Inside an NHS ‘barn theatre’ with four operations done at once

At Chase Farm Hospital in north London, a unique surgical approach is being implemented in a large open-plan operating room, referred to as a 'barn theatre.' This innovative setup allows for multiple surgeries to be conducted simultaneously, significantly increasing the efficiency of routine procedures such as knee and hip replacements. On a typical day, four patients are operated on side by side, with each surgical zone bustling with medical staff and activity. The atmosphere in the operating room is lively, with music from the Spice Girls playing in the background, creating a somewhat relaxed environment amidst the serious nature of the surgeries. The lead surgeon, Paddy Subramanian, is seen actively engaged in the procedure, using a bone saw on a 78-year-old patient, Jacqueline Carby. The presence of upbeat Nineties pop music serves to lighten the mood, contrasting with the sounds of surgical tools in use. This method of conducting surgeries not only enhances the pace at which operations are performed but also optimizes the use of hospital resources. By operating on multiple patients at once, the hospital can address the backlog of elective surgeries more effectively, which is particularly crucial in the context of the ongoing demands on the NHS. The 'barn theatre' model represents a significant shift in surgical practices, aiming to improve patient outcomes and reduce waiting times. As hospitals continue to face challenges in managing patient care, such innovative solutions may become increasingly vital in the healthcare landscape.