Upper GI Cancer Network Site-Specific Group. Work Programme/Service Delivery Plan 2011/14

Transcription

1 Upper GI Cancer Network Site-Specific Group Work Programme/Service Delivery Plan 2011/14 1

2 UPPER GI NSSG Work Programme/Service Delivery Plan AGREEMENT COVER SHEET 2011/14 This Work Programme has been agreed by: Position Name Chair of Essex Cancer Network Board Sheila Bremner Organisation NHS North Essex Cluster Date Agreed 15 th March 2011 Position Name Organisation Date Agreed Chair of ECN Upper NSSG Mr Mike Harvey (Deputy Chair) Consultant Surgeon, Mid Essex Hospitals NHS Trust March 2011 (via circulation) Position Name Organisation Date Agreed Research Clinical Lead for remedial actions for research Saad Tahir Mid Essex Hospital Trust March 2011(via circulation) 2

3 Position Date Agreed NSSG Members Agreed the Work Programme March 2011(via circulation) Work Programme Review Date March

4 UPPER GASTRO-INTESTINAL NETWORK SITE-SPECIFIC GROUP Work Programme/Service Delivery Plan APRIL 2011 to March 2014 Action Lead Timescale Critical Success 1. SERVICE PLANNING 1a. Strengthen and Consolidate the role of the UGI Cancer Network-Site Specific Group (NSSG) in ECN with clinical representation from leads with specialist interest from each locality (including Ipswich) ensuring group fulfils its key roles and responsibilities. David Gertner Tom Carr UGI Lead Clinicians and NSSG March 2011 Fully constituted UGI NSSG compliant to Peer Review Support chair in his role through ongoing support and annual review from network clinical director 1b. Peer Review Report (2009) and at follow up in 2010 voiced concern that ECN has 3 separate pathways for O-G cancers (Barts, Queens and MEHT). There is a strong recommendation that ECN consolidate to single pathway with all ECN localities being served by MEHT. The Network board has instructed that centralisation to the ECN designated centre takes place. The NSSG will lead discussions and formulate plans to make this transition. 1c. Maintenance of IOG compliant Local and Specialist O-G Cancer MDTs serving all 4 localities in ECN addressing any shortfalls /concerns identified via Peer Review David Gertner Tom Carr UGI Lead Clinicians and NSSG Network Board Commissioning bodies O-G Cancer Clinical leads from each locality and all members of NSSG April 2012 September 2011 All ECN localities served by the Specialist O-G centre at MEHT as the primary referral and pathway route by Local and Specialist O-G Cancer MDT (SSMDT) serving all 4 localities meeting 100% Peer Review measures 1d. Support east of England SCG on implementing their plans for delivering IOG compliant arrangements for pancreatic Lead Clinicians and NSSG March 2011 Clarity on referral arrangements for ECN patients diagnosed with pancreatic cancer and clearly 4

5 cancer in East of England (as it affects NEE and Mid populations) ensuring all of ECN served by IOG compliant designated centre(s) and associated SMDTs. reflected in constitution NSSG to clarify network pathways and guidelines for management pancreatic cancer and formalise in constitution for board sign-off David Gertner Tom Carr April 2011 Report to EoE SCG. 2. SERVICE IMPROVEMENT and QIPP Upper GI Clinical Nurse Specialists to provide SI leadership by establishing coordinating sub-group. Key topics include: ECN UGI cancer patient satisfaction questionnaire. Holistic assessment tool. Audit of patient information pathway. Open session for GI nurses 2010/11. Cross network health promotion initiatives. Clinical Nurse Specialists March 2011 Standardised patient surveys and patients information Equitable service across the network Regular NSSG Agenda Item 2b. Complete Peer Review selfassessment and evidence upload for the O-G measures (by April 2011) in preparation for visit June 2011 Develop and Agree Remedial Action Plan to address all the shortfalls and concerns identified in 2011 Peer Review of UGI services and subsequent years. MDT and NSSG clinical leads May 2011 Successful Peer Review Visit Lead Clinicians and NSSG September 2011 All Peer Review Report concerns shortfalls addressed Incorporate Acute Oncology rapid review in to local Upper GI Practice. Lead Clinicians / NSSG Chair / ECN Clinical Director 2011/12 Demonstrated by compliance with AOT Peer review measures. 5

6 Conduct a review of follow up clinics across the network in preparation for risk stratification and supported self management in line with National Cancer Survivorship Initiative projects. Lead Clinicians, AHP Lead and NSSG December 2011 Compile report for the NSSG of follow up clinics 3. SERVICE DELIVERY Review and agree the UGI Constitution - Essex-wide clinical pathways and guidelines for management of Upper GI Cancer (including hepato-biliary, pancreas and sarcoma). Clinical Leads For review and agreement spring 2011 Agreed Comprehensive guidelines in place UGI NSSG to agree its service developments priorities for the next 3 years to inform the ECN Board and the ECN Service Development plan All members Autumn 2011 Clarity on prioritised service development proposals for UGI cancer in ECN Undertake a baseline of Rehab services available in the network for patients with colorectal cancer. To inform gap analysis. Kate Patience( Network AHP lead) September 2011 Completed assessment. 4. SERVICE QUALITY, MONITORING AND EVALUATION NSSG to agree data collection arrangements for Minimum Dataset for Upper GI Cancer and which team should collect alongside ensuring commitment to enter data on the national approved NOGCA Cancer dataset capturing ALL Upper GI cancer patients diagnosed in ECN The NSSG will also support the role out of Somerset database to support data collection at MDT 4 x Acute Trust lead clinicians. April % of ECN diagnosed Upper GI (OG) cancer patients on database data presented at network audit event 2010/11 NSSG to consider actions required following Patient experience December 2011 Patients reporting a good 6

7 the publication of the National Cancer Patient Experience Survey subgroup.( Volunteers required please). John Lancaster. experience in CNS survey. To be presented at 2012 audit event. 5. EDUCATION & WORKFORCE Commit to Network-wide Upper GI Cancer Audit and presentation of results at annual event. Potential Future Audit Topics for include: Upper GI oncologists to identify non surgical audit topic for presentation. Activity levels and performance across specialist centres should be part of annual presentation. Complex case histories are also extremely interesting and should continue. Review of cases with less than 1 year survival. CNS s will also be completing a Network wide Patients Survey. Use and availability of Pet CT Use and Quality of Life tools Audit of pancreatic cancer and hepatobillary cancer pathways and outcomes. 4 x Acute Trust lead clinicians Audits topics to be agreed 2011/12 June Then annually by June each year. UGI NSSG to run half day event Jan 2012, presenting local and agreed network-wide audit results. Then annually in January. 6. RESEARCH NSSG to agree single list of UGI clinical trials and ensure Network-wide commitment to Upper GI cancer clinical trials maximising recruitment. 4 x Acute Trust lead clinicians Ongoing Evidence that all Upper GI cancer teams actively recruiting to trials activity data being presented to NSSG and network audit event 7

8 7. WORK PROGRAMME AND ANNUAL REPORT Generate an annual report for submission to Network Board David Gertner April 2011 Submission of Annual Report to Network Board May 2011 and in May for subsequent years. 8