However, the time taken to reach the diagnosis is just as crucial for quality of care.
|
|
- Augustus Fisher
- 5 years ago
- Views:
Transcription
1 Oxfordshire Clinical Commissioning Group Cancer referrals new lung pathway GPs are in the front line for referrals. The 2015 NICE cancer guidelines were altered to reduce the threshold for making referrals and OCCG has been working with providers towards better pathways for patients to follow, when GPs suspect this diagnosis, to attain a 3% pick up rate i.e. low but safer. However, the time taken to reach the diagnosis is just as crucial for quality of care. In 2017 NHSE introduced new criteria for improving cancer care through best practice guidelines. One of the new criteria is the 28 Day National Faster Diagnosis Standard which is expected to go live nationally in April The actual wording is Patients should be informed of a definitive diagnosis or ruling out of cancer within 28 days of a referral. The target is likely to be set at 95% (current 2WW target 93%). It is expected, but not confirmed, that eventually this will replace the 31 day and 2ww target altogether. This slightly wordy title represents a laudable standard that is not unreasonable. If you thought that you might have cancer, would you wish to wait more than 28 days before being told, one way or the other? I think not. We are slightly ahead of the curve here in Oxfordshire, as we have already streamlined some pathways through the 2ww forms. FIT testing is already in place and suspected prostate cancer referrals are already improved through direct to test MRIs where appropriate. Prostate patients get a much quicker diagnosis as this shaves days off the pathway, provided they come into the system with the correct clinical information. The 2ww referral form is designed to help the GP achieve best practice by providing this. Data reinforces this and as GPs, you should be very proud of the improvements seen here. Partly because of these innovations the OCCG has been given cancer alliance funding to develop better practices in cancer care; more about this will follow soon. The next step towards improved care is the Lung cancer pathway. Lung cancer is the commonest cancer and yet 24% of patients present via A&E. The new standard implements straight to test for lung patients where appropriate. For some time already, an improved referral template has been in circulation, however, our main provider has not had the infrastructure to take advantage of this. This has now been corrected through clinical and IT co-operation across primary and secondary care. Attached to this article you will find a document that explains the new pathway in greater detail, along with the rationale. Please familiarise yourself with the processes and circulate the article to
2 your admin staff and anyone else that may have contact with these patients, so that everyone is up to speed. The only change to the traditional approach is the request for a straight to test CT on ICE at the time of referral. Many of you are already using this approach with good results. However, from the middle of May this approach will be mandatory for all, as we strive toward the new 28 targets through better care. If you have any questions, please the OCCG planned care team as usual. Many thanks. Dr Shelley Hayles Planned care and Cancer clinical lead OCCG.plannedcare@nhs.net April 2018
3 Oxfordshire Clinical Commissioning Group Referral guidance for suspected lung cancer patients All patients referred via the 2-week urgent referral pathway for suspected lung cancer have CT imaging. In order to follow best practice guidance for straight to test, GPs are requested to book the patients for CT scan at the time of 2ww referral by raising a request on ICE. This will flag the referral to the radiologist and allow for a better first outpatient appointment with the relevant test result. The OUH clinicians have undertaken the responsibility to follow up these requests and act on them. This is a very new way of working for clinicians; however, in the last few months the trial run has proven very successful in reducing the time to diagnosis, for patients whose GPs have used this system, with no untoward events so this request will now become mandatory for all lung cancer referrals. Joint Responsibilities in improving outcomes GP referrers Will use the OCCG 2ww Suspected Lung Cancer template to make referrals to the two-week urgent pathway for suspected lung cancer Will generate a request in ICE at the same time for o o a CTPA for patients with unexplained haemoptysis and CT CAP for patients with chest radiograph abnormalities Will confirm this as done, via the mandatory field requiring an electronic request for a CT, on the 2ww Suspected Lung Cancer template. Respiratory Consultants accepting 2 week wait pathway referrals On receipt of the 2 week wait referral Will check there is a CT request, CT appointment booked, or CT scan reported for each patient as a fail-safe mechanism. If there is no CT request, CT appointment or recent (< 1 month) CT chest, the respiratory consultant will request a CT. Will review and take responsibility to act upon the results of the CT requested by the GP as part of the 2 week wait referral process. If an urgent or unexpected finding (other than lung cancer) is identified, the respiratory consultant will take the necessary steps to ensure the patient is investigated and treated appropriately. This may involve contacting the GP and asking him/her to take further action. Radiology consultants Will prioritise reporting the 2 week wait urgent CT scans. They will undertake the delegated practitioner role and are aware of the clinical indications and scan protocols. Will check twice daily for lung cancer 2WW CT referrals as per the agreed Standard Operational Procedure for Radiographer Authorisation of CT in Suspected Lung Cancer (appendix 3).
