Showcase: East of England understanding variation. Dr Rory Harvey Chair East of England Cancer Alliance

Transcription

1 Showcase: East of England understanding variation Dr Rory Harvey Chair East of England Cancer Alliance

2 Cancer Alliances Establishment of Alliances recommended by the Cancer Taskforce to: drive and support improvement and integrate care pathways, using a dashboard of key metrics to understand variation and support service redesign. (rec 78) Cancer Alliances will bring together clinical and other senior leaders locally across a defined geography to: plan for and lead the delivery of the Taskforce s ambitions locally; and reduce variation in outcomes and in access to high quality, evidence based interventions across whole pathways and for the Alliance s whole population.

3 EOE Cancer Alliance The East of England Cancer Alliance is geographically the largest Alliance footprint in England, spanning 6 STPs, 21 CCGs, 19 acute trusts, 2 research networks and 6.3 million people Annually 35,700 new cancer diagnoses, and 15,800 cancer deaths.

4 Assessing our services Quality Flow Access Where When How

5 35% Proportion of NSCLC patients receiving radical treatment by CCG % NSCLC patients receiving radical treatment 30% 25% 20% 15% 10% 5% 0% CCG of residence Resection Radiotherapy CCGs radical treatment rates: 11.8% to 31.7% (IQR: 17.6%-23.1%) Source: Daniela Source: Tataru, Daniela Andrew Tataru, Bates, Mike Mike Lind, Lind, et et al. al. National Cancer Registration and and Analysis Service

6 Stage at Diagnosis 2013 Data Every CCG in the region currently above the All England figures Variation of 12% higher early detection rate between the best and worst performing CCGs Source: - 6

7 12. Cancer age-standardised incidence and mortality Breast (C50) Females only Graph age standardised mortality Source Public Health England Cancer Stats Collated by Pan- Cancer Vanguard Informatics team Contact - rmpartners.informatics@nhs.net In strictest confidence For NHS internal use only 7

8 East of England Breast Cancer Mortality - This is a CCG Outcome Indicator! Table of figures available in the appendix High Mortality High Mortality Source: 8

9 CCG Routes to Diagnosis ( ) (Graph) Emergency presentation varies significantly across the East of England. Citizens in Southend are more than twice as likely than those in Mid Essex to become diagnosed from an emergency route Source: 9

10 2015/16 East of England Breast Cancer Screening: Uptake and 3 Year Coverage Coverage (%) Uptake (%) Value Trend Value Trend Cambs & P'Boro Gt Yarmouth & Wave North Norfolk Norwich South Norfolk West Norfolk Ipswich & E.Suffolk North East Essex West Suffolk Bedforshire Luton Milton Keynes East & North Herts Herts Valleys West Essex Basildon & Brentwood Castle P & Rochford Mid Essex Southend Thurrock East of England England Cancer Screening Data (2015/16) Generally positive screening in these STPs, however uptake still trending a decline. Generally poor screening coverage across Mid and South Essex STP Hertfordshire and Wes Essex STP Southend with very low screening coverage and uptake Source: /pat/112/par/n54/ati/19/are/e /iid/91339/age/265/sex/2 10

11 5. Cancer age-standardised incidence and mortality Colorectal Cancers (C18-20) Graph age standardised incidence Source Public Health England Cancer Stats Collated by Pan- Cancer Vanguard Informatics team Contact - rmpartners.informatics@nhs.net In strictest confidence For NHS internal use only 11

12 Routes to Diagnosis for Colorectal Cancer in the East of England 12

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14 CADIAS study Table 1: Average number of GPs visits per patient in 12 months before the cancer diagnosis Type Mean GP visits per patient Colorectal 5.52 (n= 61) Lung 5.88 (n= 85) Range 0-19 Average number of GP visits per patient = 5.5 Table 2: Average number of GPs who saw the patient in 12 months before the cancer diagnosis Type GP visits per patient Colorectal 2.64 (n= 61) Lung 2.69 (n=85) Typically, patients saw 2.6 different GPs Range NHS CADIAS East of England Research Study Presentation East of England NAOG

15 7. Topic-specific data for East of England STPs