HSS CPOC Service Annual Report 2021

Service Report May 2021 Colorectal and Peritoneal Oncology Centre – The Christie NHS Foundation Trust

metastatic colorectal cancer. Eur J Surg Oncol. 2019 Sep ;45(9):1567-1574. doi: 10.1016/j.ejso.2019.04.005. Epub 2019 May 7. PMID: 31097310. Waller E, Sutton P, Rahman S, Allen J, Saxton J, Aziz O. Prehabilitation with wearables versus standard of care before major abdominal cancer surgery: a randomised controlled pilot study (trial registration: NCT04047524). Surg Endosc. 2021 Mar 15 . doi: 10.1007/s00464-021-08365-6. Epub ahead of print. PMID: 33723969. 5.6Books (Chapters) “Colorectal Surgery 6th Edition: A Companion to Specialist Surgical Practice”, Advanced and recurrent colorectal cancer, Clark, Elsevier (O Aziz) “Cracking the Intercollegiate General Surgery FRCS Viva: A Revision guide 2nd Edition”, Chapter 3 Emergency Surgery and Chapter 4 General Surgery, Tang, CRC Press (R Fish & P Sutton) “Research Skills for the Modern Surgeon”, Sutton, Nielsen (P Sutton) 6 The Peritoneal Tumour Charitable fund Since 2016 we have assigned over £500,000 to support several initiatives for patients with PMP, appendix and peritoneal tumours. We are extremely grateful to all of our donors for their unfailing support and generous donations. These are some of the achievements and future opportunities: - 6.1 Increased awareness has resulted in more referrals Better understanding of the appendix as the source of disease has led more professionals and patients to check the pathology in the appendix and request information and referrals to the reference centres. Earlier referral has led to a greater proportion of patients being seen with localised and less advanced disease. This has allowed us to offer preventative surgery now described as ‘risk reducing’ surgery to stop the development of full blown PMP. In a number of cases this surgery can be performed using keyhole techniques which have been pioneered at The Christie. Specialist equipment is required to undertake these procedures and video transmission of the procedures has been created to educate other centres in these techniques. Using these methods patients have a shorter stay in hospital and return to work and full activity much quicker. Charitable funds have allowed the purchase of additional surgical equipment which in turn facilitate We recognise that the diagnosis and treatment of patients with PMP and appendix tumours has specific stresses. This is often because the conditions are rare and those dealing with it feel isolated and unsupported by the professionals and the NHS. Identifying where and when in the journey the key milestones are, allows us to direct resources to support patients. We have identified financial burdens on families and are working with charities to offer accommodation for families and supporters during hospital spells. In addition, support with transport to attend for tests and treatments takes the worry from those with limited resources. In particular, through support from the Pseudomyxoma Survivor charity, we have been able to agree a contract with StayCity, Manchester to provide offsite accommodation for patients’ families whilst they undergo their inpatient treatment. In addition, Pseudomyxoma Survivor have donated gift boxes for patients on the ward to help improve their stay. the development and use of novel surgical procedures. 6.2 Improving the patient journey and experience

25