Greater Manchester & Cheshire Cancer Network

1. Greater Manchester & Cheshire Cancer Network A Network Approach to Improving the Management of Breast Disease A Joint Primary Care and Breast Specialist Education Event Mr Ashu Gandhi, Consultant Breast Surgeon; Mrs Coral Higgins, Breast Clinical Sub-Group Facilitator; Mrs Barbara Hughes, Primary Care Cross Cutting Group Facilitator Greater Manchester & Cheshire Cancer Network, Gateway House, Piccadilly South, Manchester M60 7LP Event Evaluation Main Aims • Develop a greater understanding of the patient pathway for primary care physicians • Breast specialists to understand & appreciate the difficulties faced by General Practitioners and the events leading to referral decisions • Other Aims: • Support GPs in referral decisions by Sharing Current Thinking and Best Practice in management of breast disease • Provide refresher training in Clinical Breast Examination Skills • Use Modern Teaching Methods and a Multidisciplinary Approach to Learning • Get to know Clinical Colleagues from outside local area • Discuss and Debate Current Issues in the management of breast disease Methods • Modern teaching methods used: • Audience participation via electronic voting system • Interactive case studies using simulated patients • Practical sessions for Clinical Breast Examination using models • Q&A session with expert panel • Multidisciplinary Approach – Audience and Speakers Would you like to attend similar events for other tumours? Breast Specialists Contributing….. Summary & Conclusions • Palliative Care Specialists • Lymphoedema Specialists • GPs • Oncologists • Radiographers • Surgeons • Breast Care Nurses • Geneticists • Ward Sisters • Breast Physicians • Radiologists • Over 180 GPs and practice nurses have attended since 2004 • Multidisciplinary approach to patient management in both primary and secondary care • Event is popular and well supported by both primary and secondary care colleagues • Oversubscribed each year with waiting list for the next event • Format now being developed by other network groups, eg Gynaecology, Urology, and Colorectal • Summary of main responses from delegates: Using simulated patients for initial assessment case studies Event Programme Showing how all sectors work together for benefit of patients Improvement in clinical breast exam techniques Following a typical breast patient pathway……. New treatments - Side effects and how to manage initially 9:30 Interactive Session: Initial Assessment of Patients with Breast Problems – Case Studies with simulated patients 11:30 Practical Session: Clinical Breast Examination using models 10:30 Interactive Session: Use of NICE Familial Breast Cancer Guidance Triple assessment investigations and how one-stop breast clinic works What was most useful? What have you learnt? Appropriate referrals (2WW and routine) 12:15 Interactive Session: Use of NICE Referral Guidelines for Suspected Cancer 1:15 Lecture: What happens at a One-Stop Breast Clinic? 2:00 Lecture: New Treatments for Breast Cancer 12:45 LUNCH & NETWORKING Appreciate roles of other clinical colleagues and role we all have to play Covering the whole patient pathway Family history & genetic risks. NICE guidelines 2:30 Q&A session: Side Effects of Treatment – Discussion with Expert Panel 3:15 Lecture: Breast Screening & Implications for Primary Care 3:45 Lecture: Palliative Care Issues for Breast Cancer Patients Effective timely communication between 1-care & 2-care is vital Printed by Department of Medical Illustration, Christie Hospital NHS Trust, Manchester. Tel:0161 446 3305/6. Email: Illustration@physics.cr.man.ac.uk