4 Step-by-step guide to ICE requesting for CT scan in suspected lung cancer: Requesting CT exams in ICE to initiate fast track process for suspected lung cancer patients; to be completed in addition to the 2-week Urgent Referral for suspected Lung Cancer template. Step 1: Select CT Chest/Abdomen and Pelvis button in the CT modality group B: Select CT option on the left hand menu A: Select GP Radiology on top row C: Select CT Chest/Abdomen and Pelvis group Step 2: Select CT Chest/Abdo/pelvis with contrast exam or CT Pulmonary Angiogram in the list of available CT exams, as required by previous findings/test result A: Select CT Chest/abdo/pelvis (CT CAP) B: Select CT Pulmonary Angiogram (CTPA) A: Select CT Chest/Abdo/pelvis with contrast ICE request for CT CAP & CTPA examsv: Draft March 2017 Page 4 of 7
5 Step 3: Identify this CT request to be part of a 2WW clinical referral select Yes Select Yes Step 4: Reminder to complete the 2WW referral proforma in addition to making the CT request Select Yes ICE request for CT CAP & CTPA examsv: Draft March 2017 Page 5 of 7
6 Step 5: Confirm this CT request should be fast tracked to the Lung Cancer Clinic Select Urgent referral for suspected lung cancer Step 6: Complete the hospital location and clinical information required for all CT exams, based on the patient s medical profile. ICE request for CT CAP & CTPA examsv: Draft March 2017 Page 6 of 7
7 Step 7: Identify the urgency for the exam by selecting Cancer 2 week wait (2WW) Select Cancer 2 week wait ICE request for CT CAP & CTPA examsv: Draft March 2017 Page 7 of 7
OCCG Board Meeting. Oxfordshire Clinical Commissioning Group. Date of Meeting: 30 November 2017 Paper No: 17/80
OCCG Board Meeting Oxfordshire Clinical Commissioning Group Date of Meeting: 30 November 2017 Paper No: 17/80 Title of Paper: SCAN Pathway Project Update Paper is for: (please delete tick as appropriate)
More informationACE Programme SOMERSET INTEGRATED LUNG CANCER PATHWAY. Phases One and Two Final Report
ACE Programme SOMERSET INTEGRATED LUNG CANCER PATHWAY Phases One and Two Final Report July 2017 Introduction This paper presents the learning and actions that have been generated from phase One and Two
More informationNational Optimal Lung Cancer Pathways. Dr Sadia Anwar Nottingham University Hospitals NHS Trust Clinical Lead for Lung Cancer
National Optimal Lung Cancer Pathways Dr Sadia Anwar ttingham University Hospitals NHS Trust Clinical Lead for Lung Cancer Overview How NOLCP evolved How it relates to national guidance Pathways Implementation
More informationThere are a number of national guidelines and performance standards which support the implementation of a straight to CT pathway.
