Download Regional Services Plan – Q1 reporting

Overall status
Quarter 1 Report
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date: 1 June - 30 September 2012
Midland Cancer Network CFA annual report that includes indicators
submitted to Ministry of Health 20 September 2012.
NZ DHB lung cancer standards stock take and gap analysis report
submitted to last CPSG meeting.
NZ Breast Cancer Work Group had first meeting September to review first
draft of national standards. Quarter report submitted to Ministry of Health
10 October 2012.
Midland Radiation Oncology Demand and Capacity Modelling 2012-13
endorsed by Midland COOs and GM P & F and due to Midland CE Oct.
Midland Faster Cancer Treatment Implementation Plan due to Midland CE
Oct. meeting for endorsement to enable Ministry funds to be released.
Note delays with Ministry service specification contract to region.
Midland Cancer MDM Action Plan 2012-14 endorsed by Midland GM P&F
in September.
Facilitated the development of the Waikato DHB change to model of
service for adult specialist palliative consultation document – out for
consultation October.
Proposed new regional model of service for Palliative Medicine Advanced
Training submitted to Midland GMs P & F (endorsed Sept) and Midland
COOs (awaiting response).
AV upgrade Rotorua and Waikato hospitals completed August.
HD VC equipment for cancer MDMs approved and equipment ordered
Tairawhiti transition plan progressing well, Waikato Cancer Society
purchased 2 bedroom apartments for community accommodation, clinical
meeting with MidCentral Waikato and TDH to agree patient transition plan,
Waikato Clinical Director visit to TDH occurred in September.
Tairawhiti joined Midland Cancer Network effective 1 July 2013
Dr Humphrey Pullon appointed as MCN Clinical Director commences 1
October 2012 (limited capacity until replacement resource appointed).
Lakes and MCN participated in the NCN HRC Lung Cancer research, the
report has been released and findings are to be presented at Lakes in Oct.
Midland Cancer Network
2012-13 Work Programme
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Key highlights
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Changes to work
programme
Risks / issues
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Request to partner and supporting HRC project led by Dr Jacqui Kidd –
Palliative Care Health Literacy and Maori Communities.
ACP funding from HWNZ still to be clarified.
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MCN financial infrastructure issues
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Key programmes
Faster Cancer Treatment
Implementation Plan
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Tairawhiti Cancer
Service Transition Plan
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NZ Lung Cancer
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Cancer MDM
development
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Hei Pa Harakeke Action
Plan 2012-14
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NZ Breast Cancer
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Cancer Care
Coordination
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Midland Bowel Cancer
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Midland Lung Cancer
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Midland Radiation
Oncology
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Midland Medical
Oncology
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Midland Palliative Care
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Midlands HRC Research
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Midland Regional Services Plan – Midland Cancer Network 2012-13 Q1 reporting
Expected action
Midland Cancer Network 2012-13 Quarter 1 progress
Sustain performance against radiotherapy and chemotherapy wait time
targets
 100% of people ready for radiotherapy start their treatment within four
weeks of decision to treat
 100% of people requiring chemotherapy are treated within four weeks of
decision to treat
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Achieved and ongoing – refer to Waikato DHB cancer target reporting
Develop and implement regional plan that aligns the priority areas identified
in the report New Models of Care for Medical Oncology
 regional medical oncology plan phase one priorities implemented by June
2013
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National implementation plan published by Ministry of Health on 13
September 2012 and sent to DHBs
Worked with Ministry of Health on service specifications to undertake
regional workforce planning.
Workforce planning process for region in draft
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Ongoing implementation. KPIs to be reported for January-December
2012
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Transition implementation plan and communications plan developed
Work group established
Joint meeting held with Mid Central to agree patient handover and
process for transition
2013-14 clinic and volumes agreed
Tairawhiti joined Midland Cancer Network effective 1 July 2013
Tairawhiti transition plan progressing well, with Waikato Clinical Director
visit to TDH occurred in September
Waikato Cancer Society purchased 2 bedroom apartments for community
accommodation.
Midland CEOs endorsed the Midland Demand and Capacity Modelling
report 2012-2020 at October meeting
Implement and further develop the Midland Chemotherapy Nursing
Certification Framework (developed 2011-12)
Support implementation of recommendations from the Tairawhiti DHB tertiary
cancer review
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Support development of radiotherapy service with regional integration of
services approach with possible entry of a private radiotherapy provider into
BOPDHB
 regional radiation oncology plan phase one priorities implemented
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Expected action
Midland Cancer Network 2012-13 Quarter 1 progress
Support development of Midland and local palliative care services
regional palliative care service plan annual priorities implemented by June
2013
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Faster Cancer Treatment - Undertake baseline stock take of systems
capability to capture regional data for national minimum cancer dataset and
business processes and FCT indicators
 Baseline data stocktake completed; regional FCT implementation plan
developed by 1 July 2012 and phase one priorities of plan implemented
by June 2013
 collaboratively MCN and DHBs develop a regional FCT implementation
plan to commence implementing the agreed faster cancer treatment
indicators
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begin implementing regional clinical data repositories for cancer within
available resources
Continue improving the functionality and coverage of regional cancer
multidisciplinary meetings (MDMs) within available resources
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Bay of Plenty and Lakes palliative care service plans completed.
