Cancer Waiting Times Analysis - OG Linda Wintersgill 12/11/2014 - - PowerPoint PPT Presentation

▶
cancer waiting times analysis og
SMART_READER_LITE
LIVE PREVIEW

Cancer Waiting Times Analysis - OG Linda Wintersgill 12/11/2014 - - PowerPoint PPT Presentation

Nov 03, 2023 171 likes •545 views

Cancer Waiting Times Analysis - OG Linda Wintersgill 12/11/2014 Activity Trend NESCN - Upper GI Cancer Activity Trend (Provider based) 14000 13084 2WW 31D 62D 12000 11515 10164 10000 9417 8727 8000 6000 4000 2000 1308 1297

slide-1
SLIDE 1

Cancer Waiting Times Analysis - OG

Linda Wintersgill 12/11/2014

slide-2
SLIDE 2

Activity Trend

2

8727 9417 10164 11515 13084 1264 1308 1297 1285 1298 525 530.5 539 596 579.5 2000 4000 6000 8000 10000 12000 14000 2009/10 2010/11 2011/12 2012/13 2013/14

NESCN - Upper GI Cancer Activity Trend (Provider based)

2WW 31D 62D

slide-3
SLIDE 3

2WW Referrals – Upper GI

3

500 1000 1500 2000 2500 3000 3500 4000 4500 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11 Q3 10/11 Q4 10/11 Q1 11/12 Q2 11/12 Q3 11/12 Q4 11/12 Q1 12/13 Q2 12/13 Q3 12/13 Q4 12/13 Q1 13/14 Q2 13/14 Q3 13/14 Q4 13/14

NESCN 2WW Upper GI Referrals (Q1 2009- Q4 2014)

2WW Referrals

87 88 89 90 91 92 93 94 95 96 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11 Q3 10/11 Q4 10/11 Q1 11/12 Q2 11/12 Q3 11/12 Q4 11/12 Q1 12/13 Q2 12/13 Q3 12/13 Q4 12/13 Q1 13/14 Q2 13/14 Q3 13/14 Q4 13/14

Upper GI 2WW NESCN Performance/Operational Performance (Q1 2009- Q4 2014)

2WW Performance Operational Target

slide-4
SLIDE 4

31 Days – Upper GI

4

50 100 150 200 250 300 350 400 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11 Q3 10/11 Q4 10/11 Q1 11/12 Q2 11/12 Q3 11/12 Q4 11/12 Q1 12/13 Q2 12/13 Q3 12/13 Q4 12/13 Q1 13/14 Q2 13/14 Q3 13/14 Q4 13/14

NESCN 31D Upper GI First Treatments (Q1 2009- Q4 2014)

31D First Treatments

94 95 96 97 98 99 100 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11 Q3 10/11 Q4 10/11 Q1 11/12 Q2 11/12 Q3 11/12 Q4 11/12 Q1 12/13 Q2 12/13 Q3 12/13 Q4 12/13 Q1 13/14 Q2 13/14 Q3 13/14 Q4 13/14

Upper GI 31D NESCN Performance/Operational Performance (Q1 2009- Q4 2014)

31D Performance Operational Target

slide-5
SLIDE 5

62 Days – Upper GI

5

20 40 60 80 100 120 140 160 180 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11 Q3 10/11 Q4 10/11 Q1 11/12 Q2 11/12 Q3 11/12 Q4 11/12 Q1 12/13 Q2 12/13 Q3 12/13 Q4 12/13 Q1 13/14 Q2 13/14 Q3 13/14 Q4 13/14

NESCN 62D Upper GI Referrals (Q1 2009- Q4 2014)

62D Referrals

65 70 75 80 85 90 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11 Q3 10/11 Q4 10/11 Q1 11/12 Q2 11/12 Q3 11/12 Q4 11/12 Q1 12/13 Q2 12/13 Q3 12/13 Q4 12/13 Q1 13/14 Q2 13/14 Q3 13/14 Q4 13/14

Upper GI 62D NESCN Performance/Operational Performance (Q1 2009- Q4 2014)

62D Performance Operational Performance

slide-6
SLIDE 6

Referral – First Seen - All

6

10 10

2 4 6 8 10 12 14 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - Referral to First Seen (2WW) Referrals - Diagnosed OG Cancer Patients

2009/10 2010/11 2011/12 2012/13 2013/14

slide-7
SLIDE 7

First Seen – Decision to Treat - All

7

31 39

10 20 30 40 50 60 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - First Seen to DTT (62D) OG Cancer

2009/10 2010/11 2011/12 2012/13 2013/14

slide-8
SLIDE 8

8

DTT – First Treatment - All

2 4 6 8 10 12 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - DTT to First Treatment (31D) OG Cancer

2009/10 2010/11 2011/12 2012/13 2013/14

slide-9
SLIDE 9

Referral – First Treatment - All

9

50 59

10 20 30 40 50 60 70 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Waits - Referral to First Treatment (62D) OG Cancer

