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Prospective YCN Audit of Rectal Cancer (CR07 Audit) |
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Name |
Position |
Date Agreed |
Date Completed Date |
|
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Mr Jon Harrison |
NSSG Chair |
Jan 2009 |
- |
 |
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Mr Rob Webster |
YCN Board Chair |
Sep 2010 |
- |
|
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- Assess radiotherapy practice based on MRI findings.
- Describe the use of radiotherapy for differing unit policies.
- Assess selection criteria used to select for pre-op CRT.
- Assess variance between MDT decision and the treatment received.
- Compare MR staging with final histological staging (for patients who have initial surgery or SCPRT).
- Assess pathological evidence of regression following short course radiotherapy.
- Audit use of and benefit from post CRT MRI.
- Assess the compliance with a standard MRI reporting proforma.
- Accurately define the rectal cancer patient pathway.
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National Bowel Cancer Audit |
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Name |
Position |
Date Agreed |
Date Completed Date |
|
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Mr Jon Harrison |
NSSG Chair |
Jun 2009 |
- |
|
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Mr Rob Webster |
YCN Board Chair |
Aug 2009 |
- |
|
| |
|
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The audit aims to improve the quality of care and survival of patients with bowel cancer. It meets the requirements as set out in the NHS Cancer Plan, NICE guidelines and the Report of the Bristol Royal Infirmary Inquiry.
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Referral practice of Patients with Colorectal Liver Metastases Audit |
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Name |
Position |
Date Agreed |
Date Completed Date |
|
| |
Mr Jon Harrison |
NSSG Chair |
Jun 2009 |
- |
|
| |
Mr Rob Webster |
YCN Board Chair |
Sep 2010 |
- |
|
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|
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To ensure accuracy in data collection it is requested that an audit form be completed for every patient discussed
at a colorectal MDT meeting with a current liver metastasis, at any stage in their treatment algorithm.
This is to assess what happens for all patients with colorectal liver metastases even if they are too unfit to be
considered for any surgery, if they decline intervention or seem to be clearly inoperable.
The background to the audit was the data produced from NYCRIS showing wide discrepancies in the UK in
apparent access to liver resection surgery for colorectal metastases. Encouragingly, the Yorkshire Cancer Network
fares better than most in this data.
This prospective audit is to assess the current situation for referral practice in the network more accurately.
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Emergency Presentations |
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Name |
Position |
Date Agreed |
Date Completed Date |
|
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Mr Jon Harrison |
NSSG Chair |
Sep 2009 |
- |
|
| |
Mr Rob Webster |
YCN Board Chair |
Sep 2010 |
- |
|
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|
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- Identify the number of new colorectal cancers found following emergency admissions in the YCN, identify
any variation in the number of colorectal emergency admissions across the YCN
- Audit the secondary care pathway from emergency admission to treatment
- Audit the patient pathway from primary care to the emergency admission, using the national primary care audit tool
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Costings |
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Name |
Position |
Date Agreed |
Date Completed Date |
|
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Mr Jon Harrison |
NSSG Chair |
Sep 2009 |
- |
|
| |
Mr Rob Webster |
YCN Board Chair |
Sep 2010 |
- |
|
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|
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- Gain better insight into the patient journey and whether the pathways set out are a true reflection of this journey; quality assuring the pathway.
- Identify constant and variable features within the pathway.
- Establish the timings of Key elements within pathway.
- Evaluate the quality of the care given, with pre-determined measures.
- Establish costs for individual elements of the pathway and whole pathway.
- Establish whether these costs could be applied to the wider population.
- Understand the proportion of the workload of a colorectal department that is attributable to colorectal cancer care.
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