NHS England Service Specification for Thoracic Surgery (Adult)

Slides:

Advertisements

Similar presentations

Current Issues in the Surgical Management of Lung Cancer Jonathan Ferguson.

Advertisements

Bristol Thoracic Surgery Unit Update What we are doing well High resection rate.

National Prostate Cancer Audit Heather Payne, NPCA Oncological Clinical Lead Consultant Clinical Oncologist, UCL.

ERS Annual Congress 2011, Amsterdam Dr Christopher Zammit Mater Dei Hospital, Malta.

Front door working in Combined Assessment NICOLA MEARNS Clinical Specialist Occupational Therapist October 2006.

Resection rate for patients with tissue confirmation of NSCLC ( :England) First seen in centre with thoracic surgery? Number With a tissue diagnosis.

Guidance on Cancer Services Improving Outcomes for People with Skin Tumours including Melanoma NICE Stateholder Consultation version July 2005.

A Survey of Quality of Life Following Surgery for Malignant Pleural Mesothelioma: Reflects the patients’ commitment to Learning about the Disease D A Raffle,

Specialised Commissioning Sarah Watson, Programme Director Highly Specialised Services – Internal Medicine Yorkshire Thoracic Society 21st March 2014.

Future Acute Care in Rural General Hospitals in Norway Professor Tor Ingebrigtsen CEO University Hospital of North Norway.

The Trauma Centre Kelvin Wright, Consultant Critical Care & Emergency Medicine Frimley Park Hospital NHS Trust.

How to explore the potential of the Strategic Clinical Network for Paediatrics Geoff Lawson Chair SCN Paediatrics 15 May 2015.

National Oesophago–Gastric Cancer Audit Key Findings from 2014 Annual Report and Progress Report Georgina Chadwick Clinical Research Fellow.

Regional Challenges South East Wales am Welcome and introduction –Cerilan Rogers 10.05am Feedback from expert panel process –Paul Tromans 10.20am.

Physical Activity in North Wales Julie A Jones Macmillan Services Effectiveness Lead June 2015.

Linda Devereux Associate Director Merseyside and Cheshire Cancer Network - why we are here and what’s next!

The Medical Team Stanley Silverman MD FRCS Consultant Vascular Surgeon Medical Director West Midlands Strategic Health Authority West Midlands Strategic.

Anne Snow, Lead Cancer Nurse Dr Andrew Woolley – Consultant Physician.

Summary The National Clinical Pathway represents a pathway that is achievable now, requiring no extra resources but reliant on appropriate logistics. The.

Specialist Breast Units – Does it improve Breast Cancer care? These Power Point presentations are free to download only for academic purposes, with due.

Liaison Psychiatry Service Models ‘Core 24’ and more

The Role of Specialist Nurses in Lung Cancer Jenny Mitchell Advanced Nurse Practitioner Thoracic Surgery.

Mesothelioma in the South West Gerry Slade Mesothelioma UK CNS.

Yorkshire and the Humber Emergency Surgery Survey Jon Ausobsky RCS Director for Professional Affairs Yorkshire and the Humber & Alison Young Regional Coordinator.

Vascular Surgery in Thames Valley Dr Will Orr Clinical Lead CVD Thames Valley NHS England 1.

Gynaecological Oncology Patient Pathway Cecile Bergzoll Gynaecological Oncologist Wellington.

Dr. Andrew Foulkes Medical Director Surrey and Sussex Area Team Clinical Senate Summit A&E, Acute Medicine and the Medical Specialties.

How clinicians use data to make an impact on clinical outcomes Dr Mick Peake Clinical Lead, National Cancer Intelligence Network Consultant & Senior Lecturer.

EKHUFT Clinical Strategy Case for Change. Why do we need to change Although we achieve good outcomes for patients, we need to continue to improve Improved.

National Clinical Pathway for suspected and confirmed lung cancer:

Oesophago–Gastric Cancer Audit

Brain imaging prior to lung cancer resection

Dr. Kieran Mullan Clinical Audit for Improvement Clinical Lead

How clinicians use data to make an impact on clinical outcomes

What is lung cancer? Lung cancer is the uncontrolled growth of abnormal cells in one or both lungs. These abnormal cells do not carry out the functions.

Occupational Therapists Delivering Schwartz rounds to improve Staff

CAREERS IN THE.

Gerry Slade Mesothelioma UK CNS South West

The real news about change

GI Inpatient Services post AAU

Shared Haemodialysis Care: Giving people who receive dialysis the opportunity to take a role in their own care. Professor Martin Wilkie – Consultant Renal.

National data in thoracic surgery

Differences in Primary Care Clinicians' Approach to Non-small Cell Lung Cancer Patients Compared with Breast Cancer Timothy R. Wassenaar, MD, Jens C.