2009/10 2010/11 2011/12 2012/13 2013/14

slide-10
SLIDE 10

Pathway Length by Treatment Group

10

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0

2009/10 2010/11 2011/12 2012/13 2013/14

NESCN - Cancer Waits - Median Wait Referral to First Treatment OG Cancer

All Surg Drugs Rty Pall Other

slide-11
SLIDE 11

11

SURGICAL TREATMENTS

slide-12
SLIDE 12

Referral – First Seen – Surgery

12

10 11

2 4 6 8 10 12 14 16 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - Referral to First Seen (2WW) Referrals - Diagnosed OG Cancer Patients - Surgical Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-13
SLIDE 13

First Seen – DTT - Surgery

13

31 35

5 10 15 20 25 30 35 40 45 50 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - First Seen to DTT (62D) OG Cancer - Surgical Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-14
SLIDE 14

DTT – First Treatment - Surgery

14

3

2 4 6 8 10 12 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - DTT to First Treatment (31D) OG Cancer - Surgical Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-15
SLIDE 15

Referral – First Treatment - Surgery

15

50 51

10 20 30 40 50 60 70 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Waits - Referral to First Treatment (62D) OG Cancer - Surgical Patients

2009/10 2010/11 2011/12 2012/13 2013/14

slide-16
SLIDE 16

DRUGS TREATMENTS

16

slide-17
SLIDE 17

Referral – First Seen – Drugs

17

10 10

2 4 6 8 10 12 14 16 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - Referral to First Seen (2WW) Referrals - Diagnosed OG Cancer Patients - Drugs Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-18
SLIDE 18

First Seen – DTT - Drugs

18

36 39

10 20 30 40 50 60 70 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - First Seen to DTT (62D) OG Cancer Patients - Drugs Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-19
SLIDE 19

DTT – First Treatment - Drugs

19

9 13

5 10 15 20 25 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - DTT - First Treatment (31D) OG Cancer Patients - Drugs Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-20
SLIDE 20

Referral – First Treatment - Drugs

20

57 61

10 20 30 40 50 60 70 80 90 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - Referral to Treatment (62D) OG Cancer Patients - Drugs Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-21
SLIDE 21

RADIOTHERAPY TREATMENTS

21

slide-22
SLIDE 22

Referral – First Seen – Radiotherapy

22

10 10

2 4 6 8 10 12 14 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - Referral to First Seen (2WW) Referrals - Diagnosed OG Cancer Patients - Radiotherapy Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-23
SLIDE 23

First Seen – DTT - Radiotherapy

23

35 43

10 20 30 40 50 60 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - First Seen to DTT (62D) OG Cancer - Radiotherapy Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-24
SLIDE 24

DTT – First Treatment : Radiotherapy

24

14 11

5 10 15 20 25 30 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - DTT to First Treatment (31D) OG Cancer - Radiotherapy Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-25
SLIDE 25

Referral – First Treatment - Radiotherapy

25

58 61

10 20 30 40 50 60 70 80 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - Referral- First Treatment (62D) OG Cancer - Radiotherapy Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-26
SLIDE 26

PALLIATIVE TREATMENTS

26

slide-27
SLIDE 27

Referral – First Seen – Palliative

27

9 11

2 4 6 8 10 12 14 16 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - Referral to First Seen (2WW) Referrals - Diagnosed OG Cancer Patients - Palliative Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-28
SLIDE 28

First Seen – DTT - Palliative

28

25 31

10 20 30 40 50 60 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - First Seen to DTT (62D) OG Cancer - Palliative Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-29
SLIDE 29

Referral – First Treatment - Palliative

29

36 43

10 20 30 40 50 60 70 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - Referral - First Treatment (62D) OG Cancer - Palliative Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-30
SLIDE 30

OTHER TREATMENTS

30

slide-31
SLIDE 31

Referral – First Seen – Other

31

11 8

2 4 6 8 10 12 14 16 18 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - Referral to First Seen (2WW) Referrals - Diagnosed OG Cancer Patients - Other Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-32
SLIDE 32

First Seen – DTT - Other

32

10 22

5 10 15 20 25 30 35 40 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - First Seen to DTT (62D) OG Cancer - Other Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-33
SLIDE 33

DTT – First Treatment - Other

33

0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - DTT - First Treatment (31D) OG Cancer - Other Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-34
SLIDE 34

Referral – First Treatment - Radiotherapy

34

22 31.5

5 10 15 20 25 30 35 40 45 50 South Tyneside Gateshead Northumbria Newcastle South Tees CDDFT North Tees & Hartlepool Sunderland N Cumbria NESCN

NESCN - Cancer Waits - Median Wait Times - Referral - First Treatment (62D) OG Cancer - Other Treatments

2009/10 2010/11 2011/12 2012/13 2013/14

slide-35
SLIDE 35

Current Action

  • Present Site Specific Analyses to NSSGs – Lung,

Colorectal, OG, HPB, Urology

  • Review existing Model Pathways through NSSGs
  • AT Ops & Delivery Forum focus
  • Locality focus – CDD Operational Group
  • Potential Network Event - Early 2015
  • National Task Force and National Working Group

established

  • Regional Sub Group to be established asap

35

slide-36
SLIDE 36

Next Steps

  • Small group to review current pathway and

how it might be optimized

  • Share learning between trusts
  • Revisit Information Sharing and Referral

protocols

36