Fast-Track Pathway Halves Wait for Major Cancer Surgery in Oxford

New initiative at Churchill Hospital significantly reduces time from diagnosis to surgery for pancreatic and bile duct cancer patients.

Generic image of a medical scanner display showing complex biological data, with blurred surgical instruments in the foreground.
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Generic image of a medical scanner display showing complex biological data, with blurred surgical instruments in the foreground.

A new fast-track pathway at the Churchill Hospital in Oxford has more than halved the average wait from diagnosis to surgery for patients with certain pancreatic and bile duct cancers, reducing it from 40–60 days to 14–16 days.

The initiative, run by Oxford University Hospitals NHS Foundation Trust’s (OUH) Department of Hepatobiliary and Pancreatic Surgery, has seen around 80 fast-track procedures since March 2025. This pathway is designed for patients with pancreatic or lower bile duct cancers who have developed jaundice due to a blocked bile duct and are fit for surgery without additional preparation.
Approximately 30% of patients undergoing a Whipple procedure across the Thames Valley Cancer Network are offered this fast-track option. A Whipple procedure is a major operation involving the removal of the head of the pancreas and nearby digestive system parts. Traditionally, these patients would have an additional procedure to insert a stent to relieve the blockage, but the fast-track pathway allows some to proceed directly to cancer surgery, minimising waiting times and avoiding potential complications.
The pathway supports patients across Oxfordshire, Berkshire, and Buckinghamshire, with a dedicated Clinical Nurse Specialist appointed to aid its development. Phil Hammond, 74, from near Bedford, successfully underwent the procedure after his wife noticed his jaundice. Following rapid referral and review at the Churchill Hospital, he had the Whipple procedure 10 days after his diagnosis and is now recovering well.
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"The whole experience has been a bit of a roller coaster but having the diagnosis and then the operation happen so quickly meant it didn’t feel too overwhelming. I’ve always been someone who just gets on with things, so I tried to stay positive and think, 'let's get this sorted'. My experience of the fast-track pathway has been amazing. I was apprehensive and a little scared, particularly as this was my first ever hospital admission, but any fears I had were quickly put at ease. I will be forever grateful to everyone involved in my care, from the surgeons and doctors to all the nursing staff. ‘Outstanding’ doesn’t feel like a strong enough word to describe them all."

Phil Hammond · Patient
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"It is fantastic to see Phil recovering well following his surgery. His experience demonstrates the difference this fast-track pathway can make by helping patients get to major surgery sooner. Delivering this requires teams to work closely together at every stage, with rapid communication, specialist diagnostics and close coordination between our surgical and nursing teams. It is incredibly rewarding to see what this joined-up approach can achieve for patients."

Michael Silva · Consultant Surgeon and Clinical Lead for Hepatobiliary and Pancreatic Surgery at OUH
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"This is a really positive example of how our teams are working differently to improve care for patients and reduce the time they are waiting for treatment. Thank you to everyone involved in developing and delivering this pathway for their hard work and commitment to our patients. We know there is more to do to reduce waiting times across our services, but improvements such as this show what can be achieved as we continue that work."

Felicity Taylor-Drewe · Chief Operating Officer at OUH
Based on information from the official source: Oxford University Hospitals NHS Foundation Trust (04/11/2026)