Slide 1 UCLH Cancer Collaborative (part of the National Cancer Vanguard with RM Partners, and Greater Manchester Cancer)

Slide 2 Benefits for Patients – four pillars Earlier Diagnosis – patients diagnosed at an earlier stage of their disease, leading to better survival rates, improved experience Centre for Cancer Outcomes – transparent published data on outcomes that matter to patients to drive research and improvements in care London Cancer Pathway Boards/ERGs – improving quality and reducing variation for every patient; and bringing appropriate care closer to home; expanding self managed care and reducing waiting times New Models of Care – defining a kitemark for chemotherapy to ensure every patient receives improved quality of treatment; linking radiotherapy providers so all patients can benefit from new innovations quicker We want to be able to say that our patients are diagnosed faster, have a better chance of survival, a better experience of care and are better informed and supported

Slide 3 Benefits to the NHS Cancer survival rates that match the best in the world delivered in a sustainable way By detecting and treating cancer earlier we will improve outcomes and save lives and additional cost of diagnostics will be partially (at least) outweighed by the reduced cost of expensive later stage treatments By implementing best practice of new pathways such as straight to test, stratified follow up and self-managed care we will create a more cost effective service for the NHS that shifts resources from secondary care to the community That by working in a joined up way (joint accountability, alliance contracts, shared workforce) we will be able to share resources and make further efficiency gains

Slide 4 Our Approach Collaboration and system leadership: The UCLH Cancer Collaborative aims to take a step change approach to shared workforce, capacity, capability and financial understanding across the sector to drive best practice, efficiencies and improved patient experience London Cancer: London Cancer continues within the Vanguard structure at UCLH as an enabler of partnership working and to ensure sustainability of projects already underway in all four pillars Primary care providers, commissioners and public health: working in partnership to deliver sustainable local transformation across whole pathways Patient involvement and empowerment: Patients help set priorities and design new services from the start; are better informed about outcomes that matter to patients; and are supported in the community

Slide 5 System leadership

Slide 6 The four pillars of our collaborative are embedded in the UCLH Cancer Strategy

Slide 7 What will we do? – four pillars Earlier Diagnosis Centre for Cancer Outcomes London Cancer Pathway Boards /ERGs New Models of Care Supported by three enablers System architecture Workforce IT and Information Governance

Slide 8 1) Earlier Diagnosis Working with primary care to improve public awareness and screening uptake by implementing best practice communication and education material Straight to test and multidisciplinary diagnostic centre models rolled out in more pathways and venues New methods of rapid effective communication between colleagues, to deliver required direct access to investigations Improving standardisation and use of existing resources, sharing and building workforce as a sector and investing in capacity with best value for money

Slide 9 2) Centre for Cancer Outcomes

Slide 10 3) London Cancer – Pathway Boards/ERGs Prevention and earlier diagnosis workstream Living with and beyond cancer incl. palliative care Reduced variation Stratified follow-up Rollout self managed care to multiple trusts, improve consistency of quality, support IT system deployment Set high standards, conduct gap analyses, supporting trusts to create and implement business cases to close gaps. Embed robust timed pathways. Rollout to multiple trusts, improve consistency of quality, support IT system deployment With the patient always at the centre, Consider options for other pathways, and hold the ring on the standards

Slide 11 4) New models of care ORGANISATIONAL: establishing new organisational relationships: share expertise, increase efficiencies - UCLH-NMUH Radiotherapy collaboration OPERATIONAL: codifying exemplar service and business models to improve outcomes and sustainability. -Chemotherapy in the community -Chemotherapy quality kite mark

Slide 12 4) New models of care (options in place or under consideration)

Slide 13 4) New models of care ORGANISATIONAL: establishing new organisational relationships: share expertise, increase efficiencies - UCLH-NMUH Radiotherapy collaboration OPERATIONAL: codifying exemplar service and business models to improve outcomes and sustainability. -Chemotherapy in the community -Chemotherapy quality kite mark

Slide 14 Supported by three enablers System Architecture – we will work with commissioners and providers to understand costs and value of whole pathways, devise tariffs and consider alliance contracts to support the four pillars Workforce – we will seek a new contractual solution to shared workforce, develop new roles and training programmes, improve joint working, increase resilience, reduce duplication, aim for more common systems we can all use IT / Information Governance – we will work up a single information sharing agreement and options to enable a) clinical information to be available at the point of care throughout the sector across all pathways b) tracking of patients between organisations c) simplifying data entry and analysis