1 / 14

Improving Cancer Outcomes in Camden

Improving Cancer Outcomes in Camden. Dr Lucia Grun 19 March 2014. International Cancer Benchmarking Partnership: 5 year relative survival, patients diagnosed 1995-2007: Coleman et al, Lancet 2011.

cleo
Télécharger la présentation

Improving Cancer Outcomes in Camden

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Improving Cancer Outcomes in Camden Dr Lucia Grun 19 March 2014

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

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

  4. Five year survival of common cancers diagnosed • Early versus late

  5. Camden-specific statistics… • Directly standardised mortality rate aged under 75 for all cancers, Camden, 1993-2011 • Source: Health and Social Care Information Centre, 2013, NB data for 2009-11 are provisional at the time of publication.

  6. Camden-specific statistics… • The reduction in Camden’s cancer rates has been faster over the past 10 years (27%) than England (22%) or London (25%) • May relate to greater than average reduction in numbers of smokers in Camden • In Camden, a higher proportion of people are diagnosed at stage 1 (34%) compared to neighbouring boroughs and the London average. • Camden also has a significantly higher proportion of cancers diagnosed at stage 4 (late) compared to the London average Camden Joint Strategic Needs Assessment 2013, Camden Council http://www.camden.gov.uk/ccm/content/social-care-and-health/health-in-camden/joint-strategic-needs-assessment-2012/chapter-16-cancer.en?page=3

  7. National Patient Experience Survey for all cancers Question 64: Practice staff definitely did everything they could to support patient Data Source: National Cancer Patient Experience survey

  8. 3 year funded project Camden CCG and London • Cancer • Delivered through other workstreams

  9. Improving outcomes for Camden patients • Improve earlier diagnosis of cancer • Developing educational opportunities • Online learning package • Integrate results of recent GP questionnaire • Linking into national awareness campaigns • Reflection on current practice through various methods • Best Commissioning Pathways from NHS England • Improve communication • Interface between primary and secondary care • Facilitate connections between practices and CCG • London Cancer as a way to support this • Improve pathways for patients who present late • Learning from the A&E Audit

  10. Earlier Diagnosis – Practice based • Encourage stronger links into national awareness campaigns • Awareness of key messages • Available leaflets and promotion in practices • Access to appointments • Patient perceptions • Uptake in screening programmes • Cervical • Bowel • Breast

  11. Earlier Diagnosis - Communication • Education of reception staff • Appropriate use of 2ww referral between primary and secondary care • Creating a low risk but not no risk culture

  12. Earlier Diagnosis - Reflection • Significant event analysis • Audit of past cancer diagnoses • Understand patient journey and route to diagnosis • Upcoming audit • Sharing learning within practices and localities • Best practice and insights across Camden • Using practice profiles • Available at today’s event • MacMillan Risk Assessment Tools

  13. Best Practice Pathways for early detection

  14. Numbers of ovarian cancers detected in a theoretical cohort of 100,000 with symptoms consistent with ovarian cancer presenting to primary care Assumed prevalence of undiagnosed ovarian cancer is 0.23% in women with such symptoms- total numbers of ovarian cancer cases is 230 • Source: Transforming Cancer Services for London, Best Practice Commissioning Pathway for the early detection of ovarian cancer , NHS England

More Related