Gynaecological Cancer Pathway – current state and where to from here? Michael Burling O&G Registrar- Waikato Hospital 25/10/15.

Slides:



Advertisements
Similar presentations
Optimising the Primary/Secondary Care Interface in Eye care Services Richard Best Belfast Health and Social Care Trust.
Advertisements

ACCESSING THE SERVICE FROM PRIMARY CARE The impact of direct access booking Dr J A Gibson Consultant Gastroenterologist Mid Staffordshire NHS Trust.
Patient Centered Medical Home Evans Medical Group 465 North Belair Road 1B Evans Georgia
Central Referral Service “Right Care, Right Place, Right Time” General Information Session - 30 th October 2013 Frances Downey Project Coordinator Emma.
Acknowledgements RHH ED staff Safety and Quality Unit RHH for their participation and valuable contribution Next Steps It is envisaged over the next 12.
Sarcoma cancer patient pathways Why do sarcoma cancer patients breach cancer waiting time targets?
Week 5- The Organisation of Health Services Part 2.
Acute Medicine Programme A clinician-led initiative of the Royal College of Physicians of Ireland (RCPI), the Irish Association of Directors of Nursing.
March 2002 Outcomes in thyroid cancer: what factors are important? Information Projects Team Outcomes in thyroid cancer: what factors are important? NYCRIS.
Improving Patient Flow – Whole of System Transformation Dr Karyn Johnson – GP Liaison Women’s Health Jane Waite – Service Manager Women’s Health.
Church Road Surgery Patient Feedback Questionnaire August 2013.
5/24/20151 Fitting the Pieces Together Utilizing a Hospitalist in the ED to Reduce Admissions Presented by: Patty Williamson, CFO Isidoros Vardaros, M.D.
Washington State Hospital Association Medicaid Quality Incentive ER is for Emergencies Medicaid Quality Incentive ER is for Emergencies Web Conference.
1 What is Hospice Palliative Care? The Canadian Hospice Palliative Care Association defines hospice palliative care as a special kind of health care for.
Breast cancer patient pathway
Overview of the hospital’s computer systems
Integration-improving community care services Eleanor Corbett Integrated Community Lead Lymington Integrated Care Team.
MedipicX. Dermatology changes  Delivers to primary care teams access to a system which improves care, and patient care  Gives primary care teams greater.
Survivorship Update January 2015 The Royal Wolverhampton NHS Trust James Owen Senior Cancer Services Manager.
18 Weeks Referral To Treatment Waiting Times Standard
Virtual Clinics and Electronic Decision Support Dr Anna Ranta Consultant Neurologist, Lead Stroke Physician & Head of Neurology MidCentral Health Associate.
Redesigning Care in the Paediatric Emergency Department CYWHS, SA Presented by Ms Heather Gray Chief Executive : CYWHS 25 th November 2005.
End of Life Care At the West Suffolk Hospital
The NHS Constitution: A consultation on new patient rights.
Cardiology Clinical Assessment & Treatment Service …coming soon!
LOWER URINARY TRACT SYMPTOM MANAGEMENT CLINIC Julia Taylor Nurse Consultant Salford Royal Hospital NHS Foundation Trust.
The Anticoagulation Service at Salisbury District Hospital Nic McQuaid And Rachel Woodford Anticoagulation Nurse Practitioners.
PREPARED BY Faster Cancer Treatment Improving Quality of Care Across the Patient Cancer Pathway John Childs June 2012.
‘Let’s get it right - Referral for suspected Cancer’
Gynaecology MDT Coordinator
ED Stream Workshop Acute MOC
Impact of: a specialist wound clinic on patients who develop complex wounds post cardiac surgery Presented by: Penny Gowland ANP Pascaline Njoki Thanks.
MSK pathway What is the MSK service? This is a multi- professional screening, assessment and treatment service. It has been set up by the RSCH together.
RESULTSOF UPPER GI MDT QUESTIONNAIRE Sukhbir Ubhi National Clinical Lead for Upper GI Cancer Services Collaborative 'Improvement Partnership'
Getting Emergency Care Right Power training pack.
HILLINGDON th April 2009Hillingdon Masterclass.
PREPARED BY The New Zealand Cancer Nurse Coordinator Initiative Natalie James National Nurse Lead May 2013.
Barwon Health Outpatients. Barwon Health Outpatient Catchment Area.
Integrated Eye Service Presentation to locality forums in East Lancs and BwD Co-design journey Background and briefing Mr A Vijaykumar; Consultant Ophthalmologist.
Midland Cancer Network 2012 Clinical Performance Conference.
Engaged.. but not yet married: GP Liaisons in New Zealand.
Data led Innovations through Integration AHHA- Data Collaboration Meeting 25th May 2016.
Midland Cancer Network 2012 Clinical Performance Conference.
Referral Support Service- Update and Training By Natalie Fuller and Amy Mitchell.
Baseline The baseline at July Previously there was a lack of consistency for: Pathways into specialist clinics; Policies, procedures and guidelines.
Gynaecological Oncology Patient Pathway Cecile Bergzoll Gynaecological Oncologist Wellington.
Development of a Community Stroke Rehabilitation Team “meeting the need” NHS Blackburn with Darwen Tracy Walker Team Leader.
SPECIALIST OUTPATIENT CLINICS Access Improvement and Reform.
Today’s Lesson Understand the structure of the NHS.
2 November John Childs and Deborah Woodley
Avon Local Medical Committee
Bedford House Medical Centre
Primary Care Stratified Follow-up of Stable Prostate Cancer Patients
PSO – Paper Switch Off Project
Managing Headache.
Managing Headache.
Integrated Service Delivery Across the Whole Patient Pathway
4 NW (in-pt) REFERRAL & TREATMENT PATHWAY Referral Enter here Sources
What is Care Navigation
Warfarin Prescribing.
Clinical Intake Assessment
Wednesday 7 June – Tuesday 13 June
ESOPS East Sussex Outpatient Services Ltd an independent provider within the NHS family January 2018 ©ESOPS 2008.
Pathway for patients with suspected colorectal cancer
Worcestershire Colorectal Cancer 2ww Pathway
Stockport Together Outpatients Business Case Clinical Engagement Event
CHCACT Collaborative PCMH Element 1 A
NHS South Tees CCG Rapid Specialist Opinion (RSO)
4 NW (in-pt) REFERRAL & TREATMENT PATHWAY Referral Enter here Sources
Health Insurance in New Zealand
Presentation transcript:

Gynaecological Cancer Pathway – current state and where to from here? Michael Burling O&G Registrar- Waikato Hospital 25/10/15

Brief Overview Ministry of Health Initiative o Introduced in July 2012 o Enhanced quality of care and timeliness of appointments, investigations, and treatment Became nation-wide target for DHBs from October 1 st, 2014 o No longer just an ‘initiative’ Target July 2016 – 85% target June 2017 – 90% target

Pathway- NOT THAT SIMPLE

Current State 2 Audits on PMB at Waikato Hospital o Aug-Dec 2014 – Michael Burling o Oct-March TIs - Sukhi Sandhu & Matthew Wilson Aim o To determine how frequently standard 1 (ie. 62 days from referral  treatment) is being met o To breakdown the individual timeframes from referral  treatment to determine how long each process is taking o 14 days from referral  first specialist assessment -Referral  Triage -Triage  Clinic o Clinic  Hysteroscopy  Histology  MDM  Treatment

Summary of Results – Audit 1 USS GP Referral Pathology Hysterosco py FSA Standard 2- 14% Standard 1 – 0% Treatment Standard 3- 50%

Results Standard 1– 0% Standard 2 – 33% (a >50% improvement) Standard 3- 68%

Pathway PrimarySecondaryTertiaryPost treatment follow-up Patient education GP education HSCan criteria Appropriate primary investigation Correct referral category Better electronic referral system Urgent USS that can be done as OP within 1 week. Timely and correct triage Aim for FSA to be with in 14days HSCan appointment slots or clinics TV USS use in GOPC Timely hysteroscopy and outpatient hysteroscopy Improve histology turn around Timely staging investigations and MDM review Timely and appropriate referrals to Auckland Gynaeoncology MDM and decisions to be made on where and when the surgery will be Do we need more Gynaeoncologist? Do we need Generalist to do more? Appropriate follow-up and support post- treatment Need good collection

Secondary care center pathway Admin Staff O&G specialist FSA +Ix +/- Treatment HSCan Coordinator - GC Nurse Specialist or Doctor RadiologistPathologist Anaesthetist and OT staff Medical and Radiation oncologist Tertiary Services

12 days 14 days 7 days ~51 days Ideal timeline? 2 days

WHERE TO FROM HERE? Work together as a group and within our own hospital system to improve our clinical pathways. Share information- No need to re-invent the wheel again and again Having a dedicated Gynae-oncology coordinator in each hospital that is responsible for HSCan referrals and making sure all patient is seen, investigated and treated in a timely manner!! Better data collection to allow better research to improve our services and allow transparency with the MOH/DHB/ourselves/Patients

Questions