1. National Cancer Peer Review User Training Programme

2. Session 1 Welcome and Introductions

3. Aims of Today

4. Learning Outcomes By the end of the training session participants should be able to: Understand aspects of cancer care/treatment that relate to user involvement in Cancer Peer Review (CPR) Outline the key principles of CPR Describe the role and responsibilities of user reviewers Understand how CPR relates to the patient/carer experience/user involvement Understand how to review evidence Define the essential elements of effective communication, assertiveness and teamwork that enhance CPR Gain insight into appropriate questioning techniques Seek further advice/support/help for this role

5. Group agreement Valuing everyone’s contributions – We may not always agree with what everyone says but we can at least acknowledge their point of view and value their contribution Taking responsibility for own learning - No questions is a silly question- all you are doing is asking for clarification Time keeping - Everyone to share responsibility for this. Confidentiality - Tips, hints or general factual information feel free to share with others,BUT anything personal or attributable to individuals, places or settings please keep confidential. Confidentiality re peer review process is addressed during the full day’s reviewer training Equal opportunity for all- only one person speaking at any one time in the large group Mobile phones- switched off or to vibrate mode please

6. Session 2 What is Cancer?

7. Cancer-what is it?* Uncontrolled growth (and spread) of cells

8. What is Cancer – Different Types? Primary Secondary Tertiary (Metastases) Solid tumour Blood borne

9. Cancer top ten

11. What is Cancer - Causes Smoking Diet Alcohol Genetic Sunlight Occupation Radiation Infections Older age

12. The real reason dinosaurs became extinct!

13. What is Cancer – Treatment Methods Surgery Chemotherapy Radiotherapy Hormone therapy

14. Customising patient care No two patients are the same No two tumours are the same When making decisions about treatment remember not only tumour factors and treatment factors but also PATIENT FACTORS

15. Session 3 Who's Who and What’s What in the NHS

16. Structure of the NHS The Card Game Challenge

17. Session 4 Using Cancer Policy to Improve Care and Treatment

18. Cancer policy

19. Improving Outcomes Guidance

20. The Patient Experience Clinical Pathways versus Patient Journeys – is there a difference?

21. Pathways

22. Refreshments Please return in 15 mins

23. Session 5 What is National Cancer Peer Review?

24. Scope of Peer Review

25. Purpose of Peer Review

26. How CPR is Organised Nationally National Cancer Action Team National Steering Groups Zonal Advisory Groups 4 Zonal Teams :- –North –Central –London –South

27. The Peer Review Programme

28. Handbook Handbook for the National Cancer Peer Review Process Contains details of the process from start to finish including: 1.The Peer Review Programme 2.Annual Self Assessment 3.Internal Validation 4.External Verification 5.National Schedule for Peer Review Visits & Conducting the Review 6.Outcomes of the Peer Review Process 7.Identification of Concerns 8.CQuINS

29. Session 6 The Role of the Reviewer

30. Who are Reviewers?

31. The Reviewer Role

32. Session 7 Becoming a reviewer A patient/carer perspective

33. The Unique Role of the User Reviewers

34. Lunch Please come back at 13.30

35. Session 8 Reviewing as a Team

36. Reviewing as a Team A team is a group of people who share and are aware that they share a common goal

37. Benefits of Team Working Combines collective knowledge/skills/attributes Creates cooperative action Makes best use of individual strengths Mutual support & learning on difficult problems Common ownership of actions/decisions Increases individual contribution & overcomes domination Creates momentum Achieves consensus Increases significance of findings/conclusions

38. What Makes a Team Tick? Keeping focused on real issues Encouraging participation from everyone Managing competitive activity/conflict Encouraging positive attitudes Avoiding compromise Pacing & keeping to time/deadlines Achieving the required result Ensuring conducive environment

39. Making a Team Tick Team Members’ Responsibilities Taking a lead Listening Making suggestions Asking for information Posing/answering questions Recapping /summarising Initiating solutions/ideas Testing for consensus

40. Formulating Questions ‘It’s not what you say it’s the way that you say it’

41. Session 9 Reviewing the evidence A focus on patient issues

42. Group Work Spend 20 minutes reading the documentation on your table and recording on this proforma whether you think the measure is met where you found the evidence. Identify any outstanding queries

43. Key points from group work What conclusions did you reach after looking at the evidence ? Where was the Evidence? What questions do you have that you need to ask the team. 2C-102 2C-105, 2C-109, 2C-117, 2C-121

44. Session 10 Using Effective Communication During the Review

45. Formulating Questions From the information you gathered earlier formulate some questions that you would want to ask the team being reviewed.

46. Question types OpenEncourage people to talk What, where, when, why, how? ClosedChecking factsHow many? do you? HypotheticalTest contingenciesWhat if? ProbingGreater depthIn what way? Tell me more.. LeadingPacifying Use with care You do, don’t you? MultipleAvoidWho sends it, what do you do and how?

47. Funneling questions Open - to explore Probing - to clarify Hypothetical - to test contingencies Closed - to confirm

48. Listening Listen before deciding response –Be active summarise regularly ask confirmatory questions –Let the Reviewees talk –Encourage contributions from everyone –What if they won’t stop talking?

49. Refreshments Please return in 15 mins

50. Session 11 The Three G’s

51. The Three G’s 1) Gains- What you hope to gain from the becoming a reviewer 2) Gives- What you’ll bring to the process 3) Groans- Any concerns you have

52. Session 12 Next steps

53. Next steps This may not be for everybody, but we are happy if you want to give it a go!

54. Learning Outcomes By the end of the training session participants should be able to: Understand aspects of cancer care/treatment that relate to user involvement in Cancer Peer Review (CPR) Outline the key principles of CPR Describe the role and responsibilities of user reviewers Understand how CPR relates to the patient/carer experience/user involvement Understand how to review evidence Define the essential elements of effective communication, assertiveness and teamwork that enhance CPR Gain insight into appropriate questioning techniques Seek further advice/support/help for this role

55. Acknowledgements User Reviewer members of the National User Steering Group for NCPR Derek Stewart O.B.E. RIME & Reason Consultancy Cancer Patient Advocate and Trainer for the use of the patient and clinical pathway exercise Gillian Fletcher – Lead Trainer for Cancer Voices for the use of her National Health Jigsaw

56. Close Thank You Please Complete your Evaluation form Have a Safe Journey Home....