1. Electronic Cancer Referral Dr Regina Codd GP Community Oncology Team NCCP

2. About the National Cancer Control Programme Established in 2007 to implement the national cancer strategy

3. NCCP Structure Director Surgical Oncology Network East Radiation Oncology Network South Medical Oncology Network West Community Oncology

4. 8 cancer centres and a satellite centre

5. Community Oncology General Practice / Primary Care Guidelines / Standards / Integration Prevention Information Communication Survivorship Community Oncology

6. ‘Early Detection of Cancer: A Needs Assessment of GPs’( ICGP 2006)  Delay in Patient presentation  Lack of clear recommendations  Inequity of access  Long waiting lists  Lack of access to hospital based diagnostics

7. Why is cancer important?

8. What is the extent of the problem in Ireland 1 in 3 will develop invasive cancer 1 in 4 will die from cancer 29,745 new cases annual average 2007--2009 (National Cancer Registry, 2011) 60% die within 5 years of diagnosis 134,000 cancer survivors (National Cancer Registry, 2009) Incidence will increase by 45% between 2010 and 2020 Incidence will increase by 110% between 2020 and 2030 (National Cancer registry 2008)

10. Actual Case Numbers of Invasive Cancers for 2005 and Projected Case Numbers for 2010 - 2035 2005201020152020202520302035 % increase 2010 - 2020 % increase 2010 - 2030 Head and Neck277352452573709882107855129 Oesophagus3343894535306207188153273 Stomach4534684915165455695811021 Colorectal21112422286334024065480555374097 Pancreas38445954063775187810163991 Lung18312084245729063460408647463070 Melanoma skin606767985124715561918232364154 Female breast219627203294397647525670672446108 Gynaecological10021146135015871850215424643888 Kidney37550154262573187010233491 Bladder4744975435946507057451942 Brain and CNS3063824485306347578963997 Lymphoma601804996123115141852223353129 Prostate24152871343740934828566865594397 All excl NMSC1567819060231872811033831403994729647111 All cancers2197326283317983837946049547806384546108 Source: NCRI, 2008

11. Healthy lifestyle can prevent at least 30% of cancers 1.Never smoking 2.Maintaining a healthy weight 3.Being physical active 4.Limiting alcohol 5.Taking care in the sun and never using a sun bed People with all five healthy behaviours live an average of 14 years longer than people who do not have any of them; are less likely to die from cancer or heart disease

12. Referral Guidelines for Suspected Cancer Shared approach between Primary and Acute Care Evidence based and timely referral, prompt diagnosis Assist GPs to identify and manage symptoms that may indicate cancer – GPs are familiar with presenting features and alert to unusual patterns or recurrence – GPs know where to refer and what to refer urgently – GPs know the appropriate investigations they can order – Patients and carers get appropriate support and information

13. Multidisciplinary Care Diagnostic expertise Surgeons with specialised cancer expertise & high volume practices Radiation and Medical Oncologists with sophisticated knowledge & experience plus access to hi-tech therapy Compassionate, caring environment with supportive nurses, social workers and other health care professionals

21. Benefits of developing cancer electronic oncology referral forms Provision of direct access for GPs to the cancer teams at the eight designated cancer centres Streamline the cancer referral process Reduce communication difficulties Provide automatic confirmation of receipt of GP referral Reduce delays in patient referral for suspected cancer Aim to increase the number of patients diagnosed at an early stage and maximise the potential for cure

22. Getting Started It is very easy to register with Healthlink. This service is available free to all GPs. All you need is a computer, the internet and to register with Healthlink. To register you just need to complete the following three steps: 1.Complete a registration form and send it to Healthlink (this is available on their webpage www.healthlink.ie )www.healthlink.ie 2.Healthlink will then email you an encryption certificate and ring you to set this up over the phone 3.Healthlink will set up a username and password for your online Healthlink Account If you currently use Healthlink, the electronic cancer referrals will be automatically available to you. For further information please ring their helpdesk on (01) 8825606 or go to www.healthlink.ie. Their help desk is open Monday to Friday 9am to 5pm.www.healthlink.ie

23. ICGP Accredited Software Systems Socrates Helix Practice Manager Health One Complete GP

24. Helix Practice Manager (HPM) Screen Shots for Presentation

25. Setup: Administration Tab – Practice & Machine Config

26. Practice Config - Enable Electronic Referrals

27. Machine Config - Healthlink Details

28. Administration – IMC Number in User Set up

29. Patient File

30. Documents Drop Down – Electronic Referral

31. Patient Details (registration & medical) will be auto populated

32. Message when accepted

33. Stored in Patient file

34. Tasks

35. HL7 Messages

36. Health 1 Screen Shots for Presentation

37. Set up: Tools and options

38. Referrals – Healthlink

39. Patient Chart

40. Referral Forms

41. Auto populated but can Configure what Health 1 items it displays

42. Socrates Live Demonstration

43. NCCP Kings Inns House 200 Parnell Street Dublin 1 www.cancercontrol.hse.ie regina.codd@cancercontrol.ie Tel 01 8287100 ext 170

44. Discussion and your feedback