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Kathy Brown

Kathy Brown, Colorectal Surgeon and L&D NSSG Chair, reports on the key features and achievements of a full colorectal cancer service spanning four sites (soon to be three) in the region. This includes diagnostics, treatment, and network referral pathways for TEMS and liver/lung resections. Key achievements involve the incorporation of an Anal MDT, the establishment of an Enhanced Recovery Programme for elective patients, and participation in national bowel cancer awareness campaigns. Future priorities include updating clinical guidelines and enhancing network collaboration.

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Kathy Brown

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  1. Kathy Brown Colorectal Surgeon, L&D NSSG Chair

  2. Key Features of Service • Full Colorectal Cancer service at all the four (going to three) sites in the region • Diagnostics • Treatment • Network referral pathways for TEMS and liver/lung resection

  3. Key Achievements • Incorporated Anal MDT into Lister Colorectal MDT in October 2011 • Enhanced Recovery Programme (ERP) for elective colorectal patients has been established at Watford. • Undertook review of liver mets pathway • Increased surgical capacity at L&D • Liaison with ECRIC re Data quality

  4. Key Achievements (2) • Bowel Cancer Awareness Campaign • Were first part of national pilot then national campaign • Produced Bowel Cancer Film for GP Education and GP resource kit • Colorectal Cancer Quilt produced • NCIN Service Profiles • Macmillan GP linked to NSSG

  5. Colorectal

  6. Some Challenges • Complete data collection of the COSD • Develop a local TEMS service • Attendance of RF liver surgeons at MDTs • E&N Herts to amalgamate their 2 MDTs • Endoscopy capacity, • given public awareness campaigns • Age extension for screening

  7. Priorities of the Future • Review and update clinical guidelines • Working more closely as a network

  8. Finally…. • Discussions around colorectal services in SE Midlands Will this have an impact on our Network?

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