www.mccn.nhs.uk

Cancer Commissioning Toolkitand the

Somerset Cancer Register

Jon HayesDeputy Network Director

2

The CCT is a web-based tool with interactive outputs

3

The dashboard contains the key cancer metrics

4

Each metric can be observed in more detail with information on sources and guidance

5

A cancer specific dashboard contains another selection of metrics that can be analysed for each cancer type

6

The index contains links to each chapter and section – which lead on from the CRS

7

Each issues raised in the sections of the CRS are informed by the reports in the relevant section

8

Each report is fully interactive and contains sources and guidance

9

Reports can be pre-customised with selected networks, PCTs, trusts or SHAs

10

Reports can be selected, aggregated and exported into a word document

www.mccn.nhs.uk

Somerset Cancer Register

Slides by Karen Graham, St Helens & Knowsley NHS Trust

Many SystemsMany Processes

PrimaryData Sources

Patient Tracking(62 / 31 Day Patients)

CWT

SecondaryRepositories

ServiceRequirements

Outcomes

PTL Spreadsheet

OtherTrustsScreeningRecordsCNSMDT

Radiology

Pathology

PAS

Many SystemsMany Processes

PrimaryData Sources

Cancer Registry Returns

SecondaryRepositories

ServiceRequirements

Outcomes

OtherTrustsScreeningRecordsCNSMDT

Radiology

Pathology

PAS

Colorectal

Breast Haematology Urology Lung

Head& Neck

Skin Upper GI

Cancer Registry

Upper GI

Many SystemsMany Processes

PrimaryData Sources

National Cancer Audit

SecondaryRepositories

ServiceRequirements

Outcomes

OtherTrustsScreeningRecordsCNSMDT

Radiology

Pathology

PAS

Colorectal

Head & Neck

Lung Breast

Open Exeter

Many SystemsMany Processes

PrimaryData Sources

Network Cancer Audit

SecondaryRepositories

ServiceRequirements

Outcomes

OtherTrustsScreeningRecordsCNSMDT

Radiology

Pathology

PAS

Audit Reports

Tumour Databases

8

MDT Proforma

Many SystemsMany Processes

PrimaryData Sources

MDT data

SecondaryRepositories

ServiceRequirements

Outcomes

OtherTrustsScreeningRecordsCNSMDT

Radiology

Pathology

PAS

8

Tumour Databases

8

Many SystemsMany Processes

PrimaryData Sources

Patient Tracking MDT Data Collection National Audit DataNetwork Audit Data Cancer Registry Returns

SecondaryRepositories

ServiceRequirements

Outcomes

OtherTrustsScreeningRecordsCNSMDT

Radiology

Pathology

PAS

OtherTrusts

Cancer Registry

ScreeningForms

GynaeForms

TumourDatabases

Local Audit

PTL Spreadsheet

CWT

8

MDT Proforma

BAUSForms

NetworkAudit

OpenExeter

ScreeningDatabases

3

8

Many SystemsMany Processes

PrimaryData Sources

Patient Tracking MDT Data Collection National Audit DataNetwork Audit Data Cancer Registry Returns

SecondaryRepositories

ServiceRequirements

Outcomes

OtherTrustsScreeningRecordsCNSMDT

Radiology

Pathology

PAS

OtherTrusts

Cancer Registry

ScreeningForms

GynaeForms

TumourDatabases

Local Audit

PTL Spreadsheet

CWT

9

MDT Proforma

BAUSForms

NetworkAudit

OpenExeter

ScreeningDatabases

3

9

Consolidating Data CaptureSomerset Cancer Register

PrimaryData Sources

Patient Tracking MDT Data Collection National Audit DataNetwork Audit Data Cancer Registry Returns

ServiceRequirements

Outcomes

OtherTrustsScreeningRecordsCNSMDT

Radiology

Pathology

PAS

OtherTrusts

Cancer Registry

Local AuditCWT

NetworkAudit

OpenExeter

ScreeningDatabases

3

Somerset Cancer RegisterCNSMDT

Aintree University Hospitals NHS Foundation Trust

Alder Hey Childrens Hospital

Liverpool Heart and Chest Hospital

Clatterbridge Centre For Oncology

Countess Of Chester Hospital NHS Foundation Trust

Liverpool Womens NHS Foundation Trust

North Cheshire Hospitals NHS Trust

Royal Liverpool & Broadgreen University Hospitals NHS Trust

Southport & Ormskirk Hospital NHS Trust

St Helens & Knowsley Hospitals NHS Trust

Walton Centre For Neurology & Neurosurgery

Wirral University Teaching Hospital NHS Foundation Trust

www.mccn.nhs.uk

Time for Something Else?

05:27 AM

www.mccn.nhs.uk

Where do you want to go?

• New Website

• Health Bus

• Waiting Times

• Service Improvement

• Screening – new challenges

www.mccn.nhs.uk .

www.mccn.nhs.uk

www.mccn.nhs.uk

.

www.mccn.nhs.uk

Waiting Times

Bre

ast

Lung

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-20%

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0%

5%

10%

15%

20%

25%

30%

35%

%

% Increase/Decrease In Average Referral To Treatment Waiting Times By Tumour Type 2007/08

www.mccn.nhs.uk

Time from GP to TreatmentMean Waiting Time (Urological Cancer) - 62 Day Rule

0

10

20

30

40

50

60

70

Jan-0

7

Feb-0

7

Mar

-07

Apr-0

7

May

-07

Jun-0

7

Jul-0

7

Aug-0

7

Sep-0

7

Oct-

07

Nov-0

7

Dec-0

7

Jan-0

8

Feb-0

8

Mar

-08

Average Wait Waiting TimeThreshold

.

www.mccn.nhs.uk

Last time …62 Day Referral To Treatment Cancer Waiting Time Performance Across

The North West Over The Last Three Years

50%55%60%65%70%75%80%85%90%95%

100%A

pr -

Jun

04

Jul -

Sep

04

Oct

- D

ec 0

4

Jan

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ar 0

5

Apr

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5

Jul -

Sep

05

Oct

- D

ec 0

5

Jan

- M

ar 0

6

Apr

- J

un 0

6

Jul -

Sep

06

Oct

- D

ec 0

6

Jan

- M

ar 0

7

Apr

- J

un 0

7

Jul -

Sep

07

Quarter

Ach

ieve

men

t (%

)

Threshold Compliance MCCN GM & CCN L & SCCN

A B

www.mccn.nhs.uk

This time …

A B

New Targets

0

20

40

60

80

100

Jan - March 08 April - June 08 July - Sept 08 Oct - Dec 08

Quarter

Ach

ieve

men

t (%

)

?

.

www.mccn.nhs.uk

Service Improvement

• 21 locality-based projects, including– Lung Cancer Risk Scoring Tool– Upper GI Cancer A&E admissions– Coping Strategies– Radiotherapy Template Booking– Cancer Screening Information Guide– Rapid Discharge, Home to Die– “Get Checked” campaign

• Network-Wide work includes– E-learning - Patient Information - Data Quality– Learning Disabilities - Early Detection & Prevention .

www.mccn.nhs.uk

Screening – New Challenges• Breast

– Age extension, 47 – 73– Digital mammography– MRI surveillance of high risk patients managed through screening

programmes

• Cervical– 14 day turnaround– Recommended move to smaller number of larger labs– Recommended move to smaller no. of larger screening agencies

• Bowel– Age extension, 60 – 75– National funding PCT baselines– Recommended split of Cheshire and Mersey programme

• All screen-detected patients included in 62 day target.