Electronic Cancer Referral

Dr Regina CoddGP Community Oncology Team

NCCP

About the National Cancer Control Programme

Established in 2007 to implement the national cancer strategy

NCCP StructureNCCP Structure

Director

Surgical Oncology Network East

Radiation Oncology Network South

Medical Oncology Network West

Community Oncology

8 cancer centres and a satellite centre

Community Oncology

General Practice / Primary Care

Guidelines / Standards / Integration

PreventionInformation

Communication

Survivorship

Community Oncology

‘Early Detection of Cancer: A Needs Assessment of GPs’( ICGP 2006)

Delay in Patient presentation Lack of clear recommendations Inequity of access Long waiting lists Lack of access to hospital based diagnostics

Why is cancer important?

What is the extent of the problem in Ireland1 in 3 will develop invasive cancer

1 in 4 will die from cancer

29,745 new cases annual average 2007--2009 (National Cancer Registry, 2011)

60% die within 5 years of diagnosis

134,000 cancer survivors (National Cancer Registry, 2009)

Incidence will increase by 45% between 2010 and 2020

Incidence will increase by 110% between 2020 and 2030

(National Cancer registry 2008)

Actual Case Numbers of Invasive Cancers for 2005 and Projected Case Numbers for 2010 - 2035

2005 2010 2015 2020 2025 2030 2035% increase 2010 - 2020

% increase 2010 - 2030

Head and Neck 277 352 452 573 709 882 1078 55 129

Oesophagus 334 389 453 530 620 718 815 32 73

Stomach 453 468 491 516 545 569 581 10 21

Colorectal 2111 2422 2863 3402 4065 4805 5537 40 97

Pancreas 384 459 540 637 751 878 1016 39 91

Lung 1831 2084 2457 2906 3460 4086 4746 30 70

Melanoma skin 606 767 985 1247 1556 1918 2323 64 154

Female breast 2196 2720 3294 3976 4752 5670 6724 46 108

Gynaecological 1002 1146 1350 1587 1850 2154 2464 38 88

Kidney 375 501 542 625 731 870 1023 34 91

Bladder 474 497 543 594 650 705 745 19 42

Brain and CNS 306 382 448 530 634 757 896 39 97

Lymphoma 601 804 996 1231 1514 1852 2233 53 129

Prostate 2415 2871 3437 4093 4828 5668 6559 43 97

All excl NMSC 15678 19060 23187 28110 33831 40399 47296 47 111

All cancers 21973 26283 31798 38379 46049 54780 63845 46 108

Source: NCRI, 2008

Healthy lifestyle can prevent at least 30% of cancers

1. Never smoking 2. Maintaining a healthy weight3. Being physical active4. Limiting alcohol5. Taking care in the sun and never using a sun bed

People with all five healthy behaviours live an average of 14 years longer than people who do not have any of them; are less likely to die from cancer or heart disease

Referral Guidelines for Suspected Cancer

• Shared approach between Primary and Acute Care

• Evidence based and timely referral, prompt diagnosis

• Assist GPs to identify and manage symptoms that may

indicate cancer

– GPs are familiar with presenting features and alert to unusual

patterns or recurrence – GPs know where to refer and what to refer urgently– GPs know the appropriate investigations they can

order– Patients and carers get appropriate support and

information

Multidisciplinary Care

• Diagnostic expertise

• Surgeons with specialised cancer expertise & high volume practices

• Radiation and Medical Oncologists with sophisticated knowledge & experience plus access to hi-tech therapy

• Compassionate, caring environment with supportive nurses, social workers and other health care professionals

Benefits of developing cancer electronic oncology referral forms

• Provision of direct access for GPs to the cancer teams at the eight designated cancer centres

• Streamline the cancer referral process• Reduce communication difficulties• Provide automatic confirmation of receipt of GP referral• Reduce delays in patient referral for suspected cancer• Aim to increase the number of patients diagnosed at an

early stage and maximise the potential for cure

Getting Started

• It is very easy to register with Healthlink. This service is available free to all GPs. All you need is a computer, the internet and to register with Healthlink. To register you just need to complete the following three steps:

1.Complete a registration form and send it to Healthlink (this is available on their webpage www.healthlink.ie )

2.Healthlink will then email you an encryption certificate and ring you to set this up over the phone

3.Healthlink will set up a username and password for your online Healthlink Account

• If you currently use Healthlink, the electronic cancer referrals will be automatically available to you.

• For further information please ring their helpdesk on (01) 8825606 or go to www.healthlink.ie. Their help desk is open Monday to Friday 9am to 5pm.

ICGP Accredited Software Systems

• Socrates• Helix Practice Manager• Health One• Complete GP

Helix Practice Manager (HPM)

Screen Shots for Presentation

Setup: Administration Tab – Practice & Machine Config

Practice Config - Enable Electronic Referrals

Machine Config - Healthlink Details

Administration – IMC Number in User Set up

Patient File

Documents Drop Down – Electronic Referral

Patient Details (registration & medical) will be auto populated

Message when accepted

Stored in Patient file

Tasks

HL7 Messages

Health 1

Screen Shots for Presentation

Set up: Tools and options

Referrals – Healthlink

Patient Chart

Referral Forms

Auto populated but can Configure what Health 1 items it displays

Socrates

• Live Demonstration

NCCP Kings Inns House 200 Parnell Street Dublin 1 www.cancercontrol.hse.ie regina.codd@cancercontrol.ie

Tel 01 8287100 ext 170

Discussion and your feedback