCED RECOVERY...“I didn’t know I had a role”says Nick (patient)

GETTING BETTER SOONER

Staying physically active before youroperation will help you get better,faster. Try to relax. Try not to worry andget together with family and friends.

Eat well, your bodyneeds fuel to repair.

SLEEP, REST & PLAY

FOOD & DRINK

If you do drink or smoke, use this asan opportunity to stop or cut down.This will help your recovery and reducethe risk of complications.

SMOKING & ALCOHOL

GETTING BETTER SOONER

TO IMPROVE MYRECOVERY BEFORE MY OPERATION

HEALTHY STEPS PRACTICAL STEPS TOSUPPORT MY RECOVERYSet up your plans for going home before youcome into hospital. The time you will be inhospital is not long.

GETTING BETTER SOONER

I KNOW MY DATEFOR GOING HOME

I HAVE TOLD THE RIGHTPEOPLE WHERE I WILL BE

I HAVE ARRANGED MYTRANSPORT FOR GETTINGTHERE AND BACK

I HAVE PACKED A SMALLBAG WITH THE RIGHTSTUFF (e.g. CLOTHES,READING MATERIAL)

I HAVE CHECKED IHAVE THE RIGHTEQUIPMENT ANDSUPPORT AT HOME

WHAT ELSE DO INEED TO ASK?

I HAVEREMEMBERED TOTAKE MYMEDICATION WITHME

DON’T BE AFRAID,IF NOT SURE, ASK!

This information might be useful to talk through with afriend, carer or family member to ensure that you havethe practical support in place to support your recovery.

MY TO DO LIST

HEALTHY STEPS TOIMPROVE MY RECOVERYWHILST STILL IN HOSPITAL

• Take an active part in myrecovery - follow theadvice and instructions ofmy clinical team

• Be positive about myrecovery

• Start to eat and drink -my body needs fuel torepair (don’t be surprisedto find a cup of tea and asnack box available in therecovery room straightafter your operation)

• Go easy, this is exercise tohelp with my recoverynot to add more fatigue. I need to keep practicingmoving my arms, legs,doing my exercises,walking, before and aftermy operation

• Set myself a daily goal...little steps go a long way

DONT BE AFRAID TOASK QUESTIONS ANDFOR INFORMATION TOBE REPEATED. IF YOUARE NOT SURE... SAY SO

GETTING BETTER SOONER

EXAMPLE OF GOALSYOU MIGHT SET

MY GOALSDAY OFSURGERY• SIT OUT• DRINK• EAT

DAYONE• SIT OUT• WALK• EAT

DAYTWO• WALK• SHOWER• DRESS

BUT REMEMBER,WE ARE ALLINDIVIDUALS,DON’T WORRY IFYOU DON’T REACHYOUR GOAL EVERYDAY... A FEW STEPSALSO MAKE ADIFFERENCE

I NEED TO...

“I had always thought my role before

going into hospital before an operation

was to give myself up to other people

and to shut off my mind to what is

happening to me... if I knew what I

know now, I would have taken more of

a role in my recovery.”

WHAT THIS MEANSFOR ME

Planning and actively participating in thesteps to success before and after youroperation can help you to:

• LEAVE HOSPITAL, SOONER

•MAKE YOU FEEL BETTER, SOONER

• RETURN TO NORMAL LIVING, SOONER

GETTING BETTER SOONER

MY ROLE IN MYENHANCED RECOVERY...“I didn’t know I had a role”says Nick (patient)

GETTING BETTER SOONER

Staying physically active before youroperation will help you get better,faster. Try to relax. Try not to worry andget together with family and friends.

Eat well, your bodyneeds fuel to repair.

SLEEP, REST & PLAY

FOOD & DRINK

If you do drink or smoke, use this asan opportunity to stop or cut down.This will help your recovery and reducethe risk of complications.

SMOKING & ALCOHOL

GETTING BETTER SOONER

TO IMPROVE MYRECOVERY BEFORE MY OPERATION

HEALTHY STEPS PRACTICAL STEPS TOSUPPORT MY RECOVERYSet up your plans for going home before youcome into hospital. The time you will be inhospital is not long.

