Survivorship

Dr Kavi SharmaGP/GPA

Survivorship

What do GPs do?

Survivorship

Typical GP

• Diabetes• Cancer

Survivorship

• Is cancer a chronic disease?

Survivorship

• Cancer not one disease• Effect of surgery/radio/chemotherapy• Early effects• Late effects

Survivorship

• What happens now?

Cancer Care Review

No regular review mechanism

Survivorship

Early/late effects for specific patient

• Is the information available?• Surgeon/Oncologist?

Survivorship

• GPA project• Discharge letter audit

Survivorship

To manage cancer as chronic disease

• Database accurate• Trained Practice Nurse/GPs

Survivorship

Coding needed for• Cancer• Radiotherapy• Surgery• Chemotherapy

Survivorship

Practice Nurse Project

Survivorship

Primary/Secondary care cooperation• Planned discharge• Empower GPs/PN• Empower patient• Quick access back to secondary care

Survivorship

• Quality and Outcomes Framework (QOF)

Survivorship

Ideas• Database-cancer/radio/chemo/surgery• Discharge information-early/late effects• Treat as chronic disease• Training for Practice Nurse/GP• Get Cancer care in QOF.

Survivorship

• Thanks.