1. PREPARED BY Cancer Programme Work Programme 2012/13

3. Cancer Programme Work Streams 2012/13 WP1 – Improving quality of care across the patient cancer pathway WP2 – Improve bowel cancer outcomes WP3 – Improve palliative care services WP4 – Improve access to cancer and palliative care information

4. WP1: Improving quality of care across the patient cancer pathway Shorter waits for cancer treatment health target Faster cancer treatment project (indicators, care coordination, MDMs, tumour streams) National radiation oncology plan Radiation Oncology work programme (as above and includes KPI reporting, stereotactic services, radiation oncology standards) Medical oncology models of care implementation plan Quality improvement plan for the early detection and treatment of prostate cancer

5. WP 2: Improve bowel cancer outcomes Monitoring of the bowel screening pilot Endoscopy service improvement programme National prioritisation tool Colonoscopy wait time indicators

6. WP3: Improve palliative care services Palliative care resource and capability framework Palliative care funding model Boost hospice initiative Paediatric palliative care guidance

7. WP4: Improve access to cancer and palliative care information National view of cancer project Breast cancer registry Cancer core data definitions Palliative care data definitions Evaluation of Metriq

8. National Cancer Programme Work Plan 2012/13 (Ministry, DHBs, regional cancer networks) Ministry, DHB and regional cancer network national work plan overseen by the Cancer Programme Steering Group Signed off by the Cancer Programme Steering Group on 10 August (subject to minor changes) Will be provided to CCNZ and the Minister of Health in the next couple of weeks Monitored every two months by the Cancer Programme Steering Group

9. PREPARED BY Medical Oncology Models of Care Jane Lyon Rosemary Jarmey August 2012

10. Growth (%) 100% 88% 89% 76% 82% 73% National 89% Projected Numbers of Patients Starting Chemotherapy by Regional Cancer Centre

11. Rationale for Medical Oncology Models of Care constrained funding workforce shortages more treatment (drugs) available more courses of treatment being delivered costs of new targeted (drug) therapies increasing cancer population (decreasing incidence outweighed by increasing and ageing population)

12. Implementation Plan MOMOC Recommendations Recommended Implementation Programmes Implement a delineated Service Centre Framework Service Configuration Programme. The objective of this programme is to assist service improvement and re-configuration, and to increase treatment capacity in the appropriate facilities. Implement a Role Delineation Framework Workforce Programme. The objective of this programme is to develop and support workforce models that increase clinical capacity. Integrate services using a tumour type Framework Service Quality Programme. The objective of this programme is to improve clinical quality and service efficiency to ensure equitable patient care nationwide.

13. Service Configuration Programme Develop a DHB four-level service centre model self-assessment tool that enables the identification of: –the type and model of current medical oncology service provision at regional and satellite cancer centres –ancillary services that support medical oncology services –regional strengths, interests and innovations, including projects and initiatives already underway that align with implementation activities

14. Three components: Cancer Nurse Education Pathway Role definitions for alternative Medical Oncologist role Regional Medical Oncology Workforce Plans Workforce Programme

15. Service Quality Programme the top five most common cancers together account for 90% of cancer treatment volumes It is therefore appropriate to develop national tumour specific treatment standards and protocols

16. Cancer nurse coordinator – the role core functions: coordination from when a patient is first referred into secondary care for suspected cancer, through diagnosis and treatment. new clinical nursing positions

17. Cancer nurse coordinator - process small expert advisory group informing the service schedule funding available from 1 October 2012 effectiveness of roles will be evaluated.