Improving Cancer Outcomes in Camden Dr Lucia Grun 15 October 2014

12:30 pmRegistration and Lunch 1:30 pm Introduction Outcomes from Upper and Lower GI audit Dr Lucia Grun 1:50 pm BMJ Cancer Learning Tool Dr Matt Morgan 2:00pm Bowel Scope and Straight to Test Diagnostics Dr Ed Seward 2:30pmConsultant led case study discussions 3:30 pmRefreshment Break 3:55pmConsultant led case study discussions continued 4:55 pmFeedback and Close

Why am I still standing here?

International Cancer Benchmarking Partnership: 5 year relative survival, patients diagnosed : Coleman et al, Lancet 2011

Five year relative survival rates

What we are offering 1.Practice visits from Cancer Research UK Facilitator 2.Upper and Lower GI clinical audit (results to follow) 3. Local awareness campaign 1.BMJ online learning tool

1. Practice visits from Cancer Research UK Facilitator Visits are currently taking place across Camden 25 practices have arranged visits between May and October Opportunity to discuss GP profiles, cancer tools, sessions with practice staff If you wish to have a visit, please see Carol Murphy, the Camden Primary Care Facilitator,

3. Local awareness campaign – ‘the small c’

2. Bangladeshi population -Camden wide -Grass root groups: Bengali Workers Association; Green Light Pharmacy 1. Over 50s population -4 most deprived wards of Camden (Cantelowes, Kilburn, Somers Town and St Pancras, Haverstock) -Grass root groups: Abbey Community Centre, African Health Forum, North London Care, Tottenham in the Community Who are we targeting in Camden?

Upper and Lower GI Audit

Patients in Camden diagnosed with Upper and Lower GI cancer between Patients Identified: Lower: 143 Upper: 39 Assessment and follow up GP Practices contacted: 36 Questionnaires received: Lower: 108 Upper: 27 From: 30 practices Analysis Questionnaires Analysed: Lower: 104 Upper: 22 Questionnaires Incomplete: Lower: 4 Upper: 5 Wrong form completed: Lower: 6 Upper: 2 Overview of process and final numbers

Route to diagnosis RouteLower GIUpper GI 2WW607 Routine referral51 Screening40 Other department40 A + E142 Private22 Unclear1915

Upper GI – Number of comorbidities

Upper GI – No of comorbidities by age group

Upper GI Symptoms

Progressive weight loss +/- Dysphagia accounts for 60% accounts for 60% of cohort in this audit

Lower GI – No of comorbidities

Lower GI – No of comorbidities by age group

Lower GI Symptoms

Change in Bowel Habit +/- Bleeding from back passage +/- Constipation +/- Abdominal Pain accounts for 66% of cohort in this audit

Average number of appointments

No of comorbidities influences no of appointments

What can we do with these findings?

12:30 pmRegistration and Lunch 1:30 pm Improving Cancer Outcomes in Camden Introduction and Outcomes from Upper and Lower GI audit Dr Lucia Grun 1:50 pm BMJ Cancer Learning Tool Dr Matt Morgan 2:00pm Bowel Scope and Colonoscopy Straight to