PREPARED BY Faster Cancer Treatment Improving Quality of Care Across the Patient Cancer Pathway John Childs June 2012

Rationale for Faster Cancer Treatment clinically beneficial streamlined health service delivery consistent with indicators implemented in other countries Focus on efficiency improves quality

Data Definitions, Measurement and Indicators 1.Referred urgently with high suspicion of cancer receive first cancer treatment within 62 days 2.Referred urgently with high suspicion of cancer have first specialist assessment within 14 days 3.Confirmed diagnosis of cancer receive first cancer treatment within 31 days of decision-to- treat National data definitions, reporting template and frequently asked questions documents have been sent to the DHBs

Regional implementation plans Stock-take against existing DHB information systems (what is currently collected?) Identify the changes to information systems and internal processes that are required to support consistent collection of the data against the Indicators Stock-take of existing care coordination roles Regional implementation plans are due 30 June 2012

Implementation Phased with baseline data collection in 2012/13 Regional Implementation plans key initiatives: Tumour stream standards and pathway frameworks Care coordination Multidisciplinary meetings

funding advice identified $2 million nationally for MDMs; regional approaches to improve quality and consistency increase MDM information systems / data collection coordination connectivity number of MDMs across tumour streams streamline MDM processes to increase proportion of cancer patients reviewed MDM guidance document released by Ministry

Tumour standards cancer networks supporting development of eight tumour standards: urological tumour standards will be developed following the Prostate Cancer Task Force recommendations implementation of the tumour standards will require local DHB commitment Standards will support pathway framework BowelHaematological BreastMelanoma GynaecologicalUpper gastrointestinal Head and neckSarcoma

Patient pathway coordination Budget 2012 identified $33 million over four years for up to 40 cancer nurse patient pathway coordinators positions will help patients through the cancer service pathway in a timely, responsive and seamless fashion the Ministry is developing a cancer care coordination model that specifies minimum standards of service delivery Cancer Networks completing a stock-take of existing patient coordination roles in DHB secondary care settings new funding will be tagged to new clinical positions with the core function of patient pathway coordination

Coordination of Care Roles Nursing/nurse specialist roles Additional to existing DHB roles Pan pathway: from suspicion Provide a single point of contact Configuration will vary across DHBs: adaptation to local need Provide nursing care, application of clinical skills (cancer knowledge) and co-ordination

Additional initiatives Establish a patient information resource network Tools to assist primary care in identifying patients with suspected cancer Limited funding for service redesign and optimisation