Andy Cumpstey is joined by three experts from NHS England; Mindy Dawes, Deputy Divisional Director of Nursing for Surgery at Walsall Healthcare NHS Trust; Maria Oyston, Head of Nursing Service Transformation & Resilience at NHS England; and Jane Murkin, Deputy Director for Safety & Improvement - Nursing at NHS England, to discuss the Dreaming Project and Toolkit. The conversation delves into the origins and implementation of the Dreaming Collaborative, which aims to prevent patient deconditioning post-surgery by promoting early drinking, eating, and mobilizing. They discuss the contributions of various stakeholders, the importance of a multi-disciplinary approach, and the toolkit which was designed to help healthcare providers implement these strategies effectively. The episode highlights the significant improvements in patient outcomes and reduced length of stay achieved through this project, as well as the importance of engaging patients and healthcare staff at all levels. Further reading: We mention this paper: https://www.bjanaesthesia.org/article/S0007-0912(22)00146-5/fulltext Our guest, Mindy Dawes, provides this paper: https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00162-X/abstract

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