December 2015 CONTENTS Contents... 2 1 Introduction... 3 2 Case for Change... 3 3 Evidence... 3 3.1 National and regional policy... 3 3.2 Local audit... 4 4 Supporting Work Initiatives... 5 4.1 Identification
More informationNational Optimal Lung Cancer Pathway
National Optimal Lung Cancer Pathway This document was produced by the Lung Clinical Expert Group 2017 Document Title: National Optimal Lung Cancer Pathway and Implementation Guide Date of issue: August
More informationStreamlining the lung diagnostic pathway (A87)
Streamlining the lung diagnostic pathway (A87) Crawley CCG with Surrey and Sussex Healthcare NHS Trust Evaluation January 2017 Summary A new Straight-to-CT pathway for patients with an abnormal CXR result
More informationImproving diagnostic pathways for patients with suspected lung cancer
Improving diagnostic pathways for patients with suspected lung cancer Executive summary Accelerate, Coordinate, Evaluate (ACE) Programme An early diagnosis of cancer initiative supported by: NHS England,
More informationLung Cancer: Moving Imaging to the Front of Outpatient Pathways
Lung Cancer: Moving Imaging to the Front of Outpatient Pathways Andrew Nanapragasam, N Maddock, A McIver, C Smyth, M Walshaw, M Ledson Liverpool Heart and Chest Hospital, Liverpool, United Kingdom Family
More informationSingle Suspected Cancer Pathway Definitions pathway start date
Single Suspected Cancer Pathway Definitions pathway start date Date: March 2018 Version: 1.2.1 Wales Cancer Owner: Network and Welsh Government Status Published 1 P a g e Purpose of Document This document
More informationLCA Lung Clinical Forum. 21 st October 2014
LCA Lung Clinical Forum 21 st October 2014 Welcome Dr Liz Sawicka Chair - LCA Lung Pathway Group Succession planning Dr Kate Haire Consultant in Public Health Medicine, LCA Commissioning Intentions for
More informationRichard Watson, Chief Transformation Officer. Dr P Holloway, GP Clinical Lead for Cancer Lisa Parrish, Senior Transformation Lead
GOVERNING BODY Agenda Item No. 08 Reference No. IESCCG 18-02 Date. 23 January 2018 Title Lead Chief Officer Author(s) Purpose Cancer Services Update Richard Watson, Chief Transformation Officer Dr P Holloway,
More informationWest Midlands Sarcoma Advisory Group
West Midlands Sarcoma Advisory Group Guideline for the Initial Investigation and Referral to Specialist Sarcoma Multi Disciplinary Team for Suspected Bone Sarcoma Version History Version Date Brief Summary
More informationImproving diagnostic pathways for patients with vague symptoms
Improving diagnostic pathways for patients with vague symptoms Executive summary Accelerate, Coordinate, Evaluate (ACE) Programme An early diagnosis of cancer initiative supported by: NHS England, Cancer
More informationSuspected CANcer (SCAN) Pathway Information for patients
Suspected CANcer (SCAN) Pathway Information for patients page 2 Your GP has advised you may benefit from investigation via the SCAN pathway. The SCAN pathway is part of a national programme called ACE
More informationSouth Yorkshire, Bassetlaw and North Derbyshire Cancer Alliance
South Yorkshire, Bassetlaw and North Derbyshire Cancer Alliance Patient Details: Patient Name Address DOB Home Tel. No. Mobile Tel. No. Preferred Tel. No. Main Spoken Language Transport needed? Registered
More informationOFFICIAL. Document Status. NHS England INFORMATION READER BOX
NHS England INFORMATION READER BOX OFFICIAL Directorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Strategy & Innovation Finance Publications Gateway Reference:
More informationProstate cancer timed clinical pathways
Prostate cancer timed clinical pathways December 2017 1 Context This document sets out preliminary best practice timed clinical pathways for prostate cancer. It is anticipated that Cancer Alliances will
More informationAccelerate, Coordinate, Evaluate (ACE) Programme
Emerging Multidisciplinary Diagnostic Centre (MDC) models and design principles ACE Wave 2: exploring the concept of MDC-based pathways ACE Accelerate, Coordinate, Evaluate (ACE) Programme An early diagnosis
More informationLung Cancer and the Cancer Alliance DR JAMES RAMSAY
Lung Cancer and the Cancer Alliance DR JAMES RAMSAY Background Lung cancer is the second commonest cancer in the UK (37,000 new cases in England each year). Commonest cause of cancer death (28,500 people
More informationCT Colon Service & Radiology Pathways
CT Colon Service & Radiology Pathways Louisa Edwards CT Colon Advanced Radiography Practitioner ABMU 6 th February 2019 Louisa.Edwards@wales.nhs.uk CT, Radiology Dept, POWH, ABMU Health Board Context and
More informationDelivering 62 Day GP Cancer Waits in a Complex Landscape. Hannah Marder Cancer Manager University Hospitals Bristol
Delivering 62 Day GP Cancer Waits in a Complex Landscape Hannah Marder Cancer Manager University Hospitals Bristol Overview The 62 day GP target Cancer pathways What causes breaches? Good practice and
More informationOne Stop Prostate Biopsy Protocol Author Consultation Date Approved
