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Key performance indicators
Key performance indicators (KPIs) are measures agreed by the network site specific groups that provide an ongoing means of:
- monitoring the quality and outcomes of cancer treatment
- reviewing consistency between provider organisations, and
- providing evidence that cancer services are safe, equitable and deliver good outcomes for patients
Unlike our audits, which are for a fixed term, KPIs are subject to ongoing review with a report produced on an annual basis. The final reports, including the recommendations and actions agreed by the network site specific groups, are shared with the network governance committee.
In deciding upon the KPIs the relevant NICE Improving outcomes guidance and national cancer audit measures are taken into account. Where there is no national guidance or national audit standards available the network site specific groups identify measures that they consider to be clinically relevant.
The agreed KPIs and their status are described below. A table showing all of the agreed KPIs and relevant timescales is available here. -
Colorectal
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The executive summary of the report for 2010-11 data is available here.
The colorectal KPIs measure surgical outcomes:
- post-operative mortality
- length of post-operative stay
- AP resection distance
- laparoscopic surgery rates
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Gynaecology
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The executive summary of the report for 2010-11 data is available here.
The gynaecology KPIs measure the outcomes of surgery:
- thirty day mortality
- length of post-operative stay
- number of procedures carried out by each surgeon
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Head and neck
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The head and neck network site specific group has adopted its key performance indicators from the national head and neck cancer audit. An executive summary of the network site specific group's review of the report for 2009-10 is available here.
More details about the national audit are available on the head and neck cancer audit pages of the Information Centre for Health and Social Care's website.
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Lung
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The lung network site specific group is using the measures from the national lung cancer audit as its key performance indicators. An executive summary of the network site specific group's review of the national audit data for 2010 is available here.
More details about the national audit are available on the lung cancer audit pages of the Information Centre for Health and Social Care's website.Health and Social Care's website.
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Upper GI
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The executive summary of the report for 2010-11 data is available here.
The upper GI KPIs measure the outcomes of surgery and recent figures compare favourably to those from the national oesophago-gastric cancer audit which are published on the oesophago-gastric cancer audit pages of the Information Centre for Health and Social Care's website.
The KPIs are:
- lymph node yield
- resection margins
- staging and discussion at multidisciplinary team meeting
- thirty day mortality
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Urology
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The executive summary of the report for 2010-11 data is available here.
The urology key performance indicators measure the outcomes of surgery and implementation of improving outcomes guidance:
- number of cystectomies and prostatectomies undertaken by each surgeon
- length of stay following surgery
- blood transfusion
- postoperative PSA level