Reorganising specialist cancer surgery for the 21st century: a mixed methods evaluation (RESPECT-21)

Record ID 32015001005
English
Authors' objectives: There is evidence to suggest that for some types of operation, hospitals carrying out more cases of that operation may have better results (e.g. better patient outcomes). It has been recommended that cancer surgery services should be provided in fewer hospitals (centralised), because this would make it more likely that patients are treated in a unit by surgeons and other healthcare staff who are expert in treating their condition, with access to the technology needed to provide the most appropriate care. However, little is known about whether and how centralisation of cancer surgery services affects patient outcomes, patient experience, the ways in which care is organised and provided, and the cost of services. There is also little evidence about how changes of this kind are planned, put into practice, and how they are kept going. Finally, we know little about what patients, members of the public, and healthcare professionals think is most important in changes like this. We want to study changes in specialist cancer surgery services across North Central and North East London and West Essex (covering 3.2 million people) and across Greater Manchester (3.1 million people). Both areas are currently working to reduce the number of hospitals providing specialist surgery for prostate, bladder, kidney, and oesophagus and stomach cancers.
Details
Project Status: Completed
URL for project: http://www.nets.nihr.ac.uk/projects/hsdr/144619
Year Published: 2015
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Cancer Care Facilities
  • Surgical Procedures, Operative
Contact
Organisation Name: NIHR Health Services and Delivery Research programme
Contact Address: NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name: journals.library@nihr.ac.uk
Contact Email: journals.library@nihr.ac.uk
Copyright: Queen's Printer and Controller of HMSO
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.