One Stop Prostate Biopsy Protocol Author Consultation Date Approved Urology Nurse Practioner PROTOCOL FOR MEN ATTENDING A ONE STOP PROSTATE BIOPSY CLINIC RATIONALE Prostate cancer is the most common cancer
More informationFaster Cancer Treatment Indicators: Use cases
Faster Cancer Treatment Indicators: Use cases 2014 Date: October 2014 Version: Owner: Status: v01 Ministry of Health Cancer Services Final Citation: Ministry of Health. 2014. Faster Cancer Treatment Indicators:
More informationOFFICIAL. Document Status. NHS England INFORMATION READER BOX
NHS England INFORMATION READER BOX Directorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Strategy & Innovation Finance Publications Gateway Reference: 07925
More informationCancer Transformation Programme
Cancer Transformation Programme Introduction to and supporting documentation for VALUE BASED TRANSFORMATION FUNDING SITE SELECTION November 2016 1 Introduction and Contents The Planning Guidance for 2017-2019
More informationIdentifying distinguishing features of the MDC model within the five ACE projects
Identifying distinguishing features of the MDC model within the five ACE projects Context: The ACE Programme (Wave 2) has been working with five projects across England to trial and evaluate the concept
More informationAudit of CT Pulmonary Angiogram in suspected pulmonary embolism patients
Audit of CT Pulmonary Angiogram in suspected pulmonary embolism patients Poster No.: C-2511 Congress: ECR 2012 Type: Scientific Exhibit Authors: N. D. Gupta, M. K. Heir, P. Bradding; Leicester/UK Keywords:
More informationWest Midlands Sarcoma Advisory Group
West Midlands Sarcoma Advisory Group Guideline for the Initial Investigation and Referral to Sarcoma Specialist Multi Disciplinary Team for Suspected Sarcoma of Soft Tissue Extremities (limbs and trunk
More informationAudit of CT Pulmonary Angiogram in suspected pulmonary embolism patients
Audit of CT Pulmonary Angiogram in suspected pulmonary embolism patients Poster No.: C-2511 Congress: ECR 2012 Type: Scientific Exhibit Authors: N. D. Gupta, M. K. Heir, P. Bradding; Leicester/UK Keywords:
More informationSELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM)
SELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT MDT Lead Clinician GMCN ROYAL WOLVERHAMPTON HOSPITALS The Royal Wolverhampton Hospitals Trust Lung MDT (11-2C-1) - 2011/12 Dr Angela Morgan
More informationAmbulatory lung biopsy: a new model for the NHS. Dr Sam Hare Barnet Hospital Royal Free London NHS Trust
Ambulatory lung biopsy: a new model for the NHS Dr Sam Hare Barnet Hospital Royal Free London NHS Trust Lung cancer Leading cause of UK cancer mortality UK: 2 nd lowest European survival rate 62-day RTT
More informationLeeds: Early Diagnosis Project updates
Leeds: Early Diagnosis Project updates Cancer Cascade Event, 11 th May 2017 Joanna Bayton-Smith, Macmillan Leeds Cancer Strategy, Programme Manager Objectives: To provide overview of Leeds Cancer Strategy
More informationStreamlining Memory Service Pathways. Guidance from the London Dementia Clinical Network
Triage Initial Assessment Investigations 2nd Appointment Streamlining Memory Service Pathways Guidance from the London Dementia Clinical Network London Dementia Clinical Network July 2017 1 Contents Introduction...
More informationProviding patients with RAPID care (rapid access prostate Imaging and diagnostics) Urology
Providing patients with RAPID care (rapid access prostate Imaging and diagnostics) Urology Providing patients with RAPID prostate diagnostic care We have launched a new initiative to make sure patients
More informationBriefing Paper. Single Cancer Pathway
Briefing Paper Single Cancer Pathway Author: Tom Crosby, Clinical Director, Wales Cancer Network Owner: Wales Cancer Network Date: 27 th November 2017 Version: 1.0 Publication/ Distribution: Wales Cancer
More informationNICE Quality Standards and COF
NICE Quality Standards and COF David Baldwin Consultant Respiratory Physician NUH Hon Senior Lecturer Nottingham University Clinical lead NICE lung cancer GL Chair NICE QS Topic Expert Group Quality Standards
More informationQuality of Information on CT Brain Request Forms in Memory Service East (MHSOP) 2018/19 Project #1677
Quality of Information on CT Brain Request Forms in Memory Service East (MHSOP) 2018/19 Project #1677 6. Implement change 1. Agree best practice 5. Action plan Action Planning 2. Define methodology Audit
More informationAccelerate, Coordinate, Evaluate (ACE) Programme
Emerging multidisciplinary diagnostic centre (MDC) models and design principles ACE wave 2: exploring the concept of MDC-based pathways ACE Accelerate, Coordinate, Evaluate (ACE) Programme An early diagnosis
More informationTrust Guideline for the inclusion of women at High Risk of Breast Cancer in the NHS Breast Screening Programme
Trust Guideline for the inclusion of women at High Risk of Breast Cancer in the NHS Breast Screening Programme For Use in: By: For: Division responsible for document: Key words: Name and job title of document
