wlccg cancer qp dr pawan randev wlccg cancer lead gp 20 th june 2013
TRANSCRIPT
WLCCG Cancer QP
Dr Pawan RandevWLCCG Cancer Lead GP
20th June 2013
Aims of Cancer QP 2013
• Earlier diagnosis cancer in primary care• Raising practice awareness of cancer
symptoms and screening programmes• Increase bowel cancer screening uptake• Recording of 2WW referrals• GP engagement with cancer issues
About me:
• GP• Measham Medical Unit• Trainer• Appraiser• Clinical Lead GP in a Cancer Network 6 years• Worked on many national and local cancer
projects
Past roles
• Macmillan GP Facilitator• Involved in RCGP cancer pilots• Part of Be Clear on Cancer Lung campaign• Poster boy in the Sun on Sunday…
Leicestershire data
• Under 75 deaths• Cancer is single largest contributor - 42% • More than heart disease• Prevalence of cancer higher than national
average• Under 75 mortality rates from cancer have
fallen in LCR from a rate of 132 per 100,000 to 99 per 100,000.
Our Health and Well Being Board Strategy
• Deaths from cancer have not decreased to the same extent as heart disease.
• Ensuring that patients and health professionals alike are able to recognise symptoms and make early diagnosis will be essential in reducing the death rates from cancer.
Earlier Diagnosis of Cancer
• Patient awareness• Practice Staff awareness• Doctor awareness … and action• Practice looking at feedback on performance• Making Practice action plans to address areas
for improvement
Population awareness:Be Clear on Cancer Campaigns
Action Point 1
• How could the practice work with the national campaigns?
• Posters, leaflets, website, staff awareness…• Patient Participation Groups?• Ask staff how the message could be delivered
Earlier Diagnosis of Cancer
• Patient awareness• Practice Staff awareness• Doctor awareness … and action• Practice looking at feedback on performance• Making Practice action plans to address areas
for improvement
Practice Staff awareness
• Valuing our staff• Part of your local community• Untapped resource• How many p/t and f/t staff do you employ?• What is their awareness of cancer?• Have team members personal experience of cancer?• Is it their role?• All are part of our teams
Cancer Awareness toolkit
• Practice managers can co-ordinate this• PLT for staff• Check knowledge/confidence pre and post• Can be accessed away from workplace• Part of practice development plans• Submit for practice appraisal visits• Residential home staff
Earlier Diagnosis of Cancer
• Patient awareness• Practice Staff awareness
• Doctor awareness … and action• Practice looking at feedback on performance• Making Practice action plans to address areas
for improvement
Doctor awareness … and action
• Using Practice Profiles• What is the profile?• How can we use it?• What does it mean to us?• Is it performance management?• Are the numbers right?• Can I phone a friend? Yes, email Jennie and
me
Practice Profiles
• Practice and PCT level comparator data – like PACT data
• Domains – demographics, screening, referral, presentation• Descriptive information about practice cancer
activity• Really useful for Practice development plans• Share with nursing staff• NOT performance measurement
Using the data
• Eyeball – look for variance with CCG/England means
• Is this what you expected, for your population?
• What are you doing well?• What could be better?• How could it be better?
An example
• Bowel cancer screening• 60-75 years age• MMU – 61% uptake• Breast screening uptake – 85%• Is this acceptable for a national screening
programme?• What can we do to increase uptake?
Action Point 2
• Identify non-responders with code ( Bowel cancer screening declined)
• Write to them ( 10% take it up)• Ask patients attending for LTC monitoring• Posters in flu clinic• Web site• Birthday card for 60 year olds…
Earlier Diagnosis of Cancer
• Patient awareness• Practice Staff awareness• Doctor awareness … and action• Practice looking at feedback on performance• Making Practice action plans to address areas
for improvement
Practice Profiles
• 2 week waits – number• 2 week wait conversion rates• Use of diagnostics• Emergency presentations
Action Point 3
• Use of risk assessment tools • qCancer• Consider audit 2ww referrals using standard
Read Codes “Fast Track Referral” 8Hn
Practice Action Plans
• Ideas from Profiles meetings• Input from staff engagement events• Patient groups• Your plans to detect cancer earlier as a team• Identify how CCG can help ( realistically)• May share plans as locality• Good ideas spread across CCG (and credited)
Questions and Activity
• Looking at Profiles• Sharing first thoughts• Concerns?• Contacts:• [email protected]• [email protected]