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London Appraiser Training Cancer Case Reviews
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  1. London Appraiser TrainingCancer Case Reviews Dr Pawan Randev Transforming Cancer Services Team 11th September 2014

  2. Format • Introduction and context • SEA • Your experiences – Cancer and SEA • The proposed template • Sample SEAs to consider • Resource set • What should our outcomes be?

  3. Introduction • Pawan • GP Trainer and Appraiser • GP Clinical Lead TCST – Education lead • RCGP Cancer SEA Pilot 2013 • “Improving Cancer Awareness” GP Trainers • Developed resources including website • Cancer Lead for 15 years

  4. Significant Event Analysis • An account of an SEA should not allow patients to be identified and should comprise: • Title of the event • Date of the event • Date the event was discussed and the roles of those present • A description of the event involving the GP • What went well? • What could have been done differently? • reflections on the event in terms of: • o knowledge, skills and performance • o safety and quality • o communication, partnership and teamwork • o maintaining trust • What changes have been agreed: • o for me personally • o for the team • Changes carried out and their effect.

  5. Your experiences of Cancer and SEA • Have you submitted a cancer SEA? • Discussed a cancer case with an appraisee? • Considered a cancer SEA in your practice SEA meetings?

  6. Sample SEA- 1

  7. Sample SEA - 2

  8. Template for Cancer SEA • 1. What Happened: Facts of the Case. • 2. Identification of Key Moments: Issues to Reflect upon • 3. Learning, Quality improvement and Commisioning • 4. Implementation of Quality Improvement • 5. Development of this process • Some information about the setting for this case

  9. Sample SEAs • Set of 6 SEAs to practice with in workshops • Small groups 3-5 with activities as below: • What was good/could be developed? • Discuss what feedback you could give to appraisee • How could you challenge/stretch appraisees? • What resources may help deeper thinking? • How to maximise impact of learning – personal/patient/practice/CCG • 10 minutes per SEA in small group then large group discussion/feedback

  10. Resources • Practice Profiles • Revalidation toolkit • Patient perspectives • Macmillan CDS • RCGP Audit • Educational Modules • Involving the whole team

  11. Practice profiles: what are they? • General Practice Profiles for Cancer bring together a range of process and outcomes information relevant to cancer in primary care. • Similar principle to PACT data • They provide readily available and comparative information for benchmarking and reviewing variation at a general practice/CCG level. • They can be used to understand the cancer burden for a population. • Not performance measurement as no established/agreed normal values

  12. Data domains and indicators for your practice

  13. Using the Practice Profile • Giving context to the SEA • Appreciating the larger picture • Understanding what happened over 1 year • Comparing – like PACT data • Not performance management • Seeing a larger setting – practice, CCG and England levels

  14. Google HEEM ICA

  15. Stepped approach -5 modules

  16. Audit Tool • 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

  17. RCGP Cancer Education Hub

  18. BMJ Learning – free access London Channel

  19. Doctors.net.uk

  20. Macmillan Cancer Decision Support Tool • CDS

  21. Google HEEM ICA