More informationInvestigating Symptoms of Lung Cancer An evidence based Guide for general practitioners
Medicine, Nursing and Health Sciences Investigating Symptoms of Lung Cancer An evidence based Guide for general practitioners Dr Kay Jones Professor Danielle Mazza Dr Samantha Chakraborty Prof essor Ian
More informationPeninsula Cancer Alliance Update Nov 2018 UROLGY SSG
Peninsula Cancer Alliance Update Nov 2018 UROLGY SSG National Support Funding NHS England has allocated National Support Funding (NSF) to the Peninsula Cancer Alliance (PCA) for 2018/19 a proportion of
More informationTransforming Cancer Services for London
Programme Director Paul Roche Status Draft Owner Laura Boyd Version 0.4 Author Jennifer Layburn Date 15/05/13 Transforming Cancer Services for London Best Practice Commissioning Pathway for the early detection
More informationTelford and Wrekin Clinical Commissioning Group
Telford and Wrekin Clinical Commissioning Group Agenda Item 9.2 CLINICAL COMMISSIONING GROUP GOVERNANCE BOARD EXECUTIVE SUMMARY DATE: 9 th April 2013 TITLE OF PAPER: Continence pathway and Referral letter
More informationAccelerate, Coordinate, Evaluate (ACE) Programme
Emerging multidisciplinary diagnostic centre (MDC) models and design principles ACE wave 2: exploring the concept of MDC-based pathways Accelerate, Coordinate, Evaluate (ACE) Programme An early diagnosis
More informationImproving diagnostic pathways for patients with suspected lung cancer
Improving diagnostic pathways for patients with suspected lung cancer FINAL report Accelerate, Coordinate, Evaluate (ACE) Programme An early diagnosis of cancer initiative supported by: NHS England, Cancer
More informationProject Brief. New Cancer Waiting Times. Data Quality Assurance Audit
Project Brief New Cancer Waiting Times Data Quality Assurance Audit Version 1.0 Contents 1 Introduction...3 2 Data Recording and Submitting...4 3 Data Quality Assurance Audit...4 3.1 Areas of Investigation:...4
More informationOFFICIAL. Document Status. NHS England INFORMATION READER BOX
NHS England INFORMATION READER BOX Directorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Strategy & Innovation Finance Publications Gateway Reference: 07923
More informationPATHWAY MANAGEMENT OF METASTATIC SPINAL CORD COMPRESSION (MSCC) THE CHRISTIE, GREATER MANCHESTER & CHESHIRE
PATHWAY MANAGEMENT OF METASTATIC SPINAL CORD COMPRESSION (MSCC) THE CHRISTIE, GREATER MANCHESTER & CHESHIRE Procedure Reference: Document Owner: Dr V. Misra Version: Accountable Committee: V3 MSCC Network
More informationBrain audit at Thames Valley
Thames Valley Cancer Strategic Clinical Network Brain audit at Thames Valley Thames Valley Strategic Clinical Network Summary The brain referral tumour audit and data collection was carried out in Thames
More informationRadiology. General radiology department. X-ray
The radiology directorate provides a diagnostic, interventional and therapeutic service for its local population, and a tertiary service for the region. It also provides support to some national work such
More informationNorth Trent Cancer Network. Referral Guidelines, Head & Neck Cancer (including Thyroid), for Primary Care Practitioners
North Trent Cancer Network Fulwood House Sheffield S10 3TH http://nww.barnsleyhealth.nhs.uk/pct/norcom/cancer/ Tel: 0114 2263436 Fax: 0114 2263407 Email: Kim.Fell@ntcn.nhs.uk Referral Guidelines, Head
More informationSouth West Cancer Alliances Rapid Diagnostic Pathway for Lung Cancer Project Evaluation
Somerset, Wiltshire, Avon and Gloucestershire Cancer Alliance Peninsula Cancer Alliance South West Cancer Alliances Rapid Diagnostic Pathway for Lung Cancer Project Evaluation Peninsula Thoracic-Oncology
More informationmaking a referral for breast imaging Standard Operating Procedure
Document Control Title Reporting Radiographer Author Directorate Surgery Date Version Issued 0.1 May 2016 Status Draft Author s job title Reporting Radiographer Department Breast Imaging Comment / Changes
More informationSouth Tees Optical Referral Project (STORP)
South Tees Optical Referral Project (STORP) A project summary Accelerate, Coordinate, Evaluate (ACE) Programme An early diagnosis of cancer initiative supported by: NHS England, Cancer Research UK and
More informationLung cancer timed clinical pathways
Lung cancer timed clinical pathways December 2017 1 Context This document sets out best practice timed clinical pathways for lung cancer. It is anticipated that all Cancer Alliances will audit against
More informationDelivering stratified follow-up in primary care for Prostate Cancer Patients - The NCL Approach. Dr Elizabeth Babatunde Macmillan GP
Delivering stratified follow-up in primary care for Prostate Cancer Patients - The NCL Approach Dr Elizabeth Babatunde Macmillan GP Background 2 Objectives Enhance patient experience and outcomes by providing
More informationHow is primary breast cancer treated?