Waikato in development.
Proposed new regional model of service for Palliative Medicine Advanced
Training submitted to Midland GMs P & F (endorsed Sept) and Midland
COOs (awaiting response).
Facilitated the development of the Waikato DHB change to model of
service for adult specialist palliative consultation document.
Partnering and supporting HRC project led by Dr Jacqui Kidd – Health
Literacy and Maori Communities.
ACP funding from HWNZ still to be clarified.
Baseline stock take completed.
Midland Faster Cancer Treatment Work Group established.
Draft Midland FCT Implementation Plan presented to Ministry of Health in
July
Final Midland FCT Implementation Plan signed off by Midland CEs in
September 2012.
Awaiting Ministry of Health service specification contract agreement.
Regional FCT database to be developed and implemented by Waikato IS
in Q2.
Ministry of Health funding for FCT not expected until late November
2012.
Ministry of Health asked for clarification. Written communication to come
to the regions in due course.
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Midland MDM gap analysis completed.
Gap Analysis and Action plan 2012-14 signed off by GMs Planning and
Funding in September.
AV upgrade Rotorua and Waikato completed August.
HD VC equipment for cancer MDMs approved and equipment ordered
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Monitoring ongoing
Service improvement initiatives to continue to improve timely access to
services for priority bowel cancer
Support DHBs to implement systems to record and monitor colonoscopy wait
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Expected action
Midland Cancer Network 2012-13 Quarter 1 progress
times and achieve wait time target (TBC)
 Colonoscopy wait time indicators – patients accepted for diagnostic
colonoscopy receive their procedure within wait time standards
Support DHBs to implement national colonoscopy prioritisation tool (TBC)
 100% of DHBs implemented national prioritisation tool
Support Lakes as a trial site to complete implementation of the Global Rating
Scale (GRS) endoscopy services quality tool
Support the elective services Enhanced Recovery After Surgery (ERAS)
initiative1 with pilot sites at BOP (lead) and Waikato
Re-submit endoscopy reporting system for regional IT prioritisation 2013-14.
Service improvement initiatives to continue to improve timely access to
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Awaiting national colonoscopy prioritisation tool but
 Lakes – no issues
 Waikato – no feedback
 BOP – all surveillance stopped, links closely to Bay Navigator and their
proposed single referral process
 Pilot completed. Expected to be rolled out nationally
Waikato;
 ERAS pilot commenced 3 September
 Data currently collected manually and will be loaded into Excel.
 Draft database developed – meeting scheduled for 19th Oct with key staff
to agree
 Demonstration of electronic pen arranged for 29th Oct with key staff.
Plan is to use pen to collect data and then load to ERAS database and
the future regional colorectal database.
 Fortnightly project meetings
 Teleconference with various DHBs and Ministry of Health regarding
collection of 21 core data items. Our database will collect these items and
more and able to compare across country at a later date if needed. The
core items are not mandatory collection items as yet
 Taranaki project going well
 Regional business case for other DHBs rewritten in new template, started
financials
 Waikato – final realisation that current endoscribe will not migrate to new
facility when they move in January 2013
 Reported the Midland lung cancer performance indicators to Ministry of
Expected action
Midland Cancer Network 2012-13 Quarter 1 progress
services for priority lung cancer
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Host the National Lung Cancer Working Group and agreed work programme
Host the National Breast Cancer Working Groups and agreed work
programme
 Meet requirements of the NZ tumour stream standards and patient
pathways project plan
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Health cancer team
Making enhancements to regional lung cancer database to align with the
national lung cancer core data set and improve regional reporting
Local DHB meetings planned
Lakes and MCN participated in the NCN HRC Lung Cancer research, the
report has been released and findings are to be presented at Lakes in
Oct.
Stock take and gap analysis report presented to Cancer Programme
Steering Group. Presenting findings to regional lung cancer work groups
in quarter 2.
Developing national data set – submitted to HSIO
Group and chair established. First work group meeting held September.
Quarter reporting sent to Ministry of Health cancer team 10-10-12
Next meeting November