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This project is studying the centralisation of specialist surgical pathways for four cancers across two health care systems: London Cancer (a network of providers across North Central and North East London, and West Essex; population 3.2m) and Greater Manchester Cancer (covering Greater Manchester and East Cheshire; population 3.1m). The research team is formed of clinicians, patients, and academics from London (UCL and London Cancer) and Manchester (University of Manchester and Greater Manchester Cancer). The research is combining quantitative and qualitative methods to analyse how the centralisations were planned and implemented, and the impact of the changes on organisation and delivery of care, clinical outcomes, patient experience, and cost-effectiveness. It is also analysing patient, professional, and public preferences for changes of this kind. In doing so, the study will address a number of important gaps in the evidence on centralising specialist cancer surgery, addressing key priorities highlighted in the Five Year Forward View. In addition, it will build on methods developed by the team in conducting high impact research on other forms of major system change.
Principal Investigator: Professor Naomi Fulop
Project Staff/Co-investigators:
Professor Ruth Boaden, University of Manchester
Mr John Hines, University College London Hospital NHS Foundation Trust
Ms Rachael Hunter, University College London
Professor Steve Morris, University of Cambridge
Professor Kathy Pritchard-Jones, University College London
Dr Angus Ramsay, University College London
Mr David Shackley, Greater Manchester Cancer
Researchers:
Dr Georgia Black, University College London
Dr Caroline Clarke, University College London
Dr Maria Melnychuk, University College London
Dr Catherine Perry, University of Manchester
Dr Laura Vellejo-Torres, University College London
Dr Cecilia Vindrola, University College London
Patient collaborators:
Veronica Brinton, Patrick Fahy, and John Sandell
Clinical/organisational collaborators:
Mr Ravi Barod, Royal Free London NHS Foundation Trust
Dr Afsana Bhuiya, University College London Hospital NHS Foundation Trust
Professor Mark Emberton, University College London
Ms Claire Levermore, University College London Hospital NHS Foundation Trust
Mr Satish Maddineni, Salford Royal NHS Foundation Trust
Ms Caroline Moore, University College London Hospital NHS Foundation Trust
Professor Muntzer Mughal, University College London Hospital NHS Foundation Trust
Mr Dipankar Mukherjee, Barking, Havering and Redbridge Hospital NHS Trust
Ms Maxine Tran, Royal Free London NHS Foundation Trust
Mr Jonathan Vickers, Salford Royal NHS Foundation Trust
Acknowledgements:
Michael Aitchison, Sarah Darley, David Holden, Colin Jackson
Remembering our colleague Neil Cameron:
Sadly one of our PPI colleagues Mr Neil Cameron died on 15th May 2017. Neil contributed a great deal to the study, from the development of the proposal, in particular providing essential feedback on our research questions in relation to patient experience, through to the work of the study to date. We will continue to acknowledge Neil’s contribution to our study in any outputs that we make.
Funder: National Institute for Health Research Health Services and Delivery Research Programme
Start Date: 2015
Duration: 5 years
Contact: Prof Naomi Fulop (Chief Investigator): n.fulop@ucl.ac.uk Pei Li Ng (Project Manager): pei.ng@ucl.ac.uk