Download February 2016 - Central Cancer Network

CCN Update – February 2016
Shorter Waits for Cancer Treatment
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Health Target - All patients, ready for treatment, wait less than four weeks for radiotherapy or
chemotherapy - region consistently meeting the 100% target.
The regional project to introduce the eviQ Antineoplastic drug (Chemotherapy) Administration Course for
nursing is progressing well and the programme has gone live. The project evaluation is in process and the
next stage of work to be undertaken in 2016/17 is being scoped.
The region has feedback on the draft National Nursing Standards for Antineoplastic Drug Administration in
NZ. These will be finalised and provided to the sector for implementation over the next few months.
Faster Cancer Treatment (FCT) programme
FCT Indicators
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DHBs reporting monthly against the indicators including the new 62 day health target - patients receive
their first cancer treatment within 62 days of being referred with a high suspicion of cancer and the triaging
clinician believes the patient needs to be seen within two weeks( 85% of patients by July 2016). 2015/16
Qtr2 data identifies that the region is currently at 75%
CCN continues to work with DHBs to provide additional analysis and improve the quality of reporting.
National Tumour Standards
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Regional Service reviews against the national tumour standards continue:
o Bowel – Implementation plan underway – recent activity relates to the implementation of the two
sub-regional colonoscopy plans and CT Colonography Stocktake recommendations
o Lung – Implementation plan underway – current focus on access to Endobronchial Ultrasound (EBUS)
services at CCDHB and PET -CT.
o Gynaecological – Review completed – findings report finalised and draft implementation plan is being
consulted on
o Breast – Review completed – findings report finalised and draft implementation plan is being
consulted on
The next two reviews to commence in 2016 are Upper GI (planning starts Feb) and Head & Neck (planning
starts Mar)
Multi-Disciplinary Meeting (MDM) Development
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CCN is working with the region to identify clinician resourcing requirements to support the MDMs over the
next 6mths to inform DHB business cases to address any additional requirements
Under the Cancer Health Information Strategy the Ministry is progressing a project to deliver a
standardised national MDM framework by late 2016. Link to Strategy:
http://www.health.govt.nz/publication/new-zealand-cancer-health-information-strategy
Supportive Care
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He Anga Whakaahuru - CCN Supportive Care Framework has been finalised and disseminated to the sector.
A regional implementation plan is being drafted and initial activities will focus on dividing the Framework
into its component parts (model, standards, workforce competencies and quality tools) and engaging with
organisations and related projects to promote the use of these.
Regional Psychological and Social Support Services Plan - majority of the roles are now in place. Local DHB
meetings are being held to identify the existing services and resources available and how the new roles will
integrate. The leads are also meeting regularly regionally and nationally to learn from each other and align
developments where appropriate.
Capital & Coast | Hawkes Bay | Hutt Valley | MidCentral | Taranaki
Wairarapa | Whanganui
FCT Request for Proposal
 The following Round 2 projects to support DHBs to meet the 62 day target, implement the tumour
standards and address equity, will be delivered during 2015-18:
o CCN - Priority Cancer Pathways Implementation Project
o CCDHB/HVDHB/WaiDHB - Emergency Presentation of Colorectal Cancer - Identifying Factors
Affecting Late Presentation - How Can We Improve Patient Awareness and Health Seeking
Behaviours to Improve Overall Outcomes (commencing Apr 2016)
o CCDHB/HVDHB/WaiDHB - Development and Implementation of a Pacific Faster Cancer Treatment
Plan (commencing Mar 2016)
o MDHB - Secondary Services Pathways Development
o TDHB - Defining the Uro-oncology Patient Pathway
o WhaDHB – Individual cancer follow up plans
Equity Programme
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CCN has been contracted by the Ministry to provide secretariat services for Hei Āhuru Mōwai (Māori
Cancer Leadership Aotearoa) for the next 3 years.
Working with local cancer networks and local Māori cancer leadership groups to identify and progress
equity initiatives
Partnering with the Cancer Society to plan for the delivery of the Kia ora e te Iwi programme (living with
cancer)across the Central Districts Division
Working with HBDHB to scope two primary care initiatives related to community cancer
nursing/coordination and early identification and management of people at high risk of lung cancer
FCT in Primary Care - CCN partnered with Whanganui Regional Health Network (WRHN) to develop a
strategic approach to the Faster Cancer Treatment Programme across primary care in the central region.
This was endorsed by the Governance Group in Dec 15 and discussions will now be held with district
Alliance Leadership Teams (ALTs) regarding how best to drive the cancer agenda in the very busy primary
care space.
Palliative Care:
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The business case to increase the number of 3yr palliative medicine trainees in the region has been
approved in principle by the COOs/GMs in partnership with the Hospices. The first of three proposed
additional trainees has commenced rotating across CCDHB, Mary Potter and Te Omanga Hospices.
Discussions are underway with respect to the other two positions.
A Ministry review of adult palliative care services has commenced. Work streams include:
o Projected demand for palliative care services
o Quality and standards of care, including service users’ perspectives
o Workforce issues
o Integration of, and equitable access to, services
o Funding and sustainability
Te Ara Whakapiri - Principles and Guidance for the Last Days of Life has been released and the Ministry will
work with the newly formed Palliative Care Advisory Panel to develop implementation activities
General
 2016/17 DHB annual planning and Regional Service planning is well underway. The approach that is being
sought this year is for palliative care to sit as its own priority area within the plan with CCN continuing to
provide facilitation resources.
 CCN is in the process of reviewing its governance structure to better align the CCN Governance Group
function and membership within the strengthened regional governance structure. The CEO Lead, COO Chair
and CCN Manager are meeting on the 3/3 to develop the proposed structure, following feedback from the
existing group.
Capital & Coast | Hawkes Bay | Hutt Valley | MidCentral | Taranaki
Wairarapa | Whanganui