Clinical auditing of breast cancer practice in the NHS

Systematically monitoring outcomes from clinical practice is key to ensuring continuous improvements in patient care.

The Challenge

Hospitals and clinics treating breast cancer patients are constantly striving to enhance the quality of their clinical practice to improve patient outcomes. Improving quality in clinical practice is important, but it is often made difficult due to data quality and integrity, which leads to challenges with getting actionable insights. Quality improvement efforts are not “one-and-done” and the problems with collecting prospective data for real-world evaluation persists over time. This adds to the burden on already busy clinicians, and patients risk suboptimal care.


To address this challenge, Pfizer UK created a service donation grant which provides access to Ledidi Core to NHS healthcare professionals to support clinical audits of their breast cancer clinical practice. Ledidi Core is built to overcome these challenges as the platform enables collecting structured data and real-time analysis, thus eliminating the frequent need for migrating data between various software solutions.

The grant recipients are equipped with a registry template, enabling them to kickstart their projects without delay. Some of the teams have also opted to upload existing datasets to get a head start. Dr. Olubukola Ayodele, Consultant Medical Oncologist from University Hospitals of Leicester NHS Trust, stated, “The Ledidi platform has been so beneficial to managing our large database of breast cancer patients. We were able to transition from regular Excel spreadsheets into the Ledidi platform with ease.”

“The platform is easy to use and has cut down a lot of the time consuming parts of audit work”, said Gabriella from Clatterbridge Cancer Centre NHS Foundation Trust.

“The Ledidi platform is fantastic. Really intuitive. Such a well thought out application which brings the end to Excel spreadsheets and difficult to use statistical analysis programmes.” - Dr. Saoirse Dolly, Consultant Medical Oncologist, Guy’s and St. Thomas NHS Foundation Trust

Additionally, privacy and collaboration is at the core of Ledidi's design. The platform ensures that clinicians can work together, collecting and analysing datasets without breaching patient data privacy. Dr. Ayodele emphasised Ledidi’s “ability to give each user/member of the team its own privacy level helps to optimise GDPR standards.”

“The platform has been extremely useful for our team and has facilitated collaboration with wider teams”, Gabriella said.


By collecting and analysing their data continuously, clinicians will be better equipped to explore the different factors that might affect prognosis and survival in breast cancer patients.

Clatterbridge are “currently utilising the platform to input our metastatic breast cancer patient data and we are excited to see how the platform can help us evaluate the different sets of data we have.”

The Head of Pharmacy at East and North Hertfordshire NHS Trust describes Ledidi Core as a “significant enabler in analysing our real-world data”.

Dr. Ayodele even proclaims that “going forward, this is the platform where all our research database and statistical analysis would be done.”

"By finding safe and easy ways to structure and collaborate on health data for secondary purposes, we can generate new knowledge and insights that can improve patient care and the health of many people. We believe health care needs to be more data-driven, and we work to remove the barriers standing in the way”, concludes Einar Martin Aandahl.

Learn more about Pfizer’s service donation grant here.