1. Bristol Thoracic Surgery Unit Update 2014

2. What we are doing well High resection rate

3. 2012 UHBristol referral volumes

4. Other resection metrics

5. What we are doing well High resection rate Average mortality

6. UHBristol 2012 90-day mortality after lung cancer surger

7. 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

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

9. Issues Poor compliance with 62-day wait

10. Cancer performance 2013-14: surgically treated lung cancer

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

12. 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

13. 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)