Meeting of the London Cancer Radiotherapy Expert Reference Group Date: Monday 2 nd October 2017, 15:30-17:00

Transcription

1 Meeting f the Lndn Cancer Raditherapy Expert Reference Grup Date: Mnday 2 nd Octber 2017, 15:30-17:00 Venue: 6 th flr West Meeting Rm, 250 Eustn Rad, Lndn, NW1 2PG Chair: Anna Thmpsn 1. Welcme, intrductins, aplgies and minutes frm the last meeting The bard lked thrugh the previus minutes; The bard discussed regulatins n reprting. There has been material and guidance change. Lcal radiatin gvernance meeting; ME discussed agreement t use grss tlerance fr that technique. ME and CU t share guidelines. Una Findlay is due t speak at the next ERG meeting. The bard felt that it may nt be necessary fr her t present as she has been secnded t a different part f PHE. 2. Lcal Updates (capacity/demand issues, staffing, prcurement) NMUH- 3 psts they are arranging business cases and funding fr. There are changes in jb plans. Physics; they have recruited a band 8a wh is currently ging thrugh recruitment checks. LINAC; still awaiting respnse frm NHSE regarding funding t replace. It is 12 years ld. BHRUT- LINAC replacement is underway; Physics is fully staffed. Onclgy has tw lcums and tw returning frm maternity leave early Need t plan whether they will return part time r full time and will advertise dependent n this. Lng term nclgist just ended cntract. Nw have 3/4 registrars and tw clinical assistants in training. Just recruited 0.4 band 5 radigrapher and will be advertising fr a band 7 radigrapher. Tw radigraphers will be leaving in December, these psts will be advertised. LINAC; gt the replacement prgramme. And the NHSE award fr true beam. T be installed February Barts Health- Physics is fully staffed. Equipment; CT scanner t be replaced in the next financial year. Radigraphers; currently have maternity leave issues and nclgist n lng term sick leave. Will have ne new pst. Ryal Free- new cnsultant will be starting shrtly cvering Breast and Urlgy. They have a substantive lcum. Grant Stewart leaves his pst at the end f January which will be advertised. Radigraphers; the team have a band 6 resigning. There are currently tw band 6 vacancies. Physics; they have recruited. LINAC; they will be replacing LINAC next year hwever they have had sme issues with finance. UCLH- Physics; fur psts have been filled with the last persn currently underging recruitment checks. LINAC; they have their 3 rd f 4 th machines. The 4 th will be reviewed in Nvember and will g live arund April One machine is funded thrugh NHSE. They are lking fr mre funding. Clinicians; they are fully staffed. Radigraphers; they have just filled the band 6 pst. There is a temprary band 5 pst t fill.

2 3. Breast Raditherapy Guidelines Virginia Wlstenhlme had circulated the updated Breast raditherapy guidelines. These have been discussed at the breast pathway bard. The bard have apprved the guidelines and it was felt that they allwed variatin in practice. The grup discussed sme challenges such as cnfidence with IBH and planning fr IMCs. Prstate and Bladder guidelines t be discussed at next ERG meeting nce they have been finalised by the Urlgy pathway bard. The bard requested the Brain and Spine pathway bard develp a guide fr steretactic raditherapy JG t send reminders t each pathway bard t send/update their guidelines. Prstate and Bladder guidelines t be discussed at next ERG meeting The Bard wuld like t request the Brain CNS pathway bard t develp a guide fr steretactic raditherapy JG t send reminders t each pathway bard t send/update their guidelines 4. Lw dse brachytherapy Discussin deferred t next meeting. 5. Benchmarking fr patient experience Bard lked at respnses result. Need t plan fr this year s survey. The bard are happy with the current frmat and are happy t start the survey. Changes discussed at the last ERG arund benchmarking have been made. The survey will be sent by RW. The survey will run fr the whle mnth f Nvember and all patients are included. ME suggested DK t cllate the respnses and present the results. RW will send DK the spreadsheet which will ppulate charts autmatically. The bard agreed that 15 per LINAC shuld be a minimum amunt f data that shuld be cllected fr each Trust. The results will be presented at the meeting after the January meeting. DK s address t be sent t the bard RW will send DK the survey results spreadsheet template which will ppulate charts autmatically. Patient experience results t be presented at the meeting after the January meeting. DK s address t be sent t the grup 6. AOB CRG meeting feedback; The new service specificatin fr raditherapy has been signed ff. It will g thrugh a legal check and public cnsultatin in Octber befre the final versin is published in January and t be in place by April The expectatin is fr netwrks t still be wrking and establishing

