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Updates from each NSSG

Updates from each NSSG. Key Achievements and Priorities for the Future. Upper GI. Mark Harrison Clinical Oncologist, MVCC NSSG Chair. Key Achievements. Centralised surgical services in Sept 2009 With out-reach and in-reach arrangements Established and consolidated pathways

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Updates from each NSSG

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  1. Updates from each NSSG Key Achievements and Priorities for the Future

  2. Upper GI Mark Harrison Clinical Oncologist, MVCC NSSG Chair

  3. Key Achievements • Centralised surgical services in Sept 2009 With out-reach and in-reach arrangements • Established and consolidated pathways • Improved HPB pathways and protocols • Implemented EMR and HALO at WHHT • Changing EUS pathway from London to local Watford service

  4. Key Achievements (2) • 2011 Audit – Outcomes for Upper GI Specialist Unit • Excellent trial recruitment – BOSS, COG, Telovac • Participated in Local Cancer Awareness Campaign… • Peer review improvement

  5. Upper GI

  6. Some Challenges • Cancer of Unknown Primary (CUP) now part of Upper GI NSSG and requires implementation • Will minimum size for Upper GI Units increase in future making Watford unviable? • Good clinical links in place with Imperial but West Herts AHSN link is to UCLP

  7. Other Challenges • Complete data collection for COSD • Dietetic input E&N Herts • Clinical leadership (longer term) of service at L&D (new appointment pending)

  8. Priorities for the Future • Implementation of CUP Guidance • Development of minimally invasive surgery • Implementation of advanced recovery • Confirming optimum size of Unit and implications of this for service • Academic liaison

  9. Finally…. Continued improvement will need Administrative support Time Funding

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