The 4th Annual Lung Cancer Clinical Outcomes PublicationNovember 21, 2017
Record number of lung cancer operations as patient survival rates continue to rise
The fourth annual lung cancer clinical outcomes publication (LCCOP) published by the Royal College of Physicians (RCP), has found that almost 6,000 lung cancer operations took place in 2015, with a record 98.1% of patients alive after 30 days of operation and 96.3% alive after 90 days. The audit also found that there was a survival rate of 87.9% after one year, 0.2% higher than the same period last year. The audit also showed a 5% increase in the number of operations, rising from 5,657 in 2014 to 5,936 in 2015.
Mr Graham Cooper, President of the Society for Cardiothoracic Surgery said:
“It is fantastic that survival rates for lung cancer patients continue to improve, while the number of patients being treated grows. It is also pleasing to see the improvements technological advancements have helped make to patient care, with now almost half of patients receiving keyhole surgery for lung cancer and 30 different procedures using robotic techniques last year.”
Doug West, Thoracic Audi Lead for the SCTS said:
‘We welcome this latest LCCOP report which shows that the NHS is continuing to deliver more surgery for lung cancer, and that survival rates after operations are increasing.’
Please click here to view the document LCCOP report 2017
The Picker reportJune 28, 2017
Heart Valve Voice London to ParisMay 16, 2017
Heart Valve Voice Embarks on Awareness Raising Cycle Ride from London to the EuroPCR Conference in Paris.
See press release here.
Lung cancer surgery – second opinionsFebruary 8, 2017
Recommendation for the provision of formal second opinions for patients requiring high-risk lung cancer surgery (J King on behalf of the SCTS Thoracic Surgery Sub-committee):
Mycobacterium Chimaera InfectionJanuary 22, 2017
“The Society for Cardiothoracic Surgery (SCTS) wishes to extend its deepest condolences to the families of those patients who have died as a result of mycobacterium chimaera infection and those patients that have suffered ill-health after being infected.
“Patient safety is of absolute importance to SCTS. The risk to patients from surgery where heater-cooler units are used is very low and has been identified as a worldwide issue. The guidance issued to surgical centres by NHS England, Public Health England and the Medicine and Healthcare Products Regulatory Agency in November 2015 has added further protections for patients and no further cases of the infection have been identified since.
“We welcome news that NHS England has begun a process which will see them contact patients who have had heart valve surgery since January 2013 to make them aware of the potential, very low risk of infection.”
Latest Lung Cancer Clinical Outcomes Publication (LCCOP) Report for England releasedDecember 6, 2016
The latest LCCOP report, covering lung cancer resections preformed in the English NHS in 2014, has been published on 6th December 2016.
This project is commissioned by HQIP and delivered by the National Lung Cancer Audit team with the support of the Society for Cardiothoracic Surgery.
Important changes this year include some adjustment of the survival outcomes to account for case mix, and the addition of unit-level length of stay data. National-level data on one year survival and a breakdown of the operations that were performed is also available for the first time.
There has been a 16% increase in the volume of surgery performed compared to 2013. Survival rates 30 and 90 days after surgery remain very good, with all units reporting survival rates within an acceptable range.
The data is available to search at clinician and unit level on both SCTS.org and NHS Choices from today.
SCTS publishes latest data for adult cardiac surgery auditOctober 3, 2016
The Society for Cardiothoracic Surgery (SCTS) has today published data for 2012-2015 from the National Adult Cardiac Surgery Audit (NACSA). This shows the survival rates, by hospital and surgeon, for patients undergoing adult cardiac surgery during this time period. All of the surgeons who took part in the audit have been found to be working within the ‘expected’ range – this means that there are no outliers and cause for concern about their practice. Cardiac surgery is of high quality in the UK but it is an inherently risky procedure so patient deaths do sadly occur.
For the first time, the information shows all of the surgeons’ and hospitals’ performance outcomes data on one graph. This provides a clear overview to patients of how an individual surgeon or hospital is performing compared to others in the UK, focusing on patients’ in-hospital survival rates … Read more>
Recommendations for Standards of Monitoring & Safety During Cardiopulmonary BypassSeptember 15, 2016
Commissioning StandardsJuly 8, 2016
The Royal College of Surgeons and the Society for Cardiothoracic Surgery are strongly supportive of the commissioning standards published last year for fetal, paediatric and adult congenital heart disease.
Responding to plans for heart surgery announced by NHS England today, a statement from both organisations said:
“Nationwide changes to the way we care for patients undergoing congenital heart surgery have been sorely needed and slow to happen. Improvements required in children’s heart surgery were highlighted when the Bristol Royal Infirmary public inquiry reported as long ago as 2001.
“We fully support these standards. NHS England must ensure that the standards are applied for the benefit of patients, by ensuring that expertise is concentrated where it is most appropriate. The proposals put forward by NHS England today should improve patient outcomes and help address the variations in care currently provided.
“It is fundamentally important that specialist surgical centres are large enough and treat patients regularly enough to develop full expertise to treat all conditions. It’s vital they are properly staffed to provide on-call rotas and teams have the time to create a supportive environment where new techniques are shared and future specialists can learn.”
Statement on survey of Cardiothoracic surgeonsJune 20, 2016
A spokesperson for The Society for Cardiothoracic Surgery said:
‘The Society for Cardiothoracic Surgery has long championed the principle that publication of clinical outcomes improves quality of care. Cardiothoracic surgeons were the first to endorse this and publish their results, having run a register of all major heart operations since 1977.
‘Surgeons are rightly proud of what has been achieved through this approach. The comprehensive collection and feedback of clinical outcomes to members and the public has demonstrated a significant reduction in mortality for adult cardiac surgery since 2003. There is also international benchmarking of our results showing a better risk adjusted mortality for cardiac surgery than the European average. The SCTS is recognised widely as having been at the forefront of innovation and quality improvement in the NHS for the past decade.
‘Mr Samer Nashef’s survey, while only of a small self-selecting group of surgeons, raises useful issues. He rightly points out that transparency is a good thing but it can have unintended consequences. As a Society we are looking at how we can improve the publication of surgeons’ data so it provides more useful information to patients while helping surgeons to not become unduly risk averse. The patient journey involves many professionals and different factors such as hospital facilities – all of which can impact on a patient’s outcomes. This is why we’d also like to see data published in the context of the wider unit.
‘The Daily Telegraph’s claim that the SCTS asked NHS England to ‘abandon’ the policy of consultant outcomes data is incorrect. In January 2015 we wrote to Simon Stevens to ask to discuss NHS England’s strategy on consultant data and how we can manage the possible risks that Mr Nashef has made clear.’