Optimising clinical practice and systems
On this page you can find out about NAEDI work stream 2, and some of its activities.
Work stream 2 aims to overcome clinic
al and system barriers to prompt onward referral within and between primary and secondary care. The focus is on what actually happens in primary care, and includes:
- GP awareness of symptoms and interaction with patients
- Understanding the interface between primary and secondary care, including any disincentives to referral
- Determining the best commissioning and 'gatekeeper' function of GPs
This work stream is chaired by Mike Richards, National Cancer Director, and Jane Allberry, Deputy Director of Cancer Services, End of Life Care and Dermatology at the Department of Health, and co-chaired by Sara Hiom, Director of Health Information at Cancer Research UK.
In a partnership between the National Cancer Intelligence Network, and the National Cancer Action Team, profiles for every GP practice in England have been developed, bringing together a range of useful information relevant to cancer in primary care. Read more on the NCIN website.
NEW NCAT's GP leadership project is using the practice profiles and the data they contain to engage with primary care - read about the experience of 13 of the 28 GP Cancer Network leads.
In the first quarter of 2009, 92 general practices in the North of England Cancer Network completed significant event audit reports for their most recent case of lung cancer and teenager/young adult cancer in a project funded by the National Cancer Action Team and the Cancer Network.
Secondary analyses of the reports, conducted by researchers at the universities of Dundee and Glasgow, yielded useful insight into events surrounding the cancer diagnoses. The common lesson across the cancer groups, raised in my of the practitioners’ reflections, was the importance of having processes in place to follow-up, manage, and refer non-resolving symptoms.
Plans are now in discussion for future SEA analyses.
The cancer diagnosis in primary care audit is a partnership between NCAT/Department of Health and the Royal College of General Practitioners. Eighteen Cancer Networks used the Cancer Diagnosis Audit Tool in 2009/10 – at least 2,600 GPs in more than 750 practices were involved.
NCIN have brought together the data to build up a national picture of cancer diagnosis in primary care and the final report is now available to download. NEW!
A narrative synthesis of reports from Cancer Networks who participated in the audit is available on the Durham University website.
The NPSA have conducted a project to explore issues of patient safety around delayed diagnosis of cancer. The project report is now available to download.
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