Presentation is loading. Please wait.

Presentation is loading. Please wait.

New General Practice Contract: Opportunities for Cancer Registration UKACR, September 2004 Dr Anna Gavin Tel:028 9063 2573 Fax: 028 9024 8017 E.Mail:

Similar presentations


Presentation on theme: "New General Practice Contract: Opportunities for Cancer Registration UKACR, September 2004 Dr Anna Gavin Tel:028 9063 2573 Fax: 028 9024 8017 E.Mail:"— Presentation transcript:

1 New General Practice Contract: Opportunities for Cancer Registration UKACR, September 2004 Dr Anna Gavin Tel: Fax: E.Mail: Website:www.qub.ac.uk/nicr

2 ACKNOWLEDGEMENTS: Miss Wendy Hamill, Office Manager Mrs Susan McGookin, Secretary Mrs Helen Hanlon, TVO Mrs Pat Donnelly, TVO Mrs Kate Donnelly, TVO Mrs Rosemary Ward, TVO

3 2004 GP contract requires GPs to hold register of patients with chronic conditions including CANCER

4 NEW GENERAL MEDICAL SERVICES CONTRACT QUALITY & OUTCOME FRAMEWORK - Chronic Disease Management Allowances While it is recognised that these may not be 100% accurate it is the responsibility of the practice to demonstrate that it has systems in place to maintain a high quality register

5 REGISTERS Coronary Heart Disease Stroke or TIA Hypertension Diabetes Mellitus Chronic Obstructive Pulmonary Disease Epilepsy Hypothyroidism Cancer Mental Health Asthma Cancer Points 12/581 = 2%

6 METHOD Write to GPs enquiring whether they wish help to compose/compare cancer registry Duplicate lists sent with invitation to return one with updates and list of Prostate patients

7 N. IRELAND GPs Practices Tumours - 67,028 (inc. 17,563 NMS) (8,500 per year) (1993-current) Response Rate to Invitation Letter - 99% Feedback of amended lists by 1 Month - 47% Reminder letter sent August 2004

8 RESPONSES BY AUGUST /367 Practices = 57% 29,200 tumours Changes, e.g. address 95% Practices 10 practices – no change

9 DATA CHANGES Address Update %- lowest in rural areas Diagnostic Address vs Current Address Death Status Update % Changed GP - 3% Name Change 2% 3 sets patients identified incorrectly categorised by NICR as one e.g. father/son

10 TUMOUR CHANGES 106 patients = 0.36% of those making changes to data. (approx 3% of those with tumour data changes GP information incorrect 33 cases Changes, NICR aware already of 11 cases NICR wrong 40 cases (20 hosp case note only) Changes to pre 1993 data = 23 cases New patients pre 1993 / 2003 / 2004 = 57 cases

11 NICR ERRORS EXAMPLES n=40 cases = 0.14% of those making returns with comments NICR GP Renal Cell Cancer -Necrotic Kidney Malignant Ovary -Ischaemic Bowel Malignant Lymphoma -Hyperplasia Colon Cancer -Not Malignant Melanoma -Borderline Urinary Tract -Not Malignant

12 NON MALIGNANCIES Multiple Myeloma SLE Ovary x2 Lung TB Cervix ruled out at hysterectomy 2 0 Bone Prostate x 4

13 EXAMPLE OF MORE REFINED/CHANGED DIAGNOSIS Lymphnode Ca Caecum Ca Breast Site of skin tumours Laterality for some tumours Testis Seminoma Skin Malignant Melanoma Bladder unspecified Transitional Cell Ca Information on metastases Skin Pagets Nipple

14 NEW CANCERS 60 CASES % Pre % Prostate - 15% Some General Practices provided copies of existing registries

15 USEFUL ADMINISTRATIVE DATA Death Abroad/Moved Abroad Address Update Changes of GP Transfers Out Deaths Duplicate Patients

16 ESTIMATED COSTS Administrative Time - £5,000 Paper, Envelopes etc. - £200 Postage met by CSA Analysis - £1,000 CONFIDENCE IN NICR DATA - PRICELESS

17 FEEDBACK FROM GPS First offer of help re new contract Interesting project - still quite a bit of work to do Project involved significant amount of time and effort Delighted with help –Detailed letters re diagnostic differences Requested regular updates

18 BENEFITS OF EXERCISE Independent validation of database Update on recent deaths Update on recent Address change Update Name changes Profile of Cancer Registry raised with GPs Credibility of Cancer Registry established with GPs


Download ppt "New General Practice Contract: Opportunities for Cancer Registration UKACR, September 2004 Dr Anna Gavin Tel:028 9063 2573 Fax: 028 9024 8017 E.Mail:"

Similar presentations


Ads by Google