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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)
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