Single Service for Oesophago-gastric Cancer

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“The NHS TU have enthusiastically engaged in ensuring that the ‘patient voice’ is captured and embedded in service transformation.  This has been like a ‘breath of fresh air’ and has helped to make the role of Patient Representative both fruitful and rewarding”.

Patient representative.

“The single surgical site at Salford Royal is an important change which will help deliver improved clinical outcomes for people across Greater Manchester, provide around the clock specialist OG emergency surgical service for the whole city-region and unparalleled opportunities for clinical research, working in partnership with our colleagues at The Christie.”

Jonathan Vickers, Consultant Surgeon at Salford Royal and Chairman of the GM Oesophago-gastric Cancer Pathway Board.

22nd February 2022
Case study

Director - Janet

Co-producing and delivering single service for Oesophago-gastric cancer across Greater Manchester

The Client: Greater Manchester Health and Social Care Partnership

The Challenge

Greater Manchester’s outcomes for OG cancer surgery were non-compliant against national standards and there was significant variation in patient outcomes across the surgical sites. There were also inefficient patient pathways due to various routes into diagnosis and treatment. GM had not been able to address these issues for many years.

Our Approach

We developed a bespoke engagement approach. Activities included:

  • Establishing a panel of national clinical experts and patients from other parts of the country, to bring objective challenge, support and robust assurance to the process
  • Patient engagement during both service design and programme close-down
  • Regular staff engagement sessions at all participating sites
  • Workshops with managers and clinicians to agree operational policies and protocols for the new pathway.

The Outcome

We coproduced the Greater Manchester (GM) Oesophago-Gastric (OG) commissioning specification, and fully implemented the new surgical service hosted at Salford Royal Foundation Trust.

  • This service has centralised all OG specialist cancer and benign surgery from across GM and is now one of the largest single OG services in Europe.
  • By bringing surgical expertise together and standardising clinical pathways and processes, the patient is afforded the best opportunity of surviving surgery with a good quality of life.
  • The implementation approach and lessons learned are already being applied in other specialities e.g. Urology (kidney, bladder & prostate) cancer; Gynaecological cancer; Vascular surgery; Neuro rehabilitation.






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