Emergency Laparotomy and Laparoscopic Scottish Audit (ELLSA)

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The Emergency Laparoscopic and Laparotomy Scottish Audit (ELLSA) is a Scottish Government initiative supported via the Modernising Patient Pathways Programme (MPPP).

Introduction to ELLSA

Leading on from expressed clinical enthusiasm to establish a Scottish equivalent of the very successful National Emergency Laparotomy Audit (NELA) from England and Wales; in June 2017, a national consensus meeting was held that brought clinicians from all sites in Scotland together. Mr Iain Anderson (NELA surgical advisor) provided expert guidance and assistance in defining the scope and aims of a national programme. Through this meeting a minimal dataset and national pathway was developed to support local teams in coordinating and understanding patient care for emergency laparotomy patients across NHS Scotland.

Aims of ELLSA  

The primary aims of the programme through the first year sought to:

  1. Apply clear inclusion and exclusion criteria to collect a set of consecutive data on patients undergoing emergency surgery that would provide the first comprehensive characterisation of the ELLSA patient.
  2. Recruit all Scottish hospitals undertaking emergency general surgical work into the programme and form a clinical and collaborative network through which future changes in emergency surgical care can be introduced.
  3. Describe current processes of care throughout NHS Scotland.
ELLSA Annual Report

We are delighted to be able to share the latest ELLSA annual report with full data from the calendar year 2022. There is also a summary infographic which can be circulated and displayed in all sites engaging with the ELLSA programme.

Contact us

To contact the MPPP/SAC team, please email cfsdmppp@nhs.scot 


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When tweeting about ELLSA, please include #ELLSAScot