Cancer care commissioning priorities – South East London

1. Cancer care commissioning priorities – South East London Summary of discussions from meeting held: Tuesday 10th July, 6pm-8pm at Guy’s Hospital

2. Note: Order of slides is not a reflection of priority of discussion points Data Better structured data from secondary care Comparative data that can be used to inform decisions regarding quality and performance Identify areas where improvement is required and equally where performance is good and lessons may be learned for elsewhere Need data across the pathway for patients Need staging and outcomes data Trusts need to be able and motivated to provide improved data IT support within Trusts, including resource capacity for data collection and analysis Motivation for change – incentivise, show those specialties that do provide the data compared to those that don’t Balanced scorecard for providers to include data management and use – cancer priorities need to be incentivised and rewarded

3. Note: Order of slides is not a reflection of priority of discussion points Communications Communications from secondary to primary care GP access to secondary care advice regarding test / diagnostic results Use of standard and structured care plans Need to ensure patient has care plan on discharge that includes information on how to access the system again if required (what is the referral route back in). GP should be notified of diagnosis in a timely way with information enabling a GP to have a better conversation with their patient. This information should include • Diagnosis • What has been discussed regarding treatment options • What has been discussed regarding treatment outcomes Communications from primary care to secondary care GPs to complete pro-forma that includes a patient’s co-morbidities and the impact that these have on the patient This information will help inform secondary care discussions and decisions, and in particular should be used to inform discharge planning Seek to find a platform / interconnection that allows sharing of relevant patient information between primary and secondary care providers

4. Note: Order of slides is not a reflection of priority of discussion points Pathways Early diagnosis Encourage opportunistic screening in primary care Currently gaps in screening as patient contact data is not up to date, need to ensure more patients are reached by screening programme Proactive contact from GP to encourage screening, such as communications at certain age intervals or for ‘at risk’ groups Need to improve awareness to ensure presentation at right place at ‘right’ time Pathways Need to address variations in care and outcomes Breast pathway is example of successful pathway, and best practice should be shared Some conditions do not seem to have any clear pathways e.g. lytic lesions, pancreatic without jaundice, and there are concerns over the effectiveness (speed) of these pathways