GETTING BETTER SOONER

I KNOW MY DATEFOR GOING HOME

I HAVE TOLD THE RIGHTPEOPLE WHERE I WILL BE

I HAVE ARRANGED MYTRANSPORT FOR GETTINGTHERE AND BACK

I HAVE PACKED A SMALLBAG WITH THE RIGHTSTUFF (e.g. CLOTHES,READING MATERIAL)

I HAVE CHECKED IHAVE THE RIGHTEQUIPMENT ANDSUPPORT AT HOME

WHAT ELSE DO INEED TO ASK?

I HAVEREMEMBERED TOTAKE MYMEDICATION WITHME

DON’T BE AFRAID,IF NOT SURE, ASK!

This information might be useful to talk through with afriend, carer or family member to ensure that you havethe practical support in place to support your recovery.

MY TO DO LIST

HEALTHY STEPS TOIMPROVE MY RECOVERYWHILST STILL IN HOSPITAL

• Take an active part in myrecovery - follow theadvice and instructions ofmy clinical team

• Be positive about myrecovery

• Start to eat and drink -my body needs fuel torepair (don’t be surprisedto find a cup of tea and asnack box available in therecovery room straightafter your operation)

• Go easy, this is exercise tohelp with my recoverynot to add more fatigue. I need to keep practicingmoving my arms, legs,doing my exercises,walking, before and aftermy operation

• Set myself a daily goal...little steps go a long way

DONT BE AFRAID TOASK QUESTIONS ANDFOR INFORMATION TOBE REPEATED. IF YOUARE NOT SURE... SAY SO

GETTING BETTER SOONER

EXAMPLE OF GOALSYOU MIGHT SET

MY GOALSDAY OFSURGERY• SIT OUT• DRINK• EAT

DAYONE• SIT OUT• WALK• EAT

DAYTWO• WALK• SHOWER• DRESS

BUT REMEMBER,WE ARE ALLINDIVIDUALS,DON’T WORRY IFYOU DON’T REACHYOUR GOAL EVERYDAY... A FEW STEPSALSO MAKE ADIFFERENCE

I NEED TO...

“I had always thought my role before

going into hospital before an operation

was to give myself up to other people

and to shut off my mind to what is

happening to me... if I knew what I

know now, I would have taken more of

a role in my recovery.”

WHAT THIS MEANSFOR ME

Planning and actively participating in thesteps to success before and after youroperation can help you to:

• LEAVE HOSPITAL, SOONER

•MAKE YOU FEEL BETTER, SOONER

• RETURN TO NORMAL LIVING, SOONER

GETTING BETTER SOONER

MY ROLE IN MYENHANCED RECOVERY...“I didn’t know I had a role”says Nick (patient)

GETTING BETTER SOONER

Staying physically active before youroperation will help you get better,faster. Try to relax. Try not to worry andget together with family and friends.

Eat well, your bodyneeds fuel to repair.

SLEEP, REST & PLAY

FOOD & DRINK

If you do drink or smoke, use this asan opportunity to stop or cut down.This will help your recovery and reducethe risk of complications.

SMOKING & ALCOHOL

GETTING BETTER SOONER

TO IMPROVE MYRECOVERY BEFORE MY OPERATION

HEALTHY STEPS PRACTICAL STEPS TOSUPPORT MY RECOVERYSet up your plans for going home before youcome into hospital. The time you will be inhospital is not long.

GETTING BETTER SOONER

I KNOW MY DATEFOR GOING HOME

I HAVE TOLD THE RIGHTPEOPLE WHERE I WILL BE

I HAVE ARRANGED MYTRANSPORT FOR GETTINGTHERE AND BACK

I HAVE PACKED A SMALLBAG WITH THE RIGHTSTUFF (e.g. CLOTHES,READING MATERIAL)

I HAVE CHECKED IHAVE THE RIGHTEQUIPMENT ANDSUPPORT AT HOME

WHAT ELSE DO INEED TO ASK?

