Cancer Commissioning Team West and South London

January 5, 2018 | Author: Anonymous | Category: Science, Health Science, Oncology
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Sarita Yaganti Project Lead Service Improvement

Cancer Commissioning Team West and South London

Cancer Commissioning Team: West & South London • 20 CCGs • 17 Trusts • 5 million people (ONS) • 3 ex-Cancer Networks • 2 CCT patient groups • 2 CSUs • 1 Integrated Cancer System (the London

Cancer Alliance)

The London cancer landscape  Reconfiguration of Cancer Networks and Pan London

Teams – 5 became 3

and soon 3 will become 1  2 Integrated Cancer Systems (provider) - London Cancer (North and North Central London) - London Cancer Alliance (North West and South London) - pathway groups (one for each tumour site)  5 year cancer strategy for London being developed  Pan London Living with and Beyond Cancer work stream in


What we know about current follow-up  Variation:  in follow up protocols across the geography  in the content of the follow-up consultation  information give to patient  patients expectation and understanding of treatment  Willingness of patients to have follow up but want a “cancer

specialist” in primary care  CCGs Care Closer to Home agenda highlights the potential for

delivering primary care-led and delivered follow-up systems

Our ambition for follow-up  No “one-size fits all” follow-up pathway  Ensure patient choice can be exercised and patient experience is

enhanced  Through training and education, we can assist primary and community

teams to position themselves to provide care closer to home  Quality standards for follow up pathways are to be reflected in future

commissioning arrangements  To continue to work collaboratively with patients, health professionals,

cancer charities to benefit the ongoing development and improvement in follow-up cancer care

Our aim for this project to examine the evidence to discover and agree the best practice follow up of

suitable men living with and beyond prostate cancer in primary care and to recommend commissioning options for service delivery models.

Project objectives – the why  To provide patients living with prostate cancer a safe,

comprehensive follow-up service delivered by primary care

 Ensure care is tailored to patient's holistic needs (namely

psycho/sexual/social) and access to support services is available and equitable

Employ 2 Band 8a Nurses to:  To identify what is needed to provide an appropriately skilled primary care workforce to deliver this model  To enable practice nurses to support patients living with and

beyond a prostate cancer

 Testing and evaluating a model of care

The Process – the how Supported by the CCT, two Band 8a nurses to take the project forward (recruitment in process) Mapping / Data

- Patient and professional interviews

GP v nurse

Evaluate current patient information (including verbal discussion on side effects)

Training and Developing primary care

Set up transfer of patients and information

Pilot the identified best practice model in Croydon CCG

Revaluate patient and professional experience

Recommend best practice model for CCG commissioning

- what, where, how, why, who, when?

Financial modelling: primary v secondary consultant v nurse

Key deliverables – the what  Clearly defined, costed follow up model for the target

patient group  Establish data metrics for auditing  Clarify the infrastructure required in primary care to

deliver the pathway  Set up/improve rapid access referral back into

secondary care  To provide a locally accessible service for patients and

ensure choice of follow up is given as standard

Challenges  Recruitment – second time round 

 New world of CSUs = exciting, hair raising twists and turns

at each corner!

 Things that we took for granted i.e. employing clinical staff

for clinical roles

 Data, data, data :  Identifying data sources e.g. primary care v secondary care data  Coding – what coding?  Being very clear on what data you want need.

The future  Developing ways of providing patient access to specialist clinical

support within primary care

 Established “key worker” policies for follow-up patients  Clear understanding of costs of different follow up pathways  Peripatetic workforce – promoting shared resources between practices

 Continue to evaluate services by using consulting with those that are a

part of the service – patients/providers/professions

 Work with patients on what will enable them to be open and honest

about how the emotive side to cancer effects them so that holistic needs can be met

 Learn from each

Let’s talk... Sarita Yaganti: Project Lead, CCT North West & South London [email protected] Barbara Gallagher: User Involvement Lead, CCT West & South London [email protected]

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