Key NICE Guideline Updates for Surgeons in 2026
A summary of the most impactful NICE guideline changes affecting surgical practice this year.
Staying current with NICE guidelines is essential for UK surgical practice, but the volume of updates makes it challenging. Here are the key changes affecting surgeons in 2026.
VTE Prophylaxis (NG89 Update)
The updated NG89 guidance now recommends extended thromboprophylaxis for 28 days post major orthopaedic surgery, up from 14 days in previous versions. This has significant implications for discharge planning and patient education.
Antimicrobial Prophylaxis
New guidance emphasises single-dose antibiotic prophylaxis for most clean surgical procedures, moving away from the 24-hour course that many trusts still use. Check your local protocol — if it hasn't been updated, flag it with your antimicrobial stewardship team.
Enhanced Recovery After Surgery (ERAS)
NICE has formally endorsed ERAS protocols for colorectal surgery, including:
- Preoperative carbohydrate loading
- Minimally invasive techniques where appropriate
- Early mobilisation within 24 hours
- Early oral nutrition
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