Patel, JamieThompson, GeorginaNocivin, IrinaVaradharajan, KiranWalker, DavidDerbyshire, Stephen2024-07-242024-07-242024-02-01Patel J, Thompson G, Nocivin I, Varadharajan K, Walker D, Derbyshire S. Our Experience Design and Delivery of a Safe Trans Oral Robotic Programme in the National Health Service (NHS). Indian Journal of Surgery. 2024;86(1):167-171. doi:10.1007/s12262-023-03850-910.1007/s12262-023-03850-9http://hdl.handle.net/20.500.14200/5234Trans oral robotic surgery (TORS) is a minimally invasive technique for head and neck cancers. It is shown favourable recovery and long-term functionality outcomes compared to traditional treatments. Our department at the Royal Surrey County Hospital implemented a service transformation project for a TORS programme in December 2019. The "plan, do, study and act" (PDSA) quality improvement model was used. This incorporated logistical, training, clinical and financial aspects. Twenty-five patients were selected for oropharyngectomy, tonsillectomy or tongue base resections over a period of 1 year. Patients were matched with similar patients undergoing the same non-robotic procedures. TORS showed an improvement in time required to return to normal diet and time needing regular analgesia. Peri-operative complications were similar in both groups. An improving learning curve was observed over time for console times.SurgeryIndian Journal of Surgery