Present: Name: Initials

Transcription

1 Meeting: Cancer Unit Managers Date: 7 th November 2017 Time: pm Venue: Evolve Business Centre Present: Name: Initials Apologies: Linda Wintersgill, Information Manager, Cancer Alliance Soraya Najafi, Data & Information Support, Cancer Alliance Michelle Wren, Network Delivery Lead, Cancer Alliance Lauren Farrow, Senior Performance Manager, South Tees Michelle Mangan, Cancer Manager, Newcastle Hospitals Steven Maxwell, Cancer Services Manager, South Tyneside Sheron Robson, Alliance Manager, Cancer Alliance Daniel Spelman, Performance Analyst, Sunderland Carolyn Harper, Head of Cancer and Palliative Care, Gateshead Martin O'Callaghan, Lead Cancer Co-ordinator, Northumbria Jacqueline Brown, Cancer Manager, North Tees & Hartlepool Susan Baxter, Cancer Manager, Northumbria Denise Inskip, Cancer Unit Manager, CDDFT Alison Featherstone, Alliance Manager, Cancer Alliance Paul Harrington, Cancer Service Manager, Cumbria Anne-Louise Grant, Cancer Services Improvement Mgr, CDDFT LW SN MW LF MM SM SR DS CH MC JB SB DI AF PH AG MINUTES 1. INTRODUCTION Action Enclosure 1.1 Welcome and Apologies LW welcomed everyone to the meeting, introductions were made and apologies were noted and shown above. 1.2 Minutes of the previous meeting Item 2.2 Cancer Waiting Times Performance/62 Day Target Newcastle paragraph has been changed to the following: NUTH are working with their pharmacists to understand which drugs go into each treatment category in cancer waits. MM raised with the national team and has 1

2 advised that if unsure Other category should be used. 1.3 Declaration of Conflict of interest None 1.4 Matters Arising None 2. AGENDA ITEMS 2.1 Cancer Alliance Update One to one s by AF have been carried out within the trusts and feedback received is they have been useful and will be continued going forward. Sarah Hamilton HEE improving the workforce recently met with SR and details were exchanged of a course offered in London and Liverpool with a 7 month duration with free tuition and travel. North East and Cumbria has had a good uptake for this Endoscopy course. Endoscopy managers have been told of the course offered. SR agreed to send Cancer Unit Managers details of this for internal cascade. SR Lung Gap Analysis Optimal Lung Pathway Gateshead and North Cumbria to have meetings initially regarding straight to test. It is planned to hold a followup event in January with the Lung leads to look at gaps identified in gap analysis and SR asked how that might be organised. Agreed it would be best to ask lung leads what they would prefer. Noted that NUTH currently have no capacity but that an action plan is needed for now. Breast Review A series of meetings have been held. The North of the Region met last week and have agreed that while a Hub & Spoke service is the overall direction of travel, the model should be clearly defined Recruitment Update Radiology post shortlisting is underway with interviews scheduled on Database Admin Currently when s are sent from the Cancer Alliance 2

3 Team, some managers are querying as it s not clear who the s have been sent to and whether they are required to respond/cascade. In future, all s sent from the database will include a note of recipients. LWBC Bid successful a number of locality posts will be released soon. Large workforce element to the bid. Clinical Harm Review Definition of clinical harm review was circulated to the group with the last minutes from the Cancer Unit Managers Meeting on 13 th October. This is on the agenda for the Clinical Leadership Group next week harm should be determined at MDT. LW asked members to send local definitions to develop a consensus through the leadership. 1 Year on Event The alliance is currently planning an event. The group have been asked to feedback on what they might like suggestions for things to cover, etc. 2.2 Cancer Waiting Times New Dataset Currently in the implementation phase with a scheduled go live date of April Gateshead is currently Beta testing the new system. Currently looking at what the information looks like and how it will be uploaded. Late Nov/Dec 28 day target and breach/reallocation to be introduced. Somerset already has a number of the necessary fields. Performance/62 Day Target Northumbria Currently at 83% but after taking into account shared breaches, it stands at 76%. STHFT Currently at 77% - a lot of elective capacity breaches, ultrasound biopsies and robot problems. NUTH Failing Breast Symptomatic Screening for the 3 rd month in a row. Currently at 79% for 62 day 2WW. 3

4 CDDFT Currently at 82% for 62 day target. Gateshead Also have Breast Symptomatic screening issues but still hoping to achieve the target. STFT Currently at 68% for 62 day target. CHS Still have some Pathology results to come through but currently at 83% for 62 day target. NT&HFT Currently on track to achieve 62 day target. 2.3 MDT Update MDT updated the group. Alliance funding a training package for MDT Clinical leads which is currently being drafted. Dates proposed for training and agreed to be sent out on a Save the Date which will be sent by the cancer alliance team in due course. Waiting for CAB board to confirm then once procured can commence training. Trusts have been benchmarked against the 10 recommendations but it was agreed that this is changing and analysis will be updated with CMDT developments. Hold the date to be sent by the Cancer Alliance admin team in due course. 2.4 RCA Themes/Trend Analysis The group was asked if any analysis Route Cause Analyses are completed for breaches. Feedback included: Feedback to Clinical and admin teams if necessary. Categorise into themes and disseminated Full Report Discuss with Clinicians/Teams Raised at weekly PTL meetings 2.5 QST Draft Letter The letter has not been sent out as ANB has also agreed to write on behalf of the MDT group The group agreed that the two dates should be combined. 3. STANDING ITEMS 3.1 Update Reports SACT CH noted that there is a mandatory CQUIN next year. Agreed data should be available in chemo care. 4

5 3.2 Any Other Business COSD Site of Diagnosis MM referred to scenarios in COSD manual and expressed concern that Site of Diagnosis is not being recorded properly. This is highlighted on page 39 of V8. Incorrect recording has an impact on audits and levels of COSD reporting. MM asked trusts to be mindful of this and agreed to send the relevant scenario page for reference. Breast Clinics LW asked members to clarify where Breast Clinics are held in each trust. NHCFT Wansbeck/North Tyneside/Hexham 1 stop NUTH RVI NT&HFT NT&HFT Gateshead Gateshead & Grindon STHFT Friaraje CDDFT Darlington/UHND/Spire Washington mainly Breast Symptomatic but very occasionally 2WW if struggling for capacity. IPT Scenarios LW confirmed that the examples sent by LF had been circulated and asked members to provide feedback. PET CT There is a long standing issue with turnaround for these tests which has already been raised at the Lung EAG. Following up on on SR meeting with Specialised Commissioning to understand the issues further. Latest update is SR has sent a chaser to Specialised Commissioning to ask for data to be provided. It has been decided that the best course of action is to hold a face-to-face meeting with the Specialised Commissioning Lead. 3.3 Next meeting Friday , MEETING CLOSE 5