How is primary breast cancer treated? The treatment team This information is for anyone who has primary breast cancer and wants to know more about how it is treated. It is written by Breast Cancer Care,
More informationSingle Suspected Cancer Pathway Definitions pathway start date
Single Suspected Cancer Pathway Definitions pathway start date Date: December 2018 Version: 8.0 Wales Cancer Owner: Network and Welsh Government Status Draft 1 P a g e Purpose of Document This document
More informationFIT for symptomatic patients. Facilitator name
FIT for symptomatic patients Facilitator name Context colorectal cancer Colorectal cancer in the UK 41,804 new cases in 2015 15,903 deaths in 2014 Fourth most common cancer Second most common cause of
More informationCancer Access Policy. Key Points
Trust Policy Cancer Access Policy Key Points The timescales within which cancer patients are treated is a vital quality measure and key indicator of the quality of cancer services offered at the Trust.
More informationCancer Improvement Plan Update. September 2014
Cancer Improvement Plan Update September 2014 1 Contents Page 1. Introduction 3 2. Key Achievements 4-5 3. Update on Independent Review Recommendations 6-13 4. Update on IST Recommendations 14-15 5. Update
More informationWe need to talk about Palliative Care. Pancreatic Cancer UK
We need to talk about Palliative Care Pancreatic Cancer UK 1. Pancreatic Cancer UK welcomes the opportunity to respond to the Health and Sport Committee s inquiry on palliative care. About Pancreatic Cancer
More informationUnless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version
Policy No: OP90 Version: 1.0 Name of Policy: Cancer Services Operational Policy Effective From: 02/11/2016 Date Ratified 30/11/2015 Ratified Corporate Management Team Review Date 01/11/2017 Sponsor Director
More informationCIG SCP Health Board/Velindre Implementation Plan (Aneurin Bevan University Health Board)
CIG SCP Health Board/Velindre Implementation Plan (Aneurin Bevan University Health Board) 1 Governance, Leadership and Planning a) Describe your SCP Programme Board (or equivalent), its membership and
More informationCarolyn Costigan and Andrea Shemilt Nottingham University Hospitals NHS Trust
Carolyn Costigan and Andrea Shemilt Nottingham University Hospitals NHS Trust Why we are vigilant about radiation About R&DISU Streamlining research processes involving imaging and radiation Supporting
More informationUsing patient data to improve. cancer waiting times. May 2018
Using patient data to improve cancer waiting times May 2018 Summary Background We used patient-level data from Hospital Episode Statistics (HES) for 2016/17 to carry out detailed analysis of what drives
More informationSELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM)
SELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT MDT Lead Clinician ASWCN TAUNTON AND SOMERSET Taunton Lung MDT (11-2C-1) - 2011/12 Dr Sarah Foster Compliance Self Assessment LUNG MDT
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published. To view the latest
More informationDirect access to intelligent care for healthier muscles, joints and bones. Working Body Member guide
Direct access to intelligent care for healthier muscles, joints and bones Working Body Member guide October 2015 Helping you keep your muscles, joints and bones healthy Chances are you don t give your
More informationContraindications. Information and informed consent
Ethical guidelines for staff and students in the Department of Psychology who plan to use magnetic resonance imaging (e.g., fmri) with human participants (especially those who plan to do so using the facilities
More informationCancer Services Position & Recovery Plan June 2015
Appendix 6 Cancer Services Position & Recovery Plan June 2015 Introduction The Trust is required to achieve 85% compliance for patients on a 62 day pathway from the referral date to the date they receive
More informationNICE support for commissioning for urinary tract infection in infants, children and young people under 16
