As of Monday 8 December, Dartford and Gravesham NHS Trust is introducing a new approach to pre-operative fasting called “Sip-Til-Send”, designed to make surgery safer and more comfortable for adult patients.
Traditionally, patients have been asked to stop drinking clear fluids at least two hours before surgery. However, research shows that actual fasting times often far exceed this, leading to dehydration, discomfort, and delayed recovery. The new guidance changes that.
What’s changing?
Under the ‘Sip ‘til Send’ protocol, most adult patients scheduled for elective surgery will be encouraged to sip small amounts of clear water right up until they are collected for theatre. This replaces the previous strict cut-off for fluids.
Why is this better for patients?
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Better hydration helps patients feel more comfortable and reduces thirst and anxiety.
- Improved recovery – well-hydrated patients mobilise sooner and recover faster.
- Lower risk of nausea and vomiting after surgery.
- No added risk – studies show this approach does not increase the chance of complications such as aspiration.
What do patients need to know?
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You can sip clear water until you are taken for your procedure.
- Other drinks (tea, coffee, squash, juice) still need to stop two hours before surgery.
- Solid food remains restricted for six hours before surgery.
This change is part of our commitment to improving patient experience and safety. By reducing unnecessary fasting, we aim to make your surgical journey more comfortable and support a quicker recovery.
For more details, please speak to your pre-assessment team.