wlccg cancer qp dr pawan randev wlccg cancer lead gp 20 th june 2013
TRANSCRIPT
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WLCCG Cancer QP
Dr Pawan RandevWLCCG Cancer Lead GP
20th June 2013
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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
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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
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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…
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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.
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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.
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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
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Population awareness:Be Clear on Cancer Campaigns
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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
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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
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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
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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
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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
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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
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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
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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?
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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?
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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…
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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
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Practice Profiles
• 2 week waits – number• 2 week wait conversion rates• Use of diagnostics• Emergency presentations
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Action Point 3
• Use of risk assessment tools • qCancer• Consider audit 2ww referrals using standard
Read Codes “Fast Track Referral” 8Hn
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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)
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Questions and Activity
• Looking at Profiles• Sharing first thoughts• Concerns?• Contacts:• [email protected]• [email protected]