1. Thoracic audit update SCTS Board of Representatives
6th October 2016 London
Doug West thoracic audit lead

2. Overview The LCCOP project and 2014 report
The third thoracic blue book and database
Collaboration with RCSEng Clinical Evaluation Unit
HES based pilot audit

3. LCCOP Third (2014) data report Report due early December 2016
Uses COSD (old LUCADA) and now HES data
Risk adjustment
Novel model
Models for 30 and 90 day mortality

4. Outcomes Unit Individual Extended outcomes 30 day adjusted mortality
Names of lung MDTs a surgeon routinely covers
Resection rates of those MDTs (likely 2015 NLCA)
Extended outcomes
Resection rate stage 1-2, performance status 0-1

5. LCCOP 2014 data report
Data validation

6. Reflections All units returned validated data on time
Shorter time available
“Leap year”
Problems
Passwords
Request for MDT data unclear

7. Data validation: still needed

8. Data validation: a London effect?
Data courtesy Natasha Wood, NCRAS, Public Health England

9. Questions for future rounds
New outcomes measures
One year survival
Process of care outcomes
Pneumonectomy rates

10. Third Blue Book Funded by Johnson and Johnson Registry data 1980-2015
3 years of SCTS database
Open up SCTS data to analysis by member units and collaborators

11. Third Blue Book: 35 years of progress…

12. Collaboration with RCSEng Clinical Evaluation Unit
Can HES provide useful audit data at unit level?
SCTS funded pilot study
Pneumothorax and pleural sepsis surgery
Outcomes: mortality, LoS, readmission, reoperation

13. Thoracic audit update: BORS 2016
ThanK you