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Uptake and accessibility of surgical robotics in England
Kyle Lam1, Jonathan Clarke2, Sanjay Purkayastha1
1Department of Surgery and Cancer, Imperial College London, London, UK.
Background:
The distribution, utilisation and accessibility of surgical robotics in England is unknown.
Methods:
A nationwide Freedom of Information (FOI) request was sent to all acute National Health Service (NHS) trusts. Accessibility was assessed for 32 843 Lower Super Output Areas in England.
Results:
All 149 acute NHS trusts responded to the FOI request. Sixty-one robots are distributed between 48 trusts. The number of robots and robotic procedures has increased annually. Urological procedures comprise 84.2% of robotic procedures. Procedure volume varies between robotic centres ranging from 1 to 683 in 2018. Over 2.4 million people have a travel time of over 1 hour to their nearest robotic centre.
Discussion:
National accessibility to robotic services and case volumes are variable and does not represent good value for the NHS. A national robotic surgery registry could improve the quality of robotic surgery and is needed to dynamically assess national provision of this technology.
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