Helping NHS Trusts deliver more elective activity without compromising on quality
MDCG provides complete elective surgical and procedural pathways with a primary focus on day-case and short-stay activity. We work across a broad range of specialities, with clinical teams configured to match the requirements of each pathway. Services can be delivered within the client’s own estate, through an approved partner hospital, or as a hybrid model spanning multiple sites.
The Challenges We Help Address
- Elective surgical backlogs and missed RTT targets
- Insufficient theatre capacity within existing NHS estate
- Surgical workforce vacancies preventing additional in-house lists
- Day-case conversion rates below target
- Theatre utilisation gaps — particularly weekends and evenings
- Patients waiting for procedures that could be delivered in a day-case setting
- Incomplete pre-operative pathways causing list cancellations
- No clear route to treating patients outside the Trust’s own estate
Delivery Models
Insourced surgical lists
MDCG's consultant-led surgical teams optimize existing theatre facilities by delivering services during extended hours, evenings, or weekends, ensuring no disruption to the daytime program.
Outsourced surgical pathways
When NHS theatre capacity is lacking, MDCG can provide surgical services at approved independent-sector facilities, maintaining the NHS contract and full clinical and governance accountability.
Hybrid surgical model
Pre-operative assessment and consultation at the NHS site, with surgical delivery at an alternative approved setting — combining the clinical familiarity of the NHS environment with the theatre availability of an independent partner.
End-to-end pathway delivery
From waiting list validation and patient selection through to theatre delivery, histology management and follow-up — MDCG manages the complete pathway as a single, accountable programme.
Weekend and extended-day outsourced activity
Utilising available theatre time for additional surgical sessions outside of core hours to speed up elective recovery without extra costs or disrupting core services.
Specialty Capabilities
Dermatology
- Skin biopsy, lesion excision and minor operations
- Suspected skin cancer pathways and two-week-wait procedure clinics
- Histology reconciliation, results communication and onward referral
Ear, Nose and Throat
- Day-case ENT surgery and minor procedures
- Diagnostic-to-treatment pathways and head and neck biopsy
- Post-operative review and audiology-supported follow-up
Ophthalmology
- Cataract surgery and minor ophthalmic procedures
- Pre-operative assessment, diagnostic testing and post-operative review
- Bilateral cataract pathways and day-case theatre lists
Urology
- Cystoscopy and diagnostic procedures, prostate biopsy support
- Minor urological procedures and day-case theatre lists
- Results review, follow-up and discharge
Gynaecology
- Hysteroscopy, colposcopy-related procedures and minor gynaecological surgery
- Day-case surgical pathways and diagnostic-to-treatment conversion
- Follow-up, histology review and onward management
Trauma and Orthopaedics
- Hand and upper limb surgery, minor orthopaedic procedures
- Day-case lists and injection clinics
- Pre-operative review and post-operative rehabilitation planning
- Outsourced delivery available
Plastic Surgery
- Skin lesion surgery, hand procedures and minor plastic surgery
- Day-case procedures, wound review and post-operative follow-up
- Histology review and suspected cancer pathway management
General Surgery
- General surgical assessment, hernia and gallbladder pathways
- Minor procedures and day-case general surgery
- Pre-operative assessment and post-operative follow-up
- Histology tracking and results management
Vascular Surgery
- Endovenous laser or radiofrequency ablation and sclerotherapy
- Open varicose vein treatment and selected vascular access procedures
- One-stop assessment, Doppler and post-treatment surveillance
Breast Surgery
- Surgical assessment and image-guided biopsy pathways
- Day-case breast procedures and histology review
- MDT input, results communication and post-operative follow-up
Our Surgical Pathway
Referral validation, assessment and patient selection.
01
Treatment planning and procedure delivery.
02
Recovery, discharge and results review.
03
Outcome reporting and onward management.
04
As a CQC-registered provider, MDCG operates all elective care services within a comprehensive governance framework. Clinical oversight is provided by specialty-specific clinical leads, and all MDCG clinicians are subject to robust pre-engagement checks covering professional registration, revalidation status, indemnity, DBS and mandatory training.
Governance Framework
What to Expect
- Reduced surgical waiting lists and improved RTT compliance
- Increased theatre utilisation and day-case conversion
- Reduced list cancellation rates through robust pre-operative assessment
- Clear histology tracking and timely results communication
- Improved patient experience and post-operative safety
- Transparent activity and outcome reporting throughout
Get in Touch
Let’s Chat
Every patient deserves timely care.
Our clinically led teams help you make the most of your clinics and theatres by providing additional services on weekends and evenings. This allows you to increase your capacity and deliver care more efficiently.
Our consultants and nurses integrate seamlessly with your staff so that patients are seen quickly, all while upholding the highest standards of quality, safety, and governance.
Call us
0203 846 3333
0203 846 3333
Email us
[email protected]
[email protected]
