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  • NHS News
  • Breast cancer surgery and back home in one day


    More patients to benefit from innovations in treatment

    An innovative new approach to breast surgery that allows women with breast cancer to return home on the same day as their surgery has been commended by the Deputy Prime Minister Nick Clegg today.

    Having seen the success of the treatment in action on a visit to one of the pioneering centres in Birmingham with Health Minister Paul Burstow, the Deputy Prime Minister has asked the NHS to look at how this model can be applied to other types of surgery so that more patients can benefit from a more streamlined service.

    Surgeons in Birmingham reviewed the way breast surgery patients were dealt with in a bid to improve the service. They realised that a fundamental redesign would mean that patients could be back at home much more quickly. The process involved reviewing clinical procedures, listening to patients' views and integrating treatment between hospitals and the community.

    Women who have had the streamlined treatment have been very positive about the approach, as they don’t need to be in hospital for several days and can go home and recover in comfort. As a result, the average stay for women undergoing breast cancer surgery, including mastectomies, has fallen from five days to less than one – saving the hospital an estimated £300,000 a year.

    This model of breast surgery, developed and supported by NHS Improvement, is currently available in 72 hospitals. This means that 45 per cent of the population can access it, but, through NHS Improvement, further work will mean breast cancer patients - for whom this treatment would be appropriate - can access it in their area. This will greatly improve women’s experience in hospital, potentially saving 61,000 bed days and the NHS £10.5 million a year.

    NHS Improvement will also be looking at how this innovative approach can be applied to other forms of surgery such as colorectal, urology and gynaecology.

    Deputy Prime Minister Nick Clegg said:
    “This is the NHS at its best. Surgeons saw women were spending too long in hospital, they overhauled their approach to the treatment and the result is happier patients and huge savings to the NHS.

    “This treatment works, It’s better for patients and it is expanding so that more women can access it. But it’s important that the NHS now looks at how this innovation can apply to other types of treatment, so that even more people can benefit.”

    Rather than spending days in hospital, patients have a pre-operative appointment where they are talked through the process and advised what to expect. After the operation and recovery time, patients are ready to go home – often within the day.

    Health Minister Paul Burstow said:
    “No one wants to spend longer than they need to in hospital. The improvement in patient experience and outcomes as well as the savings in time and money are absolutely fantastic.

    “So we have asked NHS Improvement to look at helping hospitals to cut bed days for other specialties such as colorectal, urology and gynaecology, for example by using models to enhance recovery. If that happens, we could be looking at savings of over 200,000 bed days per year.

    “The NHS needs to make £20 billion savings – it’s initiatives like this, led by clinicians, that are going to make that happen.”

    Mr Hamish Brown, Consultant Breast Cancer Surgeon and part of the team that conducted the review with support from NHS Improvement at City Hospital, Birmingham, said:

    "The whole team looked very carefully at how we managed the patients' hospital stay and we found that we could integrate a lot of the inpatient care into a pre-operative visit to produce a more effective service. Although we had concerns that patients would be unhappy at going home so early, we found the opposite. Patients prefer to be at home and, to a large extent, they drove the move from a one night stay to day case.

    “This initiative has been identified as national best practice and if it were rolled out to the rest of the country it would save many thousands of unnecessary days in hospital for patients."

    The quick surgery has been hugely welcomed by women who get to go home to recover rather than recovering in the often more stressful hospital environment.

    A breast cancer surgery patient, who has benefitted from the new style treatment, said:

    "I went down to surgery at about 8.45am, by 11.30am I was sitting up in bed and by 3.30pm I was having tea and biscuits. My recovery has been remarkable, within a couple of days, I had forgotten about the surgery and I would highly recommend day surgery to others."

    Currently, 13 ‘Clinical Spread Network’ areas are pioneering the procedure: Anglia; Arden; Avon; Somerset and Wiltshire; East Midlands; Greater Manchester; Humber and Yorkshire; Lancashire and South Cumbria; Merseyside and Cheshire; North West London; Pan Birmingham; South West London; Thames Valley; and Three Counties.

    On Friday, Paul Burstow announced the national rollout of the first ever bowel cancer signs and symptoms awareness campaign and a regional pilot for a lung cancer awareness campaign across the East and West Midlands. The regional lung campaign will be run in October and the national bowel campaign will be run from January. Both will run under the ‘Be Clear on Cancer’ brand. The aim of the campaigns is to encourage people to be aware of the symptoms of both cancers and to present to their GP with persistent symptoms. They are part of an £8.5 million cancer symptom awareness package, designed to achieve earlier diagnosis of cancer.


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