Written by Mr Desmond Toomey MD, FRCSI, Consultant General & Colorectal Surgeon – Regional Hospital Mullingar & Mater Misericordiae University Hospital; UCD Associate Clinical Professor; RCSI (Hon) Clinical Senior Lecturer
Centralisation of cancer care into specific Model IV hospitals with the appropriate resources, skillsets, equipment and ethos improves outcomes and survival. In Ireland, rectal cancer was centralised to the eight cancer centres a decade ago and the benefits for this cohort of patients is evident. It has been proposed that colon cancer surgery should be similarly centralised. Would this colon cancer policy be suitable for the Irish system or would it have unintended, negative consequences for other patients and Irish surgery? Could a colon cancer plan be tailored with lessons learned from rectal cancer and our experiences with hybrid working / colocation during the pandemic?
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