Revolutionizing Spinal Surgery in England: The Pros and Cons of In-House Intraoperative Monitoring

Discover the pivotal role and intricate challenges of in-house intraoperative monitoring in neurosurgery across England, a cutting-edge approach transforming patient outcomes and surgical precision.
– by The Don

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In-House Intraoperative Monitoring in Neurosurgery in England – Benefits and Challenges.

Paranathala et al., J Med Syst 2024
<!– DOI: 10.1007/s10916-024-02041-7 //–>
https://doi.org/10.1007/s10916-024-02041-7

Let me tell you, folks, Intraoperative neurophysiological monitoring (IOM) is a game-changer in neurosurgery. It’s like having the best insurance for your brain and spine surgery. But here’s the deal – not every NHS hospital has it. Can you believe it? So, they have to go out and get it from private companies. And let me tell you, it’s not cheap. It’s costing the NHS a fortune, a huge amount of money!

We did a little survey, asked around all the NHS neurosurgical departments in England about their spending on IOM from 2018 to 2022. Guess what? Every single one of them got back to us. That’s right, 100% response rate. They’re spending over £8 million on this. In just four years, the spending went from £1.1 million to a whopping £3.5 million annually. One place even spent over half a million in one year alone. And that’s on top of what they already pay their staff. The numbers are huge, folks, huge!

But here’s the thing, IOM is worth its weight in gold. It makes surgeries safer, helps doctors make better decisions, and patients get better faster. But the demand is so high, the NHS can’t keep up. So, they have to outsource, and it’s costing them big time.

Now, imagine if we did this in-house. Think about the benefits – better teamwork, consistent quality, training our own people, and saving a ton of money in the long run. It’s a no-brainer. We’ve got to expand our NHS services to include IOM. It’s going to be fantastic, absolutely fantastic. We’re going to do it, and it’s going to be a win for everyone.

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