of Practice Pathways Event Thursday 8 February 2018 The Wesley - - PowerPoint PPT Presentation

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of Practice Pathways Event Thursday 8 February 2018 The Wesley - - PowerPoint PPT Presentation

Sep 28, 2023 338 likes •393 views

National Cancer Communities of Practice Pathways Event Thursday 8 February 2018 The Wesley Hotel, London National Cancer Programme Chris Harrison National Clinical Director 8 th Feb 2018 National Cancer Programme Planning Guidance

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National Cancer Communities

  • f Practice Pathways Event

Thursday 8 February 2018 The Wesley Hotel, London

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SLIDE 2

National Cancer Programme

Chris Harrison – National Clinical Director

8th Feb 2018

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SLIDE 4

4

National Cancer Programme

Planning Guidance

  • The new NHS Planning Guidance was

published on 2nd February 2018

  • Ensure all eight waiting time standards for

cancer are met including the 62day standard

  • Ensure implementation of new CWT system

in April 2018

  • Support implementation of the new

radiotherapy service specification

  • Ensure implementation of nationally agreed

rapid assessment and diagnostic pathways for lung, prostate and colorectal cancers

  • Progress towards ambition of 62% of

patients to be diagnosed at stage 1 or 2 by 2020/21

  • Support rollout of FIT for bowel cancer

screening

  • Progress ambition of for all breast cancer

patients to move to a stratified follow-up pathway after treatment

https://www.england.nhs.uk/publication/refreshing- nhs-plans-for-2018-19/

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  • Support Cancer Alliances to target improvement in diagnostic

pathways

  • Illustrate best practice on how diagnosis in 28 days can be achieved

Best Practice Timed Clinical Pathways

National Optimal Lung Cancer Pathway (NOLCP)

Direct access CXR Direct access or escalation to CT (same day/ within 72 hours) Triage by radiology or respiratory based

  • n local protocol
  • PET CT

spirometry (at least)

  • Detailed lung

function

  • Cardiac

assessment/ ECHO (as required) Further investigations (to yield maximum diagnostic AND staging information with least harm)

Day -3-0 Day 0-3 Day 1-6 Day 21 Day 28

Full MDT discussion of treatment options Communication to patient on

  • utcome (cancer

confirmed or all- clear provided)

Maximum target times provided

Direct biopsy

  • ption

Day 14

Fast Track Lung Cancer Clinic Meet CNS Diagnostic process plan Treatment of co- morbidity / symptoms / palliation Further investigations (if required after MDT)