The Complex Colorectal Cancer team at St Mark’s was established in 2001 to offer surgery to those with locally advanced primary rectal cancer or a pelvic recurrence of a rectal cancer. Referrals are received from across the UK as very few other Trusts provide this service. Two initiatives have promoted multidisciplinary team working: the first was a review meeting to discuss all new referrals; the second was a weekly ward-based meeting to bring core team members together to discuss all current complex cancer patients’ rehabilitation needs and help plan discharge care. Both have expedited clinical decision-making and improved liaison with local teams to make the care pathway more patient-centred.
Over the last 15 years, the Complex Colorectal Cancer (CCC) service at St Mark’s has developed extensive expertise in the surgical management of patients with locally advanced rectal cancer, devising new surgical techniques and procedures to offer bespoke surgery to individuals who would previously have been deemed inoperable. Specialisms include laparoscopic and colorectal cancer, orthopaedics, urology and plastic surgery. Key published service outcomes include an 85% R0 Resection rate (tumour fully removed with clear excision margins), 95% chance of surviving 30 days and 40% chance of surviving five years following this surgery. Furthermore patients return to their local providers reporting positive experiences of care. Consequently, the CCC service has grown considerably but there is no extra budget.
To bring the multidisciplinary team together to offer expert opinions, share perspectives and make decisions on the management of this highly complex group of patients.
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