www.mccn.nhs.uk cancer commissioning toolkit and the somerset cancer register jon hayes deputy...
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www.mccn.nhs.uk
Cancer Commissioning Toolkitand the
Somerset Cancer Register
Jon HayesDeputy Network Director
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The CCT is a web-based tool with interactive outputs
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The dashboard contains the key cancer metrics
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Each metric can be observed in more detail with information on sources and guidance
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A cancer specific dashboard contains another selection of metrics that can be analysed for each cancer type
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The index contains links to each chapter and section – which lead on from the CRS
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Each issues raised in the sections of the CRS are informed by the reports in the relevant section
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Each report is fully interactive and contains sources and guidance
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Reports can be pre-customised with selected networks, PCTs, trusts or SHAs
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Reports can be selected, aggregated and exported into a word document
www.mccn.nhs.uk
Somerset Cancer Register
Slides by Karen Graham, St Helens & Knowsley NHS Trust
Many SystemsMany Processes
PrimaryData Sources
Patient Tracking(62 / 31 Day Patients)
CWT
SecondaryRepositories
ServiceRequirements
Outcomes
PTL Spreadsheet
OtherTrustsScreeningRecordsCNSMDT
Radiology
Pathology
PAS
Many SystemsMany Processes
PrimaryData Sources
Cancer Registry Returns
SecondaryRepositories
ServiceRequirements
Outcomes
OtherTrustsScreeningRecordsCNSMDT
Radiology
Pathology
PAS
Colorectal
Breast Haematology Urology Lung
Head& Neck
Skin Upper GI
Cancer Registry
Upper GI
Many SystemsMany Processes
PrimaryData Sources
National Cancer Audit
SecondaryRepositories
ServiceRequirements
Outcomes
OtherTrustsScreeningRecordsCNSMDT
Radiology
Pathology
PAS
Colorectal
Head & Neck
Lung Breast
Open Exeter
Many SystemsMany Processes
PrimaryData Sources
Network Cancer Audit
SecondaryRepositories
ServiceRequirements
Outcomes
OtherTrustsScreeningRecordsCNSMDT
Radiology
Pathology
PAS
Audit Reports
Tumour Databases
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MDT Proforma
Many SystemsMany Processes
PrimaryData Sources
MDT data
SecondaryRepositories
ServiceRequirements
Outcomes
OtherTrustsScreeningRecordsCNSMDT
Radiology
Pathology
PAS
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Tumour Databases
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Many SystemsMany Processes
PrimaryData Sources
Patient Tracking MDT Data Collection National Audit DataNetwork Audit Data Cancer Registry Returns
SecondaryRepositories
ServiceRequirements
Outcomes
OtherTrustsScreeningRecordsCNSMDT
Radiology
Pathology
PAS
OtherTrusts
Cancer Registry
ScreeningForms
GynaeForms
TumourDatabases
Local Audit
PTL Spreadsheet
CWT
8
MDT Proforma
BAUSForms
NetworkAudit
OpenExeter
ScreeningDatabases
3
8
Many SystemsMany Processes
PrimaryData Sources
Patient Tracking MDT Data Collection National Audit DataNetwork Audit Data Cancer Registry Returns
SecondaryRepositories
ServiceRequirements
Outcomes
OtherTrustsScreeningRecordsCNSMDT
Radiology
Pathology
PAS
OtherTrusts
Cancer Registry
ScreeningForms
GynaeForms
TumourDatabases
Local Audit
PTL Spreadsheet
CWT
9
MDT Proforma
BAUSForms
NetworkAudit
OpenExeter
ScreeningDatabases
3
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Consolidating Data CaptureSomerset Cancer Register
PrimaryData Sources
Patient Tracking MDT Data Collection National Audit DataNetwork Audit Data Cancer Registry Returns
ServiceRequirements
Outcomes
OtherTrustsScreeningRecordsCNSMDT
Radiology
Pathology
PAS
OtherTrusts
Cancer Registry
Local AuditCWT
NetworkAudit
OpenExeter
ScreeningDatabases
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Somerset Cancer RegisterCNSMDT
Aintree University Hospitals NHS Foundation Trust
Alder Hey Childrens Hospital
Liverpool Heart and Chest Hospital
Clatterbridge Centre For Oncology
Countess Of Chester Hospital NHS Foundation Trust
Liverpool Womens NHS Foundation Trust
North Cheshire Hospitals NHS Trust
Royal Liverpool & Broadgreen University Hospitals NHS Trust
Southport & Ormskirk Hospital NHS Trust
St Helens & Knowsley Hospitals NHS Trust
Walton Centre For Neurology & Neurosurgery
Wirral University Teaching Hospital NHS Foundation Trust
www.mccn.nhs.uk
Time for Something Else?
05:27 AM
www.mccn.nhs.uk
Where do you want to go?
• New Website
• Health Bus
• Waiting Times
• Service Improvement
• Screening – new challenges
www.mccn.nhs.uk .
www.mccn.nhs.uk
www.mccn.nhs.uk
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www.mccn.nhs.uk
Waiting Times
Bre
ast
Lung
Hae
m
Upp
er G
I
Low
er G
I
Ski
n
Gyn
ae
Uro
logy
Tes
ticul
ar
Hea
d &
Nec
k
Ove
rall
S1
-30%
-25%
-20%
-15%
-10%
-5%
0%
5%
10%
15%
20%
25%
30%
35%
%
% Increase/Decrease In Average Referral To Treatment Waiting Times By Tumour Type 2007/08
www.mccn.nhs.uk
Time from GP to TreatmentMean Waiting Time (Urological Cancer) - 62 Day Rule
0
10
20
30
40
50
60
70
Jan-0
7
Feb-0
7
Mar
-07
Apr-0
7
May
-07
Jun-0
7
Jul-0
7
Aug-0
7
Sep-0
7
Oct-
07
Nov-0
7
Dec-0
7
Jan-0
8
Feb-0
8
Mar
-08
Average Wait Waiting TimeThreshold
.
www.mccn.nhs.uk
Last time …62 Day Referral To Treatment Cancer Waiting Time Performance Across
The North West Over The Last Three Years
50%55%60%65%70%75%80%85%90%95%
100%A
pr -
Jun
04
Jul -
Sep
04
Oct
- D
ec 0
4
Jan
- M
ar 0
5
Apr
- J
un 0
5
Jul -
Sep
05
Oct
- D
ec 0
5
Jan
- M
ar 0
6
Apr
- J
un 0
6
Jul -
Sep
06
Oct
- D
ec 0
6
Jan
- M
ar 0
7
Apr
- J
un 0
7
Jul -
Sep
07
Quarter
Ach
ieve
men
t (%
)
Threshold Compliance MCCN GM & CCN L & SCCN
A B
www.mccn.nhs.uk
This time …
A B
New Targets
0
20
40
60
80
100
Jan - March 08 April - June 08 July - Sept 08 Oct - Dec 08
Quarter
Ach
ieve
men
t (%
)
?
.
www.mccn.nhs.uk
Service Improvement
• 21 locality-based projects, including– Lung Cancer Risk Scoring Tool– Upper GI Cancer A&E admissions– Coping Strategies– Radiotherapy Template Booking– Cancer Screening Information Guide– Rapid Discharge, Home to Die– “Get Checked” campaign
• Network-Wide work includes– E-learning - Patient Information - Data Quality– Learning Disabilities - Early Detection & Prevention .
www.mccn.nhs.uk
Screening – New Challenges• Breast
– Age extension, 47 – 73– Digital mammography– MRI surveillance of high risk patients managed through screening
programmes
• Cervical– 14 day turnaround– Recommended move to smaller number of larger labs– Recommended move to smaller no. of larger screening agencies
• Bowel– Age extension, 60 – 75– National funding PCT baselines– Recommended split of Cheshire and Mersey programme
• All screen-detected patients included in 62 day target.