Download Dr Child - National Cancer Programme

Faster Cancer Treatment
Improving Quality of Care Across
the Patient Cancer Pathway
PREPARED BY
John Childs June 2012
Rationale for Faster Cancer Treatment
• clinically beneficial
• streamlined health service delivery
• consistent with indicators implemented in other
countries
• Focus on efficiency improves quality
Data Definitions, Measurement and Indicators
Indicator two (best practise – 14 days)
Urgent referral
with highsuspicion of
cancer
First specialist
assessment
Indicator three (best practise – 31 days)
Decision-to-treat
First cancer
treatment
Indicator one (best practise – 62 days)
1.
Referred urgently with high suspicion of cancer receive first cancer treatment within 62 days
2.
Referred urgently with high suspicion of cancer have first specialist assessment within 14
days
3.
Confirmed diagnosis of cancer receive first cancer treatment within 31 days of decision-totreat
National data definitions, reporting template and frequently asked questions
documents have been sent to the DHBs
Regional implementation plans
• Stock-take against existing DHB information systems (what is
currently collected?)
• Identify the changes to information systems and internal
processes that are required to support consistent collection of
the data against the Indicators
• Stock-take of existing care coordination roles
Regional implementation plans are due 30 June 2012
Implementation
• Phased with baseline data collection in 2012/13
• Regional Implementation plans
• key initiatives:
• Tumour stream standards and pathway frameworks
• Care coordination
• Multidisciplinary meetings
Multidisciplinary meetings
• funding advice identified $2 million nationally for MDMs; regional
approaches to improve quality and consistency
• increase MDM information systems / data collection
• coordination
• connectivity
• number of MDMs across tumour streams
• streamline MDM processes to increase proportion of cancer
patients reviewed
• MDM guidance document released by Ministry
Tumour standards
•
cancer networks supporting development of eight tumour standards:
Bowel
Haematological
Breast
Melanoma
Gynaecological
Upper gastrointestinal
Head and neck
Sarcoma
•
urological tumour standards will be developed following the Prostate
Cancer Task Force recommendations
•
implementation of the tumour standards will require local DHB
commitment
•
Standards will support pathway framework
Patient pathway coordination
•
Budget 2012 identified $33 million over four years for up to 40 cancer nurse
patient pathway coordinators
•
positions will help patients through the cancer service pathway in a timely,
responsive and seamless fashion
•
the Ministry is developing a cancer care coordination model that specifies
minimum standards of service delivery
•
Cancer Networks completing a stock-take of existing patient coordination
roles in DHB secondary care settings
•
new funding will be tagged to new clinical positions with the core function
of patient pathway coordination
Coordination of Care Roles
•
Nursing/nurse specialist roles
•
Additional to existing DHB roles
•
Pan pathway: from suspicion
•
Provide a single point of contact
•
Configuration will vary across DHBs: adaptation to local need
•
Provide nursing care, application of clinical skills (cancer knowledge)
and co-ordination
Additional initiatives
• Establish a patient information resource network
• Tools to assist primary care in identifying patients with suspected
cancer
• Limited funding for service redesign and optimisation