INTERVIEWS IN FLORENCE & BOLOGNA 17TH – 21ST NOVEMBER 2014

Program Development Guideline data from overseas

Mr Michael Thomas, Colorectal Cancer SSG, 27th June 2018

Survival After Surgical Resection for Lung Cancer in Patients With Chronic Obstructive Pulmonary Disease Anders Bugge, MD, May Brit Lund, MD, PhD, Cathrine.

Method Two month data collection period (Feb-Mar 2004)

Surgical update.

Specialised Commissioning Improving specialised services for severe intestinal failure adult patients What will this mean for you?

Making MDTs better Steve Falk

Results from the first National Lung Cancer Organisational Audit.

The surgical and interventional hybrid era: Experiences from China

‘Improving Outcomes for people with skin tumours, including Melanoma’

Lung Cancer Screening Sandra Starnes, MD Professor of Surgery

Worcestershire Colorectal Cancer 2ww Pathway

Neither Maximum Tumor Size nor Solid Component Size Is Prognostic in Part-Solid Lung Cancer: Impact of Tumor Size Should Be Applied Exclusively to Solid.

Differences in Primary Care Clinicians' Approach to Non-small Cell Lung Cancer Patients Compared with Breast Cancer Timothy R. Wassenaar, MD, Jens C.

Therapeutic Bronchoscopy Interventions Before Surgical Resection of Lung Cancer Prashant N. Chhajed, MD, Ralf Eberhardt, MD, Hendrik Dienemann, MD, Andrea.

P Risk Stratification Model to Predict Survival Following Surgical Resection for Lung Cancer Using Pathological Variables Timothy Edwards, Charlene.

Health and Social Services in the Department of Health

Photodynamic Therapy for Early Stage Central Type of Lung Cancer

Serial Drain Amylase Can Accurately Detect Anastomotic Leak After Esophagectomy and May Facilitate Early Discharge Yaron Perry, MD, Christopher W. Towe,

Patient centred care & Concept of Multidisciplinary team (MDT) Mr A A Ayantunde, MD; FRCS; FWACS, FRCS (Gen & Colorectal Surgery) Consultant Laparoscopic.

Differences in Patterns of Recurrence in Early-Stage Versus Locally Advanced Non- Small Cell Lung Cancer Feiran Lou, MD, MS, Camelia S. Sima, MD, MS,

Thoracic Surgery Survey on Lung Cancer Management

The Effects of Increased Provision of Thoracic Surgical Specialists on the Variation in Lung Cancer Resection Rate in England Kelvin K.W. Lau, DPhil,

National data in surgery: LCCOP 2018(2016)

Calderdale and Huddersfield NHS Foundation Trust

Guidelines and Standards in Lung Cancer

Presentation transcript:

NHS England Service Specification for Thoracic Surgery (Adult) Richard Page Chair, Thoracic Surgery Clinical Reference Group

Organisation of services - 1 24/7 emergency cover Thoracic consultants ± support from mixed practice CT surgeons No more frequent than 1 in 3 Referring Trusts should have the same level of support as those attending the Centre Centres must undertake > 70 resections for primary lung cancer per annum, rising to 150 by end of 2018-19

Resections for primary lung cancer 2015 (English Centres LLCOP data) 150/year 70/year

Organisation of services - 2 Lung cancer MDT cover to allow quorum of core members > 95% Protocols in place to facilitate the provision of a second opinion for patients with early stage disease turned down for surgery

Exclusions Oesophagogastric cancer Diseases of the heart and great vessels Children's thoracic surgical services (Rare thoracic surgical conditions e.g. radical surgery for mesothelioma, tracheal surgery)

Essential alliances/co-locations Respiratory medicine Thoracic physiotherapy Specialist thoracic pathology Frozen section within 1 hour Interventional radiology and bronchoscopy

Consultant Surgical Staffing Move towards at least 3 full-time thoracic surgeons in all units ASAP Minimum thoracic practice within job plans for current CT surgeons:- 1 all-day thoracic list per week. No mixed CT lists 1 lung cancer MDT per week Take part in emergency on-call rota Specific appraisal on thoracic activity and outcomes No mixed CT practices beyond 2020

Rationale/Evidence for splitting UK consultant CT practices Range of diseases treated and the knowledge and therapies available are more diverse than ever before More MDT work needed Need to fit work within 10-12 PA job plan Volume effect of specialisation Training limitations

Primary Lung Cancer Resection Rate (by Cancer Network)

Questions?

CRG Membership Chair (Page) Thoracic Surgeons - 10 Batchelor, Black/Belcher, Hunt, Jordan, Scarci, Shah, Stamenkovic, Steyn, Waller, Woo Cardiothoracic Surgeons - 2 Mike Cowen, Martin Hayward Respiratory Physician -1 Chris Warburton, Merseyside Medical Oncologist - 1 Riyaz Shah, South East Coast

Membership Affiliated Professional Organisations SCTS Simon Kendall BTS David Baldwin, Respiratory Physician, Nottingham BTOG Richard Booton, Respiratory Physician, South Manchester RCRadiol Michael Snee, Clinical Oncologist, Leeds X3 patient / carer reps