NICE support for commissioning for urinary tract infection in infants, children and young people under 16 July 2013 1 Introduction Implementing the recommendations from NICE guidance and other NICEaccredited
More informationPathway Gynaecology Cancer & Diagnostic Protocol for Inter Trust transfer
NICaN Pathway Gynaecology Cancer & Diagnostic Protocol for Inter Trust transfer Timed schedules to enable the proactive management of the patient from point of receipt of referral to first definitive treatment
More informationAsk EuroSafe Imaging Tips & Tricks. CT Working Group. CT in Pregnancy
Ask EuroSafe Imaging Tips & Tricks CT Working Group CT in Pregnancy Eileen Kelly (Galway University Hospitals, IE) Matthias Stefan May (University Hospital Erlangen, DE) Robert Bujila (Karolinska University
More informationTrust Guideline for the Management of Sedation in Painless Imaging Procedures in Children
A clinical guideline recommended for use For Use in: By: For: Division responsible for document: Key words: Children s Day Ward (CDW), Children s Assessment Unit (CAU), Buxton Ward, Radiology. Paediatric
More informationCT Colonography (Virtual Colonoscopy) Patient information
CT Colonography (Virtual Colonoscopy) Patient information CT colonography is a way of looking inside your bowel and abdomen. This information explains how it is done, what to expect, and the risks involved.
More informationBladder Cancer Guidelines
Bladder Cancer Guidelines Agreed by Urology CSG: October 2011 Review Date: September 2013 Bladder Cancer 1. Referral Guidelines The following patients should be considered as potentially having bladder
More informationGreater Manchester Cancer
Meeting at Manchester Royal Infirmary Date of Meeting: 30 November 2017 Chair: Mr Derek O Reilly Greater Manchester Cancer Attendance Derek O Reilly Rebecca Price Vicki Stephenson Hornby Neil Bibby Saurabh
More informationNational Cancer Waiting Times Monitoring Dataset Guidance Version 9.0
National Cancer Waiting Times Monitoring Dataset Guidance Version 9.0 Page 1 of 96 NHS England INFORMATION READER BOX Directorate Medical Commissioning Operations Patients and Information Nursing Trans.
More informationEarly Inflammatory Arthritis Pathway Rheumatology Service Commissioner Lead
Schedule 2 Part A Service Specification Number 04/MSKT/0014 Care Pathway/Service Early Inflammatory Arthritis Pathway Rheumatology Service Commissioner Lead CCP for Musculoskeletal & Trauma Provider Lead
More informationNational Cancer Peer Review Programme
National Cancer Peer Review Programme Julia Hill Acting Deputy National Co-ordinator What is Cancer Peer Review? A quality assurance process for cancer services. An integral part of Improving Outcomes
More informationPatient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. CT Scanning. Radiology
Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust CT Scanning Radiology This leaflet tells you about having a Computerised Tomography (CT) Scan. It explains what is involved
More informationDocument Control Report
Document Control Report Title Recording Clinical Evaluation and Dose - IR(ME)R 2000 Standard Operating Procedure Author Gill Kite Author s job title Senior Radiographer Directorate Sub-directorate Department
More informationComputerised Tomography Pulmonary Angiography (CTPA)
Computerised Tomography Pulmonary Angiography (CTPA) Radiology Department Patient information leaflet This leaflet tells you about having a CT Pulmonary Angiography (CTPA) scan. If you have any questions
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT DATE OF MEETING: 20th September 2012 TITLE OF REPORT: KEY MESSAGES: NHS West Cheshire Clinical Commissioning Group has identified heart disease as one of its six strategic clinical
More informationVicki Stevenson-Hornby Macmillan Patient User manager Mong-Yang Loh Melanie Dadkhah-Taeidy. Jaundice Pathway Data Co-ordinator Jo Puleston
