carlos rocha registry manager national cancer registration service (south west) west dean...
DESCRIPTION
North West London West Midlands South West Northern & Yorkshire East Midlands Eastern Oxford Prior to Regional Offices 8 independent systemsTRANSCRIPT
Carlos RochaRegistry Manager
National Cancer Registration Service (South West)West Dean
Registration Improvement of Non-Melanoma skin cancer
Background
North West
London
West Midlands
South West
Northern & Yorkshire
East Midlands
Eastern
Oxford
Prior to 20138 Regional Offices
8 independent systems
North West
London
West Midlands
South West
Northern & Yorkshire
East Midlands
Eastern
Oxford
2013 - 2015
Encore
Radiotherapy
Pathology
PAS
CWT
Chemo
Radiology
COSD / MDT
Open Exeter
Encore
Audit
NH
S A
cute
Tru
st Reg
iona
l Offi
ce
ONS
Oxford
Death Cert
Pathology
What do we record at the moment?
• First occurrence of a BCC • First occurrence of an SCC• Link all subsequent data to the first occurrence e.g.
• Pathology• Surgery• Treatment e.g. radiotherapy
Why do we do it this way?
• Resource• 2009 South West skin project:
• 5,385 SCC’s (1,520 extra cases)• 25,981 BCC’s (11,960 extra cases)
To process all NMSC cases manually for the whole of England the NCRS would need to employ an extra c.20 WTE registration officers.
But…not very efficient and we don’t really know the gap between what we receive and what we should be receiving!
Project Aims
What?
• Identify how many BCC + SCC reports we are receiving from each trust
• Liaise with trusts to determine whether we are receiving all reports, if not, how can we resolve this?
• Which histopathologists are/are not using proforma reporting?
• Why are some histopathologists not using proforma reporting and how do we encourage them to do so?
• How many BCC + SCC records are submitted in COSD submissions?
• How does the NCRS then identify proforma reports, provide initial feedback on pathology + COSD and then process them more efficiently in ENCORE?
Who?
Michael Eden – Histopathologist (Cambridge University Hospitals NHS Foundation Trust
Karen Graham – Head of Data Improvement (NCRS)
Carlos Rocha – Registry Manager (NCRS South West)
Josie Horne – Data Quality Manager (NCRS South West)
Reporting to:
Dr Jem Rashbass – Director, Disease Registration, PHE
Where do we want to be?
• Complete and consistent SNOMED coding on all Pathology reports.
• Trust Pathology extract criteria identifies all non melanoma skins.
• Proforma reporting on all non melanoma skin cancers (COSD xml pathology extracts will help with this).• NCRS record each and every occurrence of BCC + SCC by
processing the majority of pathology reports and COSD data automatically.
• Using the COSD reporting process to provide feedback on the completeness of the data (both submitted and processed).
• Detailed reports purely for NMSC.
How many BCC & SCC reports are we receiving?
BCC and SCC pathology reports received by the NCRS June ‘14
to May ‘15
North West
London
West Midlands
South West
Northern & Yorkshire
East Midlands
Eastern
Oxford
EncoreSCC: 3,055BCC: 13,716
SCC: BCC: SCC: 6,258
BCC: 22,370
SCC: 5,463BCC: 17,447
SCC: 1,717BCC: 6,099
SCC: 3,688 BCC: 13,441
SCC: 3,840 BCC: 14,387
SCC: 5,115BCC: 20,854
