1. Improving Cancer Outcomes in Camden Dr Lucia Grun 15 October 2014

2. 12:30 pmRegistration and Lunch 1:30 pm Introduction Outcomes from Upper and Lower GI audit Dr Lucia Grun 1:50 pm BMJ Cancer Learning Tool Dr Matt Morgan 2:00pm Bowel Scope and Straight to Test Diagnostics Dr Ed Seward 2:30pmConsultant led case study discussions 3:30 pmRefreshment Break 3:55pmConsultant led case study discussions continued 4:55 pmFeedback and Close

3. Why am I still standing here?

4. International Cancer Benchmarking Partnership: 5 year relative survival, patients diagnosed 1995-2007: Coleman et al, Lancet 2011

6. Five year relative survival rates

7. What we are offering 1.Practice visits from Cancer Research UK Facilitator 2.Upper and Lower GI clinical audit (results to follow) 3. Local awareness campaign 1.BMJ online learning tool

8. 1. Practice visits from Cancer Research UK Facilitator Visits are currently taking place across Camden 25 practices have arranged visits between May and October Opportunity to discuss GP profiles, cancer tools, sessions with practice staff If you wish to have a visit, please see Carol Murphy, the Camden Primary Care Facilitator, carol.murphy@cancer.org.ukcarol.murphy@cancer.org.uk

9. 3. Local awareness campaign – ‘the small c’

10. 2. Bangladeshi population -Camden wide -Grass root groups: Bengali Workers Association; Green Light Pharmacy 1. Over 50s population -4 most deprived wards of Camden (Cantelowes, Kilburn, Somers Town and St Pancras, Haverstock) -Grass root groups: Abbey Community Centre, African Health Forum, North London Care, Tottenham in the Community Who are we targeting in Camden?

14. Upper and Lower GI Audit

15. Patients in Camden diagnosed with Upper and Lower GI cancer between 2011-2013 Patients Identified: Lower: 143 Upper: 39 Assessment and follow up GP Practices contacted: 36 Questionnaires received: Lower: 108 Upper: 27 From: 30 practices Analysis Questionnaires Analysed: Lower: 104 Upper: 22 Questionnaires Incomplete: Lower: 4 Upper: 5 Wrong form completed: Lower: 6 Upper: 2 Overview of process and final numbers

16. Route to diagnosis RouteLower GIUpper GI 2WW607 Routine referral51 Screening40 Other department40 A + E142 Private22 Unclear1915

17. Upper GI – Number of comorbidities

18. Upper GI – No of comorbidities by age group

19. Upper GI Symptoms

20. Progressive weight loss +/- Dysphagia accounts for 60% accounts for 60% of cohort in this audit

21. Lower GI – No of comorbidities

22. Lower GI – No of comorbidities by age group

23. Lower GI Symptoms

24. Change in Bowel Habit +/- Bleeding from back passage +/- Constipation +/- Abdominal Pain accounts for 66% of cohort in this audit

25. Average number of appointments

26. No of comorbidities influences no of appointments

27. What can we do with these findings?

28. 12:30 pmRegistration and Lunch 1:30 pm Improving Cancer Outcomes in Camden Introduction and Outcomes from Upper and Lower GI audit Dr Lucia Grun 1:50 pm BMJ Cancer Learning Tool Dr Matt Morgan 2:00pm Bowel Scope and Colonoscopy Straight to Test Dr Ed Seward 2:30pmConsultant led case study discussions 3:30 pmRefreshment Break 3:55pmConsultant led case study discussions continued 4:55 pmFeedback and Close

29. Camden CCG is working with London Cancer and BMJ OnExamination to provide a GP Development Tool for all GPs to improve the earlier detection of cancer within Camden.

30. What does the Assessment Package contain? A Pre-test (25 questions) - From the results of this Pre-test BMJ OnExamination will identify knowledge gaps which will inform the development of learning modules to target and improve knowledge in these specific areas A programme of 8 x Self Assessment modules (10 questions each) will be provided with relevant learning material based on knowledge test results A Post-test (25 questions) - to confirm knowledge improvement by engaging with the Self Assessment modules Launch: Wednesday 22 nd October

32. Benefits to you: At least 10 hours CPD on completion / Preparation for Appraisal Improved knowledge in the early diagnosis and treatment of cancers Assessment content is relevant to current GP practice & local guidelines Assessments available anytime to fit in during surgery or work at your own speed at home Revisit modules as often as you like for the duration of the programme Benefits to Camden CCG: Improved patient outcomes Improved knowledge across key clinical areas, i.e. an improvement in earlier cancer diagnosis rates and referrals

33. ANY QUESTIONS?