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National Cancer Agenda

National Cancer Agenda. Jan Chalkley Macmillan Cancer and Palliative Care Lead Nurse. National Policies and Guidelines. Calman Hine Report Cancer Plan Manual of Cancer Services Peer Review Cancer Reform Strategy Improving Outcomes Guidance Improving Outcomes: A Strategy for Cancer.

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National Cancer Agenda

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  1. National Cancer Agenda Jan Chalkley Macmillan Cancer and Palliative Care Lead Nurse

  2. National Policies and Guidelines • Calman Hine Report • Cancer Plan • Manual of Cancer Services Peer Review • Cancer Reform Strategy • Improving Outcomes Guidance • Improving Outcomes: A Strategy for Cancer

  3. Impact ? • MDT working • CNS workforce • Supportive and Palliative Care guidance: - Holistic Needs Assessment - User Involvement - Patient Information Prescriptions

  4. Health Service Reforms • Parliament: Health and Social Care Bill • Commissioning • Public Health • C C Gs • Networks and Senates • NHS Improvement

  5. Focus on Outcomes • Reduce premature mortality rates. • Enhance quality of life for people with long term conditions. • Recovery from episodes of ill health. • Ensure people have a positive experience of care. • Protecting people from harm.

  6. Prevention and Early Diagnosis • Public Health. • Primary Care prevention ie. smoking cessation • HPV vaccination service. • Cancer Screening Programmes, including QA. • Targeted campaigns to raise public awareness of symptoms and to encourage early presentation. • Cancer Registries.

  7. Early Diagnosis • GP’s role. • A risk assessment tool to support GPs is being developed. • GPs – better access to diagnostic tests eg. CXR, Ultrasound, Endoscopy, MRI. • Guidelines to be developed.

  8. Quality of Life andPatient Experience • Advanced Communication Skills Training (ACST). • Information Prescriptions. • National Cancer Survivorship Initiative. • Cancer Patient Experience Survey.

  9. Quality of Life andPatient Experience cont/. • Results of Survey will be used to incentivise improvements. • Patient Related Outcome Measures (PROMs) will be piloted for cancer. • New tariffs will be developed to incentivise better “aftercare” for cancer patients.

  10. Better Treatment (1) • Surgery – better techniques, variations in intervention rates especially in older people. • Radiotherapy – investment to expand capacity.

  11. Better Treatment (2) • Implementation of NCAG Report: - quality and safety for chemotherapy delivery; - acute oncology services; - improve chemotherapy data; - Cancer Drugs Fund.

  12. In-patient Stays /Emergency Admissions • Most cancer patients do not want to be admitted to hospital. • Scope to reduce in-patient admissions and length of stay. • Enhanced recovery. • This could save over £200m per annum.

  13. Supporting Quality Services • Ongoing commitment to multi-disciplinary working. • Cancer Peer Review provides important quality. • National Clinical Audits to be maintained.

  14. National Cancer Survivorship Initiative • Promoting recovery: • risk stratification; • treatment summaries/care plans; • rehabilitation and exercise programmes; • work and finance; • Sustaining recovery: • self management programmes; • alternatives to routine follow up ie. remote monitoring; • Consequences of treatment: • late effects;

  15. Acute Oncology • Toxicities of treatment. • Complications of cancer. • Cancer of Unknown Primary (CUP). • emerging models; • peer review measures.

  16. Summary • Strategy builds on previous guidance • Ambitious and quantifies lives to be saved. • Information, choice, stronger commissioning, new incentives/tariffs will be critical for delivery. • Existing expertise will be critical to success, but with new ways of working.

  17. Thank You A busy future for Cancer Services with numerous challenges and developments.

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