Manchester Cancer HPB PATHWAY BOARD MEETING Meeting of the HPB Pathway Board, 22 nd January 2016 The Christie IN ATTENDANCE Derek O Reilly Pathway Director Rebecca Price Pathway Manager Vicki Stevenson-Hornby
More informationThe Virtual Lung Nodule Clinic
The Virtual Lung Nodule Clinic Poster No.: C-1023 Congress: ECR 2016 Type: Educational Exhibit Authors: S. Higgins, F. C. Lyall, J. Taylor, J. goldman, S. Rolin, B. 1 2 1 2 2 3 2 2 3 Soar ; Torbay/UK,
More informationREFERRAL GUIDELINES: GALLSTONES
REFERRAL GUIDELINES: GALLSTONES Document Purpose To ensure patients with gallstones disease are managed appropriately in primary/ secondary care Oxford Radcliffe Hospital Surgical Department Surgical Registrar
More informationAlliance Diagnostic Hub for NEL. Cancer Collaborative Annual Review event
Alliance Diagnostic Hub for NEL Cancer Collaborative Annual Review event 26 th June 2018 There are clear national priorities for provision of Cancer Services National Context The Five Year Forward View,
More informationCANCER WAITING TIMES (CWTs) A GUIDE (VERSION 8.0)
CANCER WAITING TIMES (CWTs) A GUIDE (VERSION 8.0) This document is to be used to support the monitoring and management of cancer waiting times from 01 July 2012 supporting the implementation of [insert
More informationBREAST IMPLANT SURGERY INDIVIDUAL FUNDING REQUEST POLICY
BREAST IMPLANT SURGERY INDIVIDUAL FUNDING REQUEST POLICY Version: Recommendation by: 1617.V2b Somerset CCG Clinical Commissioning Policy Forum (CCPF) Date Ratified: 13 July 2016 Name of Originator/Author:
More informationBEST PRACTICE FRAMEWORK QUESTIONNAIRE
CAPTURE the FRACTURE BEST PRACTICE FRAMEWORK QUESTIONNAIRE INTRODUCTION Capture the Fracture invites Fracture Liaison Services (FLS) to apply for Capture the Fracture Best Practice Recognition programme.
More informationNational COPD Audit Programme
National COPD Audit Programme Planning for every breath National Chronic Obstructive Pulmonary Disease (COPD) Audit Programme: Primary care audit (Wales) 2015 17 Data analysis and methodology Section 2:
More informationDr Katie Elliott CRUK strategic GP Macmillan GP with NE &C Learning disability Network Assistant Clinical Lead Northern Cancer Alliance
FIT for symptomatic patients Dr Katie Elliott CRUK strategic GP Macmillan GP with NE &C Learning disability Network Assistant Clinical Lead Northern Cancer Alliance AIMS Review National advice Consider
More informationINTERNAL VALIDATION REPORT (MULTI-DISCIPLINARY TEAM)
INTERNAL VALIDATION REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT NECN N Tees & Hartlepool North Tees And Hartlepool Date Self Assessment Completed 23rd July 2009 Date of IV Review 19th June 2009
More informationGlaucoma Care Pathway
PRIMARY CARE OPTOMETRY UPDATE Glaucoma Care Pathway March 2018 Colleagues, In June 2017 the Health and Social Care Board provided you with the second Glaucoma Care Pathway Primary Care Optometry Update,
More informationThe Urology One-Stop Clinic
The Urology One-Stop Clinic Exceptional healthcare, personally delivered The aim of this leaflet is to answer any questions you may have about the Urology One-Stop Clinic. What is the Urology One-Stop
More informationSCOTTISH CANCER REFERRAL GUIDELINES REVIEW 2018
SCOTTISH CANCER REFERRAL GUIDELINES REVIEW 2018 Dr Peter Hutchison, Chair of Review Group WHAT & WHY? Scottish Cancer Referral Guidelines 2014 Scottish Primary Care Cancer Group identified need for some
More informationReferral Criteria for Direct Access Outpatient Colonoscopy or Computed Tomography Colonography
Referral Criteria for Direct Access Outpatient Colonoscopy or Computed Tomography Colonography 2019 Released 2019 health.govt.nz Citation: Ministry of Health. 2019. Referral Criteria for Direct Access
More information02/GMS/0030 ADULT EPILEPSY SERVICE CCP for General Medical and Surgical POOLE HOSPITAL NHS FOUNDATION TRUST
Service Specification No. Service Commissioner Leads 02/GMS/0030 ADULT EPILEPSY SERVICE CCP for General Medical and Surgical Provider Lead POOLE HOSPITAL NHS FOUNDATION TRUST Period 1 April 2013 to 31
More information