This panel discussion includes questions on; the multidisciplinary aspect of perioperative medicine, the drop off in Enhanced Recovery that some institutions experience, how to lead and coach an institution into an enhanced recovery programme, outcome data, informed decision making, the importance of strategic flexibility and the importance of good shared decision making when resources are stretched.

Chaired by Ramani Moonsinghe this piece features; Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care, University College London; Chair, Evidence Based Perioperative Medicine (EBPOM), Founding Editor-in-Chief of Perioperative Medicine; Editorial Board British Journal of Anaesthesia; Founding Editor-in-Chief TopMedTalk; Founding Board Member Perioperative Quality Initiative (POQI); Fiona Walker, Cardiologist, trained in grown-up congenital heart disease (GUCH) and maternal cardiology in Toronto and at UCLH. She is the Service lead for GUCH (2005 – present) and head of the maternal cardiology programme at University College London Hospitals (UCLH); Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geriatrician, Guys and St Thomas' NHS Trust.