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Cancer Alliance view now available in second release of GIRFT breast surgery metrics on Model Health System

Additional GIRFT metrics for breast surgery procedures are now live in the Model Hospital System (MHS), including the ability to view data organised by each of the 21 Cancer Alliances in England.

More than 90 metrics for breast surgery were added to MHS in 2022, enabling users to gauge their performance for procedures such as breast excision, mastectomy and reconstruction, as well as benchmarking activity and outcomes against their peers.

As well as the Alliance view, this second release allows users to look at the data for patients referred for reconstruction at a plastic surgery hub and at autologous reconstruction rates.

Novel metrics have also been developed to add depth to the existing breast surgery compartment, including comorbidity rates, number of subsequent operations post mastectomy and post-operative complication rates, along with other key indicators.

To access data for your trust, system or alliance, log in to https://model.nhs.uk/ and navigate to acute hospital services > breast surgery > GIRFT metrics.

GIRFT’s national report for breast surgery (2021) offered the most complete picture of breast surgery activity there has ever been: the first time that data about all breast operations in England has been brought together, whether carried out as plastic surgery, breast surgery, general surgery or another specialty.

In the report, authors Tracey Irvine (consultant oncoplastic breast surgeon at the Royal Surrey County Hospital NHS Foundation Trust) and Fiona MacNeill (consultant breast surgeon at the Royal Marsden NHS Foundation Trust) stressed the importance of sharing the GIRFT data to the MHS to enable teams to monitor their own performance and support work towards implementing many of GIRFT’s wide-reaching recommendations.

"At the request of users, we have now added data arranged by Cancer Alliance, allowing people to compare performances across the alliances. This never-seen-before data is already showing variation across and within alliances, so it is important that everyone working in breast surgery across the NHS in England logs in to take a look and embraces these metrics to gauge performance and where things might be improved.”

GIRFT held a webinar on in October 2022 to demonstrate the new metrics and how to use them, as well as highlighting how they can support teams to free up more capacity in their units.

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