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CCN Update – July 2015 Shorter Waits for Cancer Treatment Health Target - All patients, ready for treatment, wait less than four weeks for radiotherapy or chemotherapy - region consistently meeting the 100% target Key outputs of the Cancer Centre Development Plan 2014/15 include: A developing model of care for medical oncology across the 3 DHBs Planning for and commencing EViQ chemotherapy training programme for nurses across the region Progressing the implementation of e-prescribing for chemotherapy at MDHB; CCDHB currently identifying requirements to inform a business case Capital activities including a replacement linac for CCDHB and development of new medical oncology facilities at MDHB Faster Cancer Treatment (FCT) programme FCT Indicators 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. Public reporting by DHB of the new health target commenced Feb 2015 – 85% of patients to be treated within 62 days by July 2016. CCN has analysed Quarter three data (Oct 2014-Mar 2015) and provided this to DHBs to support improvements. At a regional level currently 69% of patients identified under the health target are receiving treatment within 62 days CCN continues to work with DHBs to improve the quality of reporting. National Tumour Standards National Tumour Standard Groups have progressed the development of definitions for High Suspicion of Cancer and these should be confirmed in July. Drafts of the minimum datasets are expected soon. CCN DHBs have identified bowel, lung, gynae and breast as the initial four standards for service reviews to be undertaken during 2013/14 and 2014/15: o Bowel – Implementation plan underway – recent activity relates to the development of two sub-regional colonoscopy plans and CT Colonography Stocktake o Lung – implementation plan developed and underway – current focus on access to Endobronchial Ultrasound (EBUS) services and PET -CT. o Gynaecological – Review underway – data collection on the patient cohort completed and analysis underway; this will be fed back to DHBs in July for them to undertake the qualitative analysis o Breast –review process and data points agreed; data collection to commence July Two more tumour standards are required for review in 2015/16 and this will be confirmed at the regional cancer forum in August Capital & Coast | Hawkes Bay | Hutt Valley | MidCentral | Taranaki Wairarapa | Whanganui Multi-Disciplinary Meeting (MDM) Development CCN presented to the COOs/GMs re developments to date and proposed next steps which was endorsed. A draft plan for this next phase of work is currently being reviewed by the clinical teams and will be finalised end of July. Focus areas include: o Clinician resourcing to support the current MDMs o IT infrastructure to support meeting management o Duration and frequency of MDM to support meeting the 62 day target FCT in Primary Care CCN is partnering with the Whanganui Regional Health Network (WRHN) to develop a strategic approach to the Faster Cancer Treatment Programme across primary care in the central region. Meetings with primary care providers and consumers across the region have been undertaken and a draft report on the findings has been circulated for feedback. The report and draft implementation plan will be further circulated end of July and then presented at the regional cancer forum on 26th Aug in Wellington Supportive Care CCN is continuing the nationally informed project to develop a Supportive Care Framework – includes the model of care, standards of care, tools and resources to support the delivery of care and competencies to support the workforce. Feedback on the draft framework will be sought July 2015 The region has developed a Psychological and Social Support Services Plan to guide the implementation of the newly funded psychologist and social worker roles for DHBs from July 2015. CCN will be facilitating implementation and a regional steering group will be established to support this work FCT Request for Proposal Round 1 2014/15 – these projects are coming to a conclusion in DHBs across the region. Outputs from these projects will be presented at the regional Cancer Forum on the 26/8 in Wellington Round 2 2015-18 - nine proposals were submitted in May for this second round of funding to support DHBs to meet the 62 day target, impellent the tumour standards and address equity – approximately $1.1 million for the CCN region over the next 3 years. Negotiations underway. CCN Equity Programme CCN has been contracted by the Ministry to provide interim secretariat services for Hei Āhuru Mōwai (Maori Cancer Leadership Aotearoa) until October 2015. Initial activities have focused on establishing the secretariat functions and engagement. Working with local cancer networks to identify and progress initiatives Planning for the delivery of the Kia ora e te Iwi programme (living with cancer)across the region; facilitators training day scheduled for Taranaki this month General Palliative Care – a business case to increase the number of 3yr palliative medicine trainees in the region is under development for consideration by the COOs/GMs in August National Cancer Health Information Strategy – the Ministry are in the last stages of completing endorsement processes for the strategy and it is expected for release in July ****Save the Date**** Regional Cancer Forum, 9:00 – 4:00pm, 26th August, Wellington Hospital Capital & Coast | Hawkes Bay | Hutt Valley | MidCentral | Taranaki Wairarapa | Whanganui