Trust Preoperative Assessment Policy (aligned to NICE NG45)

Purpose: ensure patients are fit and ready before elective surgery.
Prerequisites to be documented before a patient proceeds to theatre:
1. Renal function assessed; eGFR must be 30 mL/min/1.73m2 or above.
2. Valid signed surgical consent on file.
3. Pre-operative assessment completed by the pre-op clinic.
4. Anaesthetic review completed for the planned procedure.
5. Full blood count (FBC) taken for major surgery.
Any missing item holds the patient until resolved. Final go decision requires clinician sign-off.

(Synthetic policy for testing — INV-7.)