Transcript Cancer Commissioning Toolkit and the Somerset Cancer Register

Cancer Commissioning Toolkit
and the
Somerset Cancer Register
Jon Hayes
Deputy Network Director
www.mccn.nhs.uk
The CCT is a web-based tool with interactive outputs
2
The dashboard contains the key cancer metrics
3
Each metric can be observed in more detail with information on
sources and guidance
4
A cancer specific dashboard contains another selection of metrics
that can be analysed for each cancer type
5
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
10
Somerset Cancer Register
Slides by Karen Graham, St Helens & Knowsley NHS Trust
www.mccn.nhs.uk
Many Systems
Many Processes
Primary
Data Sources
PAS
Service
Requirements
Secondary
Repositories
Pathology
Radiology
MDT
CNS
Patient Tracking
(62 / 31 Day Patients)
.XLS
PTL
Spreadsheet
Outcomes
.dB
CWT
Records
Screening
Other
Trusts
Many Systems
Many Processes
Primary
Data Sources
PAS
Pathology
Service
Requirements
Secondary
Repositories
Radiology
MDT
CNS
Records
Screening
Other
Trusts
Cancer Registry Returns
.dB
.dB
.dB
.dB
.dB
.dB
.dB
.dB
Colorectal
Breast
Haematology
Urology
Lung
Head
& Neck
Skin
Upper GI
Outcomes
.dB
Cancer Registry
Many Systems
Many Processes
Primary
Data Sources
PAS
Pathology
Service
Requirements
Secondary
Repositories
Radiology
MDT
CNS
Records
Screening
National Cancer Audit
.dB
.dB
.dB
.dB
.dB
Lung
Colorectal
Upper GI
Head &
Neck
Breast
Outcomes
.dB
Open Exeter
Other
Trusts
Many Systems
Many Processes
Primary
Data Sources
PAS
Service
Requirements
Secondary
Repositories
Pathology
Radiology
MDT
CNS
Network Cancer Audit
8
.dB
Tumour Databases
Outcomes
Records
.doc
Audit Reports
Screening
Other
Trusts
Many Systems
Many Processes
Primary
Data Sources
PAS
Service
Requirements
Pathology
Radiology
MDT
CNS
MDT data
8
Secondary
Repositories
MDT Proforma
8
Outcomes
.dB
Tumour Databases
Records
Screening
Other
Trusts
Many Systems
Many Processes
Primary
Data Sources
PAS
Pathology
Radiology
CNS
Records
Screening
Patient Tracking MDT Data Collection
National Audit Data
Network Audit Data
Cancer Registry Returns
Service
Requirements
8
Secondary
Repositories
MDT
.XLS
.dB
PTL
Spreadsheet
Tumour
Databases
8
MDT
Proforma
BAUS
Forms
Gynae
Forms
Screening
Forms
3
Outcomes
.dB
.dB
.doc
.doc
.dB
.dB
CWT
Cancer
Registry
Local Audit
Network
Audit
Open
Exeter
Screening
Databases
Other
Trusts
Other
Trusts
Many Systems
Many Processes
Primary
Data Sources
PAS
Pathology
Radiology
CNS
Records
Screening
Patient Tracking MDT Data Collection
National Audit Data
Network Audit Data
Cancer Registry Returns
Service
Requirements
9
Secondary
Repositories
MDT
.XLS
.dB
PTL
Spreadsheet
Tumour
Databases
9
MDT
Proforma
BAUS
Forms
Gynae
Forms
Screening
Forms
3
Outcomes
.dB
.dB
.doc
.doc
.dB
.dB
CWT
Cancer
Registry
Local Audit
Network
Audit
Open
Exeter
Screening
Databases
Other
Trusts
Other
Trusts
Consolidating Data Capture
Somerset Cancer Register
Primary
Data Sources
PAS
Pathology
Radiology
MDT
CNS
Records
Screening
Patient Tracking MDT Data Collection
National Audit Data
Network Audit Data
Cancer Registry Returns
Service
Requirements
SQL
Somerset Cancer Register
MDT
CNS
3
Outcomes
.dB
.dB
.doc
.doc
.dB
.dB
CWT
Cancer
Registry
Local Audit
Network
Audit
Open
Exeter
Screening
Databases
Other
Trusts
Other
Trusts
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
Time for
Something Else?
12:57
AM
www.mccn.nhs.uk
Where do you want to go?
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New Website
Health Bus
Waiting Times
Service Improvement
Screening – new challenges
www.mccn.nhs.uk
www.mccn.nhs.uk
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www.mccn.nhs.uk
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www.mccn.nhs.uk
Waiting Times
% Increase/Decrease In Average Referral To Treatment Waiting Times
By Tumour Type 2007/08
35%
30%
25%
20%
15%
%
10%
5%
0%
-5%
-10%
-15%
-20%
-25%
www.mccn.nhs.uk
Overall
S1
Head & Neck
Testicular
Urology
Gynae
Skin
Lower GI
Upper GI
Haem
Lung
Breast
-30%
Time from GP to Treatment
Mean Waiting Tim e (Urological Cancer) - 62 Day Rule
70
60
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40
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20
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Average Wait
Waiting TimeThreshold
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www.mccn.nhs.uk
Last time …
Quarter
Threshold Compliance
www.mccn.nhs.uk
MCCN
GM & CCN
L & SCCN
Jul - Sep 07
Oct - Dec 06
Jul - Sep 06
Apr - Jun 06
Jan - Mar 06
Oct - Dec 05
Jul - Sep 05
Apr - Jun 05
Jan - Mar 05
Oct - Dec 04
Jul - Sep 04
Apr - Jun 07
B
A
Jan - Mar 07
100%
95%
90%
85%
80%
75%
70%
65%
60%
55%
50%
Apr - Jun 04
Achievement (%)
62 Day Referral To Treatment Cancer Waiting Time Performance Across
The North West Over The Last Three Years
This time …
New Targets
Achievement (%)
100
80
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60
40
B
A
20
0
Jan - March 08
April - June 08
July - Sept 08
Oct - Dec 08
Quarter
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www.mccn.nhs.uk
Service Improvement
• 21 locality-based projects, including
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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
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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
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www.mccn.nhs.uk