3 themselves during this time. The CRG realise there is currently n gvernance but expect services t wrk n their MOU. IT stcktake; There will be a lk at LINAC requests and the mney that will be left ver. The plan is t assess what teams may require and a review f the remaining budget t see if mre can be delivered. Funding; there is n infrastructure t supprt IT netwrking. The ERG discussed whether the leftver mney frm the LINAC requests culd be used t cver netwrking csts. It was suggested that the mney culd be used t purchase Varian Onclgy 360 sftware. There is a natinal review f MDT wrking, lking at the impact f having 50 cases per clinician and assessing hw many patients may be affected acrss the cuntry. It is estimated that it will be 1000 ut f 130,000. The bard highlighted that guidance and mnitring f this prcess wuld be required in rder fr it t wrk. CTEs; The PET tender is ut and will be cmpleted by December. Children, Teenagers and Yung Adults have been taken ut f the natinal service review. The Paediatric and Teenager and Yung Adults specificatin has been separated. The brachytherapy specificatin is being develped and will be aligned with the raditherapy specificatin. MRI LINAC; there is a need fr a plicy dcument t lk at the cst f delivering an MRI LINAC service. Prstate fractinatin; 20 fractin chip scheme, nly 62% f patients are currently receiving this. The CRG are ging t be encuraging Trusts t deliver n this. Peer review; the CRG discussed plans fr services t be peer reviewed by clleagues. The ERG team discussed the implicatins this wuld have n wrklads. Wrking tgether; the CRG discussed having staff wrk in ther centres. The ERG discussed the feasibility f this and felt it wuldn t wrk. It was felt that wrking tgether via IT netwrks/cnnectins wuld be better rather than sharing staff. Lead prvider; the CRG discussed having a lead prvider in a netwrk f Trusts and wh culd be lead. The team highlighted that this ERG netwrk is wrking tgether The grup discussed reducing the referral t first fractin waiting time frm 31 days t 14 days. Update frm EC; RFH, UCLH and NMUH have restarted discussins fr cllabrative wrking. This wrk is being led by Richard Gurlay, NMUH Directr f Strategic Develpment. The bard expressed cncerns abut cmmunicatin f this t the raditherapy departments acrss the netwrk. Cntingency plan; CU suggested the need fr a cntingency dcument fr patients when a Trust is affected by a majr incident such as the cyber-attack at Barts Health in May The Barts Raditherapy department currently has an arrangement with Ryal Marsden fr cyberknife cases, which was put t use recently. The bard discussed the need t send patients t mre than ne site due t capacity issues. CU will chair a wrking grup which will require a physicist and radigrapher frm each site. The grup will let their teams knw and will CU with names f vlunteers t jin the wrking grup. CU will send a cpy f the plan they have in place with Ryal Marsden as an example f what the cntingency plan culd lk like. This plan will be added t the next ERG meeting s agenda t assess prgress. The next meeting will be January 22 nd 2018

4 The grup t let their teams knw abut cntingency plan dcument wrking grup and will CU with names f vlunteers t jin the wrking grup. CU will send a cpy f the plan in place with Ryal Marsden 7. Next Meeting January 22 nd 2018, Meeting Rm TBC ACTION LOG Actin reference Actin Owner Date Due Oct01 Prstate and Bladder guidelines t be JG 22/01/18 discussed at next ERG meeting Oct02 Oct03 Oct04 Oct05 The team wuld like t request the Brain CNS pathway bard t develp a guide fr steretactic raditherapy JG t send reminders t each pathway bard t send/update their guidelines RW will send DK the survey results spreadsheet template which will ppulate charts autmatically. Patient experience results t be presented at the meeting after the January meeting. JG 22/01/18 JG 06/10/17 RW 13/10/17 DK - Oct06 DK s address t be sent t the grup JB 13/10/17 Oct07 The grup t let their teams knw abut ALL 13/10/17 cntingency plan dcument wrking grup and will CU with names f vlunteers t jin the wrking grup. Oct08 CU will send a cpy f the plan in place with Ryal Marsden CU 13/10/17 Status Attendees Name Rle Trust/Organisatin Jacb Gdman JG Lndn Cancer Elit Sims ES BHRUT Liz Crees LC BHRUT Stuart McCaighy SM BHRUT Mark Elswrthy ME NMUH Anna Thmpsn AT NMUH Christine Usher CU Barts Liz Barber LB RFL Kashmira Mehta KM RFL

5 Name Rle Trust/Organisatin Rachael Westmanctt RW Barts Anne Nauth-Misir ANM Barts Sherrice Weekes SW Lndn Cancer Emily Cllins EC Cancer Vanguard UCLH CC Neil Dancer ND RFL Derek D Suza DD UCLH Neil Burley NB UCLH Aplgies Name Rle Trust/Organisatin Kevin Sullivan KS UCLH Dersna Kuverji DK NMUH Grant Stewart GS RFL Yen-Ching Chang YCC UCLH