Appendix 2 - Consultant comments on impact from the BCGS membership

In Leicester and since the results of this Audit we have:

1) Supported our subspecialty trainee to go for a fellowship in Basingstoke and he is currently working as a consultant in Leicester and since then we have significantly increased our cytoreductive surgery rate, and our complete cytoreduction rate. We have moved towards an independent Gynaecological Oncology approach in ultra-staging procedures which has allowed us to:

• Offer CRS to more patients safely and in timely manner.
• Improved our Complete cytoreduction rate.
• We are establishing buddy operating system in our department, as these surgeries can be challenging at times.
• Our new approach so far is progressing well with no significant complications, and very low stoma rate. We are currently auditing our data since this new approach with the aim to be presented very soon.

2) We have taken part in the establishment of a regional MDT lead by ECAG to discuss any ovarian cases in the region that seemed to be not suitable for any treatment at the local MDT level.

I strongly believe that this audit has provided us in Leicester and East midland as a region with a great insight on our performance and areas for improvement.

As we have already discussed before, following the publication of the Ovarian Cancer Feasibility Pilot report, East Midlands Cancer Alliance have funded a Ovarian Cancer East Midlands Regional MDT which is due to start in March 2023. 

This is mainly aimed for discussion of ovarian cancer cases that do not have the standard management of Chemotherapy and Surgery or are not offered any treatment. This discussion will be held at Regional level and is collaborative approach with input from all four Cancer centres in East Midlands.

We aim to reduce variation in treatment across East Midlands and hopefully improve survival in the long term.

The feasibility project has been used to drive the work of the West Midlands Gynaecological Oncology Operational Delivery Network. 

We have used this to drive the quality of the data recording in our MDT which has subsequently dramatically improved. Once data recording is consistent we can use it to benchmark improvements.