Emergency Laparotomy (EmLap) Collaborative

Published on 1 December 2021

About the project

Emergency laparotomy (EmLap) is a major surgical procedure, with 30,000 to 50,000 performed every year in the UK., with around 15% of patients reported to die within 30 days of surgery. Over 25% of patients remain in hospital for more than 20 days after surgery, costing the NHS over £200m a year.

The Emergency Laparotomy Collaborative (ELC) was originally established in 2015 as a national programme to use a quality improvement (QI) approach to tackle this. Whilst the ELC is no longer a National programme, the HIWM still actively engage with 14 hospital sites across our region to continue to improve the outcomes of patients and standards of care.

Project ambitions

The aim of the EmLap Collaborative is to reduce variation in outcomes, quality of care and metrics through the adoption of the six evidence-based EmLap Pathway Quality Improvement Care (ELPQuiC) bundle within our NHS trusts:

  • Improve standards of care for patients undergoing emergency laparotomy surgery
  • Reduce mortality rates and complications
  • Reduce hospital length of stay
  • Embed quality improvement skills
  • Support sustainable change
  • Encourage a collaborative culture

Key national datasets are being collated through the National Emergency Laparotomy Audit (NELA). NELA metrics provide the evidence-base to enable:

identification of areas for improvement

evaluation of the success or otherwise of new ways of working

activities supporting sustainable change.

Our work


Find out more

Get in touch with a member of the project team below to find out how you can get involved.


Project team

Daniel Hodgkiss

Assistant Programme Manager (Patient Safety)

Caroline Maries-Tillott

Quality Improvement Lead

Jodie Mazur

Head of Patient Safety

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