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Reorganising specialist cancer surgery for the 21st century: a mixed methods evaluation (RESPECT- 21)
A research team led by Professor Naomi Fulop (UCL Department of Applied Health Research) has been awarded £1.2 million over three and a half years by the National Institute for Health Research Health Services and Delivery Research Programme to study the centralisation of specialist cancer surgical services. The study, which started in September 2015, will focus on the impact of the centralisation of specialist surgical pathways for four cancers across two health care systems: London Cancer (a network of providers across North Central and North East London, and West Essex; population 3.2m) and Manchester Cancer (covering Greater Manchester and East Cheshire; population 3.1m). The research team is formed of clinicians, patients, and academics from London (UCL and London Cancer) and Manchester (University of Manchester and Manchester Cancer). The research will combine quantitative and qualitative methods to analyse how the centralisations were planned and implemented, and the impact of the changes on organisation and delivery of care, clinical outcomes, patient experience, and cost-effectiveness. The study will also analyse patient, professional, and public preferences for changes of this kind. In doing so, it will address a number of important gaps in the evidence on centralising specialist cancer surgery, addressing key priorities highlighted in the Five Year Forward View. In addition, it will build on methods developed by the team in conducting high impact research on other forms of major system change.
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