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Dr Tom Crosby Consultant Oncologist, Velindre Cancer Centre National Clinical Director, Wales Implementing a Single Suspected Cancer Pathway as a Platform for Improvement in Wales

u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg

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Page 1: u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg

Dr Tom CrosbyConsultant Oncologist, Velindre Cancer Centre

National Clinical Director, Wales

Implementing a Single Suspected Cancer Pathway

as a Platform for Improvement

in Wales

Page 2: u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg

System Performance

Page 3: u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg

Countries where GPs are more willing to test have better cancer outcomes

Page 4: u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg
Page 5: u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg
Page 6: u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg

Key Elements

• Early Diagnosis Initiative

• Patient Centred Care Programme

• Cancer Information Solution

• Cancer Performance Framework

• Wales Cancer Research Strategy

Page 7: u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg
Page 8: u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg

The Single Cancer Pathway Programme

Page 9: u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg

• A Single Suspected Cancer Pathway (SCP) reporting all CWTs from the Point of Suspicion and treating within 62 days

• Standardised Pathways • National Optimal Pathways (28 day diagnostic, 21 day treatment)

• Capacity and Demand/Pathway Modelling• ~20% increase in diagnostic capacity, reduced steps and regional

diagnostics

• New Information systems• E-referral, recording/tracking and reporting component waits etc

• Clinical and PPI Engagement with Improvement Programme• System Leadership

The Single Cancer Pathway Programme

Page 10: u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg
Page 11: u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg

Achievements to Date

Cabinet Secretary announced dual reporting from June 2019

Secured annual £3 million funding for SCP from Welsh Government

Alongside clinicians developed a suite of best practice principles

Carried out a Peer review of Health Board/Trust SCP Plans

Eight National Optimal Pathways are near completion

Issuing of the DSCN by the Welsh Information Standards Board

First Capacity & Demand exercise carried out by Health Boards/Trusts

Held 4 improvement workshops in partnership with 1000 Lives

Page 12: u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg

Single Cancer Pathway Timeline post September 2018

Feb 2019Fourth SCP Improvement

Workshop

Nov 2018Cabinet Secretary Formal Announcement

of SCP dual reporting from June 2019

Sep 2018SCP CIG Oct 2018 - Mar 2019

Input into IMTP process

Feb 2019 - May 2019Work completed to

embed Tracker 7 into WPAS

Nov 2018HBs begin reporting

Supplementary component data

Jan 2019DSCN issued

Oct 2018DU to collate a national

overview of forecasted gaps

September 2018 – June 2019 National Optimal Pathways Developed

Jan 2019SCP CIG Workshop

Mar 2019DU & HBs 2nd C&D forecast

2012 Trigger

Audits highlighting deficiency in nUSC

CWT at not reflecting patient

experience.

2015 NSAG Importance of

CWT to patients

2016 SCP Pilot April 2020 → Ongoing Delivery & Improvement

Page 13: u o u v ] v P ^ ] v P o ^ µ v W Z Á Ç W o ( } u ( } / u ... · $ 6lqjoh 6xvshfwhg &dqfhu 3dwkzd\ 6&3 uhsruwlqj doo &:7v iurp wkh 3rlqw ri 6xvslflrq dqg wuhdwlqj zlwklq gd\v 6wdqgduglvhg

Thankyou!

Any Questions?

[email protected]


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