HSS CPOC Service Annual Report 2021

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

and there have been no further cases since this. No patient receiving cytoreduction and HIPEC contracted Covid whilst being an in-patient at the Christie. All patient facing staff at The Christie are tested once a week with PCR tests, patients are tested prior to admission to the hospital, on admission and once a week thereafter whilst an inpatient. This protocol has allowed us to largely maintain a Covid secure environment and allowed the outbreak on the surgical ward to be rapidly identified and controlled. Once we had restarted the HIPEC service the level of surgical cytoreductive activity returned to pre-covid activity levels with operative monthly activity returning to the same rate as 2019/20 after the initial period in May when activity was reduced with the total level of activity being 121 in 2020/21 vs 130 in 2019/20 and 102 in 2018/19. Referral activity for the specialist commissioned services was consistent throughout the Covid period compared to the 2 previous years. This probably reflects that these patients are diagnosed either by being symptomatic or as a result of appendix specimen histology following emergency appendicectomy. CRPM activity, including both referrals and surgery, reduced during the initial phase of the pandemic. This may have reflected the delay of surveillance scans undertaken on these patients in their local hospitals after their previous surgery. The level of referrals has increased since the beginning of 2021 but the total number of referrals is still down for 2020/21 (144) vs 173 for 2019/20 and 187 for 2018/19. By the end of March 2021, the number of CRPM cytoreductions with HIPEC was 67, compared to 62 over the same period in 2019-2020.

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