PREPWELL - Community Prehabilitation & Wellbeing

Preparing for surgery with PREPWELL

Major operations put your body under stress. This can affect how well you recover after your surgery and it can also lengthen your stay in hospital.


The aim of the PREPWELL project is to identify ways that we can help you prepare for surgery to help you make a better recovery.

This pilot programme, funded by The Health Foundation, is a one-stop preoperative health and wellbeing programme for patients undergoing major surgery.

Risk factors

There are a number of factors that can have a negative effect on the way your body will cope with the stress of an operation including:

  • Physical inactivityPREPWELL gym
  • Frailty
  • Malnourishment
  • Obstructive sleep apnoea
  • Smoking
  • Increased alcohol consumption
  • Anaemia

Our programme is designed to help you to identify your individual risks and to support you to make lifestyle changes. If we can reduce these risks you may make a better and faster recovery from your operation.

Referral to the programme

If your surgeon, anaesthetist or GP feels that there are things that can be done to improve how well you can recover from your operation they can refer you to the PREPWELL programme.

If the programme is suitable for you, you will be invited to attend an initial assessment. During this appointment we will discuss and look at each of the risk factors. We will try and identify what changes your need to make to improve your recovery from surgery. Many of these will also have long-term benefits on your health.

We will then work together to develop your plan. This will usually comprise an individual exercise programme alongside other interventions to support any lifestyle changes that you may need, such as stopping smoking.

Where will these appointments take place?

Your initial assessment and the exercise programme will be held at The Live Well Centre in Middlesbrough. Other appointments may also take place here, but you may need to attend appointments at hospital or closer to where you live.

Download Live Well Centre map

Will participating in the programme delay my surgery?

No. There is normally a ‘waiting time’ between the surgeon making the decision that you need to have an operation and actual date that your operation takes place. We aim to get you onto the programme as soon as we can to make the most of this time and get you as fit for surgery as possible.

This programme will not replace any treatments or interventions that you would normally have received; instead it will complement this treatment.

Posters and leaflets

PREPWELL poster (363kb)
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PREPWELL leaflet (1mb)
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