of Practice Pathways Event Thursday 8 February 2018 The Wesley - PowerPoint PPT Presentation

National Cancer Communities of Practice Pathways Event Thursday 8 February 2018 The Wesley Hotel, London

National Cancer Programme Chris Harrison – National Clinical Director 8 th Feb 2018

National Cancer Programme Planning Guidance • The new NHS Planning Guidance was published on 2 nd February 2018 • Ensure all eight waiting time standards for cancer are met including the 62day standard • Ensure implementation of new CWT system in April 2018 • Support implementation of the new radiotherapy service specification • Ensure implementation of nationally agreed rapid assessment and diagnostic pathways for lung, prostate and colorectal cancers • Progress towards ambition of 62% of patients to be diagnosed at stage 1 or 2 by 2020/21 • Support rollout of FIT for bowel cancer screening • Progress ambition of for all breast cancer patients to move to a stratified follow-up https://www.england.nhs.uk/publication/refreshing- pathway after treatment 4 nhs-plans-for-2018-19/

Best Practice Timed Clinical Pathways • Support Cancer Alliances to target improvement in diagnostic pathways • Illustrate best practice on how diagnosis in 28 days can be achieved National Optimal Lung Cancer Pathway (NOLCP) Day -3-0 Day 28 Day 0-3 Day 1-6 Day 14 Day 21 • PET CT Direct access CXR Triage Fast Track Lung Full MDT Communication to by radiology or Cancer Clinic spirometry discussion of patient on respiratory based Meet CNS (at least) treatment options outcome (cancer on local protocol Diagnostic process confirmed or all- • Detailed lung plan clear provided) Treatment of co- function Direct access or Direct biopsy • Cardiac Further morbidity / escalation to CT option investigations symptoms / assessment/ (same day/ within (if required after palliation ECHO 72 hours) MDT) (as required) Further investigations (to yield maximum diagnostic AND staging information with least harm) Maximum target times provided 5