Bristol Thoracic Surgery Unit Update 2014. What we are doing well High resection rate.

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Presentation transcript:

Bristol Thoracic Surgery Unit Update 2014

What we are doing well High resection rate

2012 UHBristol referral volumes

Other resection metrics

What we are doing well High resection rate Average mortality

UHBristol day mortality after lung cancer surger

What we are doing well High resection rate Average mortality Highest VATS lobectomy rate in UK (70%) VATS lobectomy European training centre ERAS Group job plan Research

Research portfolio NIHR – PulMiCC – VIOLET Other – ProVIOLET – SUMIPORT Potential (undergoing NIHR submission) – NUTS – ADELE

Issues Poor compliance with 62-day wait

Cancer performance : surgically treated lung cancer

Issues Poor compliance with 62-day wait HDU bed capacity Staff surgeons/peripheral clinics?

Update New ward: – A700 – 24 single side rooms New consultant(s): – Eveline Internullo – Rakesh Krishnadas - locum (…5 th consultant) New CNS: – Lorraine Keepin More theatre capacity

Aims Cancer target compliance Increase resection rate further (prehab, high risk MDT) Provide 52 week cover of peripheral MDTs/clinics - rationalization Nurse-led, protocol-driven CT surveillance of lung cancer survivors Post-MDT joint clinics (without dismantling pre-op assessment process, e.g. Skype POAC)