Improving reporting of colorectal cancer

Colette de Silva, colorectal CNS from King’s College Hospital, opened the LCA colorectal clinical forum on 10 November with a presentation covering the protocol for reporting unexpected significant radiological, endoscopy and histological findings.

Next, Melanie Seymour from Chelsea and Westminster Hospital discussed colorectal patient reported outcome measures (PROMs), proposing that PROMs data collection across the LCA be standardised. A PROM template was shared and the MDT group agreed five more pilot sites to trial its use and re-evaluate thereafter.

Mr Nigel Richardson, consultant surgeon at Broomfield Hospital in Chelmsford, presented the case for remote follow up as an audit demonstrated it saved patient and medical time and improved patient satisfaction.

The next presentation covered draft guidance when organising a colorectal health and well-being event. The LCA is running a colorectal health and well-being event on 3 February 2015 to share learning about putting on this type of event. The presentations from the day as well as additional resources will be used to produce a  toolkit to help support Trusts locally for future events.

Liz Jones, from NHS England, presented an update on the NHSE endoscopy strategy and endoscopy clinical guidelines. Liz invited attendees to undertake an audit of surveillance caseload or share previous audits already undertaken at their Trust. She can be contacted at

The forum closed with Mr Muhammed Siddiqui, colorectal clinical fellow at Croydon Hospital, presenting findings from the radiology audit on the reporting of staging MRI scans for rectal cancer against the LCA colorectal clinical guidelines. The results showed that proforma based reporting, which is the gold standard for reporting, leads to greater consistency and completion of prognostic indicators.

The recommendation is that all LCA radiology departments use the LCA proforma, which will be included in the colorectal clinical guidelines. The radiology lead is responsible for ensuring that the proforma and supporting protocols are in place.

Presentations from the event are available here.

The protocol for reporting unexpected significant radiological, endoscopy and histological findings is available here.


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