Download Cancer Services Annual Report

Lindsay Whittam
Trust Lead Cancer Clinician
Cancer Services at GWH
Michael Willson – Cancer Manager
Kath Brown – Deputy Cancer Manager
Alison Koster – Lead Cancer Nurse
Lorraine Hayward – User Involvement/Patient
Information
Helen Winter – Lead for Cancer Research
Performance
Variety of cancer access targets – national performance
indicators
2010-11 – exceeded each of the targets
Increase of 11% in patients referred via the 2-week
route
New 2/52 Referral Demand
2004/05 to 2009/10
1600
1400
1200
1000
800
600
400
200
0
Cancer Peer Review
Quality assurance of cancer services nationally
External review
Self assessment - Internal Validation or Desktop
review
Results 2010-11 – No immediate risks or serious
concerns
2011 - Internal validation of urology, gynaecology,
acute oncology, chemotherapy
External peer review of paediatric oncology service
2011
Areas of good practice identified
Very positive feedback from paediatric oncology
pt/carer survey
Rollout of Sentinel Node Biopsy service
Excellent team working by Lung team across 3
hospitals
Good multidisciplinary approach to pathway
management by Skin team
Good working relationship between Paediatric
Oncology team and the Principal Treatment Centre in
Oxford
Service Improvements – Cancer
Nursing
Emphasis on living with and beyond cancer
Selected as 1 of 11 national test sites of the NHS
Improvement Phase 2 - needs of patients with Myeloma or
Lung Cancer
7 possible work streams – focused on Assessment and Care
Planning:
Post –treatment care
Development of treatment record framework – intelligible
to pt
Ensuring tailoring of approaches to care during immediate
post-treatment period
Cancer Nursing
National pilot site for 24 hour triage helpline for pts
receiving cytotoxic chemotherapy with suspected
neutropaenic sepsis
Teaching programme for medical/nursing teams to
ensure neutropaenic sepsis is managed correctly
In collaboration with TVCN - development of a
Malignant Spinal Cord Compression Clinical Pathway
Acute Oncology Service
NCAG report 2009 – key national objectives:
Need for all hospitals with an A&E to develop AOS
Establishment of Trust-wide policy on management of
febrile neutropaenia
Patient access to specialist oncology advice
2010 – development of AOS at GWH
AOS - achievements
Reduction in LOS Sept 2010 compared to 2009
M&M audit - <1% deaths per cycle of chemo delivered
6 deaths in 600 cycles of chemo
Improved ‘door-to-needle’ time for administration of
antibiotics for neutropaenic sepsis
AOS - development
Consultant led daily ward round
Screening of Oncology triage calls by AOS CNS
Medical review of acute oncology admissions within
24 hours of admission
Quarterly M&M and audit meetings within Oncology
Rolling audits of neutropaenic deaths, LOS, chemo
safety prescribing
Quarterly AOS meeting with general physicians
Cancer Clinical Psychology
Dedicated Clinical Psychology Service for cancer pts
introduced late 2009
5 dedicated clinical sessions + 2 research sessions
Specialist clinical input for patients
Training/mentoring/support to members of the
Oncology and Palliative Care Teams
Research/developmental activities
206 appointments – 93% of pts indicated they found
the service extremely or very helpful
Cancer Dietetic Service
22% increase in patient referrals over the last year
Highest rates - lung, oesophageal, bowel cancer and
lymphoma
3 years additional funding from Macmillan Cancer
Support
Current project underway to develop a nutritional
screening process in oncology outpatients and
improve the identification of service users who require
dietetic advice
User Involvement
Improve cancer care by listening to and acting on the
views of people affected by cancer
Active local cancer user group
Participation in local, network and national initiatives
Involvement in peer review process and local MDTs
Participation in events to raise awareness: Cancer
Service Education Day, Cancer Information
Prescription Pilots, All Party Parliamentary Group on
Cancer Inquiry into Cancer Inequalities
Cancer Research
‘this is an excellent rate of return and your site is
consistently one of the best sites for data return on the
trial’
Increased number of studies opened in 2010-11 – total
31 RCTs and 25 non-RCTs
Over-achievement of the recruitment target
Recent Patient Experience Survey for patients in both
RCT and non-treatment trials
Increasing workload - national targets met
Increasing number of peer review measures
Service developments have improved efficiency and
use of resources - AOS
Future focus on survivorship