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West Cheshire CCG Strategy
Dr Andy McAlavey
Medical Director
West Cheshire CCG
Chester  Ellesmere Port & Neston  Rural
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National Cancer Strategy
Improving outcomes: a strategy for cancer was published on January 2011 and
describes plans to put patients and the public at the heart of cancer services. It also
sets out the ambition to drive up England’s cancer survival rates, which are currently
behind; every year it is believed there are 10,000 preventable cancer deaths in the
UK.
Overarching aims of the strategy:
 Improving cancer survival rates
 Improving patients' experience of care
 Quality of life for cancer survivors
The key areas of work include:
 Promoting lifestyle changes to reduce cases of preventable cancers .
 Increasing the uptake of early cancer screening and introducing new screening
programmes.
 Improving patient experience and support for cancer survivors .
 Ensuring that all patients have access to the best possible treatment, care and
support.
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West Cheshire
Clinical Commissioning Group
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Cancer incidence in West Cheshire is higher than the England average, on
average there are 471 new cancer cases per 100,000 population in England, the
CCG average is 591.
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An average practice of 6000 patients in West Cheshire will see around 35 new
cases of cancer per year
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The three most common cancers for men in West Cheshire are Prostate (26%)
Lung (14.1%) and Colorectal (14%)
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The three most common cancers for women in West Cheshire are Breast (33.2%)
Lung (11.5%) and Colorectal (10.5%)
An average practice may see just 4-5 new cases prostate cancer, 4 new cases of
lung cancer and 4 new cases of colorectal cancer each year.
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Local strategy
Our local strategy:
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Care is always about the whole person.
Care will always be delivered in partnership with the individual.
Care is always delivered in the most appropriate place.
Patients should expect the same level of care, no matter where they access the NHS,
or social care. We call this the “West Cheshire Way”
Cancer has been identified as a key priority for West Cheshire CCG
Priority programmes of work that support improving care and survival rates, and link
directly to the cancer strategy:
 Avoiding emergency admissions - through early identification of long term conditions
and risk stratification. - Improving cancer survival rates.
 Reviewing effectiveness of cancer two week wait pathway. - Improving experience
of care.
 Self-care, supporting people to manage their condition outside of hospital, making use
of community services to support them. - Quality of life for survivors.
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Programmes of work: Cancer Audit
Building on the West Cheshire Cancer audit
 19 practices in Western Cheshire took part in an audit of routes to diagnosis for
cancer patients. This covered 200 patients journeys from first presentation to
subsequent diagnosis, the audit has produced a large data set which we are keen
to analyse and produce data that is helpful to practices.
 The audit included patients with 26 different tumour sites, which reflects the
challenge faced by GPs in cancer diagnosis. The most common cancers were
prostate (18.4%) Lung (15.3%), colorectal (13.2%) and breast (12.8%).
 Data analysis and key learning points from the audit will be shared across all the
practices to in order to identify any common themes and good practice/learning
points.
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Programmes of work: Survivorship
 The main focus for the survivorship work initially has been around the colorectal
cancer pathway, all patients now going through this pathway receive a holistic
needs assessment and end of treatment summary which will be shared with the
GP.
 Patients are able to have telephone follow up with a clinical nurse specialist
alongside their planned surveillance, and are given information and signposting
about accessing the services they need. This is a model that has been piloted in
various areas around the country and has been successful in helping patients to
make the transition to cancer survivor.
 Our work now is to transfer this model to other tumour sites, working with
partners to ensure support services continue to be developed that are easily
accessible in the community; enabling patients make the transition from cancer
patient to cancer survivor. By working with all partners we hope this work will
significantly improve the communication between primary and secondary care.
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Programmes of work:
2 Week Wait Pathway
 The first 14 days of the cancer pathway will be carefully scrutinised with both
primary and secondary care colleagues in order to be clear that the information
flow is effective, and access to care is as fast as possible.
 Work will be starting on Upper and Lower GI cancer sites, and then spread to
wider tumour sites.
 We will continue to work with providers to minimise any delays in patients
journeys, by ongoing review of the pathways and rapid access to diagnostics.
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End of Life
 The Clinical Commissioning Group intends to ensure that continued
improvements in end of life care are made.
 We are currently in the process of recruiting a Macmillan Commissioning
Manager, the post will work in partnership with Macmillan on End of Life Care to
review local services, and develop plans to provide best practice care.
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