{"entity":{"id":"idea-data-72-hour-second-opinion-network","kind":"idea","name":"A digital second-opinion network answering community oncologists within 72 hours","aka":[],"tldr":"Any oncologist could send a difficult case, with the records, to a specialist centre and get a written expert opinion back within three days, free to the patient.","summary":"Expertise is concentrated in a few centres; most patients are treated elsewhere. Asynchronous e-consultation (as in Project ECHO and tele-tumour boards) works but is patchy. The proposal is a funded national network with a standard case bundle (patient-held record or mCODE export), triage to the right subspecialist, a 72-hour written opinion, structured recording of the recommendation, and outcome follow-up to measure impact.","asOf":"2026-09-08","links":[{"label":"Bottleneck evidence (Knowledge reaches practice too slowly): Morris, Wooding & Grant, The answer is 17 years, what is the question (JRSM 2011)","url":"https://doi.org/10.1258/jrsm.2011.110180"}],"tags":[],"related":["idea-data-patient-held-cancer-record"],"cancers":[],"sections":["ai-computation"],"technologies":[],"targets":[],"drugs":[],"companies":[],"institutions":[],"pathways":[],"terms":[],"trials":[],"people":[],"bottlenecks":["b-knowledge-diffusion","b-care-fragmentation","b-rare-cancers"],"keyPapers":["paper-morris-j-r-soc-med"],"journals":[],"dependsOn":[],"notes":[],"hypothesis":"Rapid second opinions will change management in a substantial minority of referred cases and will be associated with higher guideline concordance and trial referral.","rationale":"Second-opinion studies in pathology and oncology find management changes in a significant share of cases; speed and structured data are what make the model scalable.","test":"Run the network for one year in one region; report turnaround, proportion of opinions changing management, and trial referrals; compare guideline concordance with non-referred matched cases.","maturity":"early-clinical","actor":"clinic","cost":"medium","horizonYears":2},"route":"/ideas/idea-data-72-hour-second-opinion-network/","neighbours":{"idea":[{"id":"idea-data-patient-held-cancer-record","kind":"idea","name":"A patient-held cancer record that travels across providers and borders","route":"/ideas/idea-data-patient-held-cancer-record/"}],"section":[{"id":"ai-computation","kind":"section","name":"AI & Computation","route":"/fronts/ai-computation/"}],"bottleneck":[{"id":"b-care-fragmentation","kind":"bottleneck","name":"Fragmented care and guideline gaps","route":"/bottlenecks/b-care-fragmentation/"},{"id":"b-knowledge-diffusion","kind":"bottleneck","name":"Knowledge reaches practice too slowly","route":"/bottlenecks/b-knowledge-diffusion/"},{"id":"b-rare-cancers","kind":"bottleneck","name":"Rare and paediatric cancers without markets","route":"/bottlenecks/b-rare-cancers/"}],"paper":[{"id":"paper-morris-j-r-soc-med","kind":"paper","name":"The answer is 17 years, what is the question: understanding time lags in translational research","route":"/key-papers/paper-morris-j-r-soc-med/"}]}}