1. WLCCG Cancer QP Dr Pawan Randev WLCCG Cancer Lead GP 20 th June 2013

2. Aims of Cancer QP 2013 Earlier diagnosis cancer in primary care Raising practice awareness of cancer symptoms and screening programmes Increase bowel cancer screening uptake Recording of 2WW referrals GP engagement with cancer issues

3. About me: GP Measham Medical Unit Trainer Appraiser Clinical Lead GP in a Cancer Network 6 years Worked on many national and local cancer projects

5. Past roles Macmillan GP Facilitator Involved in RCGP cancer pilots Part of Be Clear on Cancer Lung campaign Poster boy in the Sun on Sunday…

9. Leicestershire data Under 75 deaths Cancer is single largest contributor - 42% More than heart disease Prevalence of cancer higher than national average Under 75 mortality rates from cancer have fallen in LCR from a rate of 132 per 100,000 to 99 per 100,000.

11. Our Health and Well Being Board Strategy Deaths from cancer have not decreased to the same extent as heart disease. Ensuring that patients and health professionals alike are able to recognise symptoms and make early diagnosis will be essential in reducing the death rates from cancer.

12. Earlier Diagnosis of Cancer Patient awareness Practice Staff awareness Doctor awareness … and action Practice looking at feedback on performance Making Practice action plans to address areas for improvement

13. Population awareness: Be Clear on Cancer Campaigns

17. Action Point 1 How could the practice work with the national campaigns? Posters, leaflets, website, staff awareness… Patient Participation Groups? Ask staff how the message could be delivered

18. Earlier Diagnosis of Cancer Patient awareness Practice Staff awareness Doctor awareness … and action Practice looking at feedback on performance Making Practice action plans to address areas for improvement

19. Practice Staff awareness Valuing our staff Part of your local community Untapped resource How many p/t and f/t staff do you employ? What is their awareness of cancer? Have team members personal experience of cancer? Is it their role? All are part of our teams

23. Cancer Awareness toolkit Practice managers can co-ordinate this PLT for staff Check knowledge/confidence pre and post Can be accessed away from workplace Part of practice development plans Submit for practice appraisal visits Residential home staff

24. Earlier Diagnosis of Cancer Patient awareness Practice Staff awareness Doctor awareness … and action Practice looking at feedback on performance Making Practice action plans to address areas for improvement

25. Doctor awareness … and action Using Practice Profiles What is the profile? How can we use it? What does it mean to us? Is it performance management? Are the numbers right? Can I phone a friend? Yes, email Jennie and me

26. Practice Profiles Practice and PCT level comparator data – like PACT data Domains – demographics, screening, referral, presentation Descriptive information about practice cancer activity Really useful for Practice development plans Share with nursing staff NOT performance measurement

28. Using the data Eyeball – look for variance with CCG/England means Is this what you expected, for your population? What are you doing well? What could be better? How could it be better?

29. An example Bowel cancer screening 60-75 years age MMU – 61% uptake Breast screening uptake – 85% Is this acceptable for a national screening programme? What can we do to increase uptake?

30. Action Point 2 Identify non-responders with code ( Bowel cancer screening declined) Write to them ( 10% take it up) Ask patients attending for LTC monitoring Posters in flu clinic Web site Birthday card for 60 year olds…

32. Earlier Diagnosis of Cancer Patient awareness Practice Staff awareness Doctor awareness … and action Practice looking at feedback on performance Making Practice action plans to address areas for improvement

33. Practice Profiles 2 week waits – number 2 week wait conversion rates Use of diagnostics Emergency presentations

34. Action Point 3 Use of risk assessment tools qCancer Consider audit 2ww referrals using standard Read Codes “Fast Track Referral” 8Hn

36. Practice Action Plans Ideas from Profiles meetings Input from staff engagement events Patient groups Your plans to detect cancer earlier as a team Identify how CCG can help ( realistically) May share plans as locality Good ideas spread across CCG (and credited)

37. Questions and Activity Looking at Profiles Sharing first thoughts Concerns? Contacts: pawan.randev@nhs.net Jennie.Caukwell@westleicestershireccg.nhs.uk