I HAVEREMEMBERED TOTAKE MYMEDICATION WITHME

DON’T BE AFRAID,IF NOT SURE, ASK!

This information might be useful to talk through with afriend, carer or family member to ensure that you havethe practical support in place to support your recovery.

MY TO DO LIST

HEALTHY STEPS TOIMPROVE MY RECOVERYWHILST STILL IN HOSPITAL

• Take an active part in myrecovery - follow theadvice and instructions ofmy clinical team

• Be positive about myrecovery

• Start to eat and drink -my body needs fuel torepair (don’t be surprisedto find a cup of tea and asnack box available in therecovery room straightafter your operation)

• Go easy, this is exercise tohelp with my recoverynot to add more fatigue. I need to keep practicingmoving my arms, legs,doing my exercises,walking, before and aftermy operation

• Set myself a daily goal...little steps go a long way

DONT BE AFRAID TOASK QUESTIONS ANDFOR INFORMATION TOBE REPEATED. IF YOUARE NOT SURE... SAY SO

GETTING BETTER SOONER

EXAMPLE OF GOALSYOU MIGHT SET

MY GOALSDAY OFSURGERY• SIT OUT• DRINK• EAT

DAYONE• SIT OUT• WALK• EAT

DAYTWO• WALK• SHOWER• DRESS

BUT REMEMBER,WE ARE ALLINDIVIDUALS,DON’T WORRY IFYOU DON’T REACHYOUR GOAL EVERYDAY... A FEW STEPSALSO MAKE ADIFFERENCE

I NEED TO...

“I had always thought my role before

going into hospital before an operation

was to give myself up to other people

and to shut off my mind to what is

happening to me... if I knew what I

know now, I would have taken more of

a role in my recovery.”

WHAT THIS MEANSFOR ME

Planning and actively participating in thesteps to success before and after youroperation can help you to:

• LEAVE HOSPITAL, SOONER

•MAKE YOU FEEL BETTER, SOONER

• RETURN TO NORMAL LIVING, SOONER

GETTING BETTER SOONER

MY ROLE IN MYENHANCED RECOVERY...“I didn’t know I had a role”says Nick (patient)

GETTING BETTER SOONER

Staying physically active before youroperation will help you get better,faster. Try to relax. Try not to worry andget together with family and friends.

Eat well, your bodyneeds fuel to repair.

SLEEP, REST & PLAY

FOOD & DRINK

If you do drink or smoke, use this asan opportunity to stop or cut down.This will help your recovery and reducethe risk of complications.

SMOKING & ALCOHOL

GETTING BETTER SOONER

TO IMPROVE MYRECOVERY BEFORE MY OPERATION

HEALTHY STEPS PRACTICAL STEPS TOSUPPORT MY RECOVERYSet up your plans for going home before youcome into hospital. The time you will be inhospital is not long.

GETTING BETTER SOONER

I KNOW MY DATEFOR GOING HOME

I HAVE TOLD THE RIGHTPEOPLE WHERE I WILL BE

I HAVE ARRANGED MYTRANSPORT FOR GETTINGTHERE AND BACK

I HAVE PACKED A SMALLBAG WITH THE RIGHTSTUFF (e.g. CLOTHES,READING MATERIAL)

I HAVE CHECKED IHAVE THE RIGHTEQUIPMENT ANDSUPPORT AT HOME

WHAT ELSE DO INEED TO ASK?

I HAVEREMEMBERED TOTAKE MYMEDICATION WITHME

DON’T BE AFRAID,IF NOT SURE, ASK!

This information might be useful to talk through with afriend, carer or family member to ensure that you havethe practical support in place to support your recovery.

MY TO DO LIST

HEALTHY STEPS TOIMPROVE MY RECOVERYWHILST STILL IN HOSPITAL

• Take an active part in myrecovery - follow theadvice and instructions ofmy clinical team

• Be positive about myrecovery

• Start to eat and drink -my body needs fuel torepair (don’t be surprisedto find a cup of tea and asnack box available in therecovery room straightafter your operation)

• Go easy, this is exercise tohelp with my recoverynot to add more fatigue. I need to keep practicingmoving my arms, legs,doing my exercises,walking, before and aftermy operation

• Set myself a daily goal...little steps go a long way

DONT BE AFRAID TOASK QUESTIONS ANDFOR INFORMATION TOBE REPEATED. IF YOUARE NOT SURE... SAY SO

GETTING BETTER SOONER

EXAMPLE OF GOALSYOU MIGHT SET

MY GOALSDAY OFSURGERY• SIT OUT• DRINK• EAT

DAYONE• SIT OUT• WALK• EAT

DAYTWO• WALK• SHOWER• DRESS

BUT REMEMBER,WE ARE ALLINDIVIDUALS,DON’T WORRY IFYOU DON’T REACHYOUR GOAL EVERYDAY... A FEW STEPSALSO MAKE ADIFFERENCE

I NEED TO...

“I had always thought my role before

going into hospital before an operation

was to give myself up to other people

and to shut off my mind to what is

happening to me... if I knew what I

know now, I would have taken more of

a role in my recovery.”

MY ROLE AND MYRESPONSIBILITIES

Steps to a successfulrecovery start before my operation

IN HELPING TOIMPROVE MY RECOVERY

NHS

GETTING BETTER SOONER

FOR FURTHERINFORMATION

GETTING BETTER SOONER

Information from the National Health Service on conditions, treatments, local services and healthy living.

www.nhs.uk

The EnhancedRecovery Partnership

www.improvement.nhs.uk/enhancedrecovery

NHS Choices –Your health, Your choices

PLEASE VISIT

How am I feeling?

What are my goals?

How much am I eatingand drinking?

How active have I been?

What am I proud ofachieving?

It might be useful to keepa diary or log so you cantrack your daily feelingsand goals to help you onthe road to recovery

GETTING BETTER SOONER

How much sleep andrest have I had?

THERE IS ALWAYSSOMEONE TO CONTACTAND FURTHERINFORMATION AVAILABLE

• WHEN CAN I HAVE A SHOWER OR BATH?• WHEN WILL I BE ABLE TO DRIVE AGAIN?• WHEN SHOULD I GO BACK TO WORK?• WHEN AM I ABLE TO RESUME INTIMATE RELATIONS?

• WHAT ELSE DO YOU NEED TO KNOW?

STAY IN TOUCH - SUPPORTIS THERE FOR YOU AT EVERYSINGLE STEP, BUT DO YOU KNOW WHO TOCONTACT?

HEALTHY STEPS TOIMPROVE MY RECOVERYWHEN I LEAVE HOSPITALRECOVERY DOES NOT STOP BECAUSE I LEAVE HOSPITAL

QUESTIONS YOU MAY WANT TO ASK?

GETTING BETTER SOONERGETTING BETTER SOONER

Add your useful contacts andinformation here

MY ROLE AND MYRESPONSIBILITIES

Steps to a successfulrecovery start before my operation

IN HELPING TOIMPROVE MY RECOVERY

NHS

GETTING BETTER SOONER

FOR FURTHERINFORMATION

GETTING BETTER SOONER

Information from the National Health Service on conditions, treatments, local services and healthy living.

www.nhs.uk

The EnhancedRecovery Partnership

www.improvement.nhs.uk/enhancedrecovery

NHS Choices –Your health, Your choices

PLEASE VISIT

How am I feeling?

What are my goals?

How much am I eatingand drinking?

How active have I been?

What am I proud ofachieving?

It might be useful to keepa diary or log so you cantrack your daily feelingsand goals to help you onthe road to recovery

GETTING BETTER SOONER

How much sleep andrest have I had?

THERE IS ALWAYSSOMEONE TO CONTACTAND FURTHERINFORMATION AVAILABLE

• WHEN CAN I HAVE A SHOWER OR BATH?• WHEN WILL I BE ABLE TO DRIVE AGAIN?• WHEN SHOULD I GO BACK TO WORK?• WHEN AM I ABLE TO RESUME INTIMATE RELATIONS?

• WHAT ELSE DO YOU NEED TO KNOW?

STAY IN TOUCH - SUPPORTIS THERE FOR YOU AT EVERYSINGLE STEP, BUT DO YOU KNOW WHO TOCONTACT?

HEALTHY STEPS TOIMPROVE MY RECOVERYWHEN I LEAVE HOSPITALRECOVERY DOES NOT STOP BECAUSE I LEAVE HOSPITAL

QUESTIONS YOU MAY WANT TO ASK?

GETTING BETTER SOONERGETTING BETTER SOONER

Add your useful contacts andinformation here

MY ROLE AND MYRESPONSIBILITIES

Steps to a successfulrecovery start before my operation

IN HELPING TOIMPROVE MY RECOVERY

NHS

GETTING BETTER SOONER

FOR FURTHERINFORMATION

GETTING BETTER SOONER

Information from the National Health Service on conditions, treatments, local services and healthy living.

www.nhs.uk

The EnhancedRecovery Partnership

www.improvement.nhs.uk/enhancedrecovery

NHS Choices –Your health, Your choices

PLEASE VISIT

How am I feeling?

What are my goals?

How much am I eatingand drinking?

How active have I been?

What am I proud ofachieving?

It might be useful to keepa diary or log so you cantrack your daily feelingsand goals to help you onthe road to recovery

GETTING BETTER SOONER

How much sleep andrest have I had?

THERE IS ALWAYSSOMEONE TO CONTACTAND FURTHERINFORMATION AVAILABLE

• WHEN CAN I HAVE A SHOWER OR BATH?• WHEN WILL I BE ABLE TO DRIVE AGAIN?• WHEN SHOULD I GO BACK TO WORK?• WHEN AM I ABLE TO RESUME INTIMATE RELATIONS?

• WHAT ELSE DO YOU NEED TO KNOW?

STAY IN TOUCH - SUPPORTIS THERE FOR YOU AT EVERYSINGLE STEP, BUT DO YOU KNOW WHO TOCONTACT?

HEALTHY STEPS TOIMPROVE MY RECOVERYWHEN I LEAVE HOSPITALRECOVERY DOES NOT STOP BECAUSE I LEAVE HOSPITAL

QUESTIONS YOU MAY WANT TO ASK?

GETTING BETTER SOONERGETTING BETTER SOONER

Add your useful contacts andinformation here

MY ROLE AND MYRESPONSIBILITIES

Steps to a successfulrecovery start before my operation

IN HELPING TOIMPROVE MY RECOVERY

NHS

GETTING BETTER SOONER

FOR FURTHERINFORMATION

GETTING BETTER SOONER

Information from the National Health Service on conditions, treatments, local services and healthy living.

www.nhs.uk

The EnhancedRecovery Partnership

www.improvement.nhs.uk/enhancedrecovery

NHS Choices –Your health, Your choices

PLEASE VISIT

How am I feeling?

What are my goals?

How much am I eatingand drinking?

How active have I been?

What am I proud ofachieving?

It might be useful to keepa diary or log so you cantrack your daily feelingsand goals to help you onthe road to recovery

GETTING BETTER SOONER

How much sleep andrest have I had?

THERE IS ALWAYSSOMEONE TO CONTACTAND FURTHERINFORMATION AVAILABLE

• WHEN CAN I HAVE A SHOWER OR BATH?• WHEN WILL I BE ABLE TO DRIVE AGAIN?• WHEN SHOULD I GO BACK TO WORK?• WHEN AM I ABLE TO RESUME INTIMATE RELATIONS?

• WHAT ELSE DO YOU NEED TO KNOW?

STAY IN TOUCH - SUPPORTIS THERE FOR YOU AT EVERYSINGLE STEP, BUT DO YOU KNOW WHO TOCONTACT?

HEALTHY STEPS TOIMPROVE MY RECOVERYWHEN I LEAVE HOSPITALRECOVERY DOES NOT STOP BECAUSE I LEAVE HOSPITAL

QUESTIONS YOU MAY WANT TO ASK?

GETTING BETTER SOONERGETTING BETTER SOONER

Add your useful contacts andinformation here

©NHS Improvement 2012