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Towards earlier diagnosis of cancer

Towards earlier diagnosis of cancer. Dr Pawan Randev 6 th October 2014 p awan.randev@nhs.net. Overview. Introduction The context for Primary Care Why it matters How can you make a difference? Resources. About me. GP 3 days a week GP Trainer GP appraiser

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Towards earlier diagnosis of cancer

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  1. Towards earlier diagnosis of cancer Dr Pawan Randev 6th October 2014 pawan.randev@nhs.net

  2. Overview • Introduction • The context for Primary Care • Why it matters • How can you make a difference? • Resources

  3. About me... • GP 3 days a week • GP Trainer • GP appraiser • West Leicestershire CCG Cancer Lead • East Midlands SCN Cancer Lead • Work with 2 associate GPs and manager

  4. The Canadian Medical Association Journal, May 1933

  5. Diagnosing Cancer

  6. Cancer outcomes lag behind similar health economies Coleman MP et al, Lancet 2011;377:127-37

  7. Why is it so difficult? • Patient factors • Awareness – mentioning symptoms • Patient understanding • Symptoms can be vague • Co-morbid conditions (lots!) • Polypharmacy • Patient fear • Male/female denial • Continuity of care?

  8. Why is it so difficult? • For Professionals: • More than 2/3 problems per consultation • More than 6 medications • Older patients (range of normal) • Fear of cancer – the google patient • Cancer is a small numbers game • Continuity of care – works both ways! • Busy professionals...getting busier!

  9. How can you make a difference? • NICE Guidance – update in 2015 • 2 week wait referral forms • Clinical Decision support tool • SEAs • Appraisal • Audit • Staff Training • Understanding Patient Experience • Flexi Scope screening • All resources here http://tinyurl.com/kl5ctky • “HEEM ICA” into Google

  10. Decision support

  11. Have you ever had a Cancer SEA? • Has this been discussed at practice SEA meetings? • Have you had a near miss? • Have you picked up a cancer that was missed by others? • How many patients fear cancer? • Do you have a structured approach to recording 2 week wait referrals?

  12. New Cancers diagnosis audit • Developed by RCGP • National audit 2010/11 • Excel tool • Easy to complete –honest!! • Downloadable • Tested on over 16,000 cancer journeys • Strictly a survey until standards/criteria set and re-audit

  13. Primary Care Audit

  14. Cancer Awareness Toolkit • On Line resource for GP staff • Receptionists, attached staff, social care • Pharmacists • Created by Cumbria Cancer Network • Can form part of induction for staff or bring up at appraisal or at practice learning events

  15. Resources for staff

  16. Cancer Awareness Toolkit

  17. Understanding Patient Experience

  18. Thank you and questions, please

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