948 The National Consultant Information Programme (NCIP) and Its Effect on Current Colorectal Surgical Practice, Specifically Looking at Exenteration of Pelvis for Lower Gastrointestinal Cancer

Abstract

Abstract Aim Extract and contextualise relevant data from NCIP data set on exenteration of pelvis for lower gastrointestinal cancer. Identify and analyse trends to understand Covid's impact on surgical practice, understand any variations seen at trust and national level, and understand the importance and application of NCIP. Method Pseudonymised data extracted from NCIP dashboard as an Excel document by NHS England Improvement data analysts. NCIP data is primarily from Hospital Episode Statistics, and other relevant databases and registries. Data includes various metrics including demographics, length of stay (LOS), and anonymised provider codes.Visual aids created from analysed data to explain various metrics, and observed trends. Data contextualised by comparing observed data with previous literature, if possible. Results 687 patient cases from April 2018-March 2022. All elective, all 17+ years. 340 cases between April 2018 to March 2020 and 347 cases between April 2020 to March 2022. 4 procedure types: 11 Lateral Lymphadenectomies, 20 Other Exenterations, 161 Posterior Exenterations, 495 Total Exenterations. Decrease observed in cases done post-covid for all procedure sub-groups except total exenteration (5% increase). 40 centers across England, 99.27% of cases performed at NHS trusts. Center variation observed with numerous providers doing <10 cases in the 4-year period. Average LOS: 23.65 days, however maximum LOS of 154 days for 2 total exenteration procedures. Conclusions Impact of Covid pandemic not observed in the data. Significant variation observed at provider level for each procedure sub-group, possibly contributing to variation observed in metrics such as LOS. Data suggests the need for further exploration into observed variation.