1. Survivorship Dr Kavi Sharma GP/GPA

2. Survivorship What do GPs do?

3. Survivorship Typical GP Diabetes Cancer

4. Survivorship Is cancer a chronic disease?

5. Survivorship Cancer not one disease Effect of surgery/radio/chemotherapy Early effects Late effects

6. Survivorship What happens now? Cancer Care Review No regular review mechanism

7. Survivorship Early/late effects for specific patient Is the information available? Surgeon/Oncologist?

8. Survivorship GPA project Discharge letter audit

9. Survivorship To manage cancer as chronic disease Database accurate Trained Practice Nurse/GPs

10. Survivorship Coding needed for Cancer Radiotherapy Surgery Chemotherapy

11. Survivorship Practice Nurse Project

12. Survivorship Primary/Secondary care cooperation Planned discharge Empower GPs/PN Empower patient Quick access back to secondary care

13. Survivorship Quality and Outcomes Framework (QOF)

14. Survivorship Ideas Database-cancer/radio/chemo/surgery Discharge information-early/late effects Treat as chronic disease Training for Practice Nurse/GP Get Cancer care in QOF.

15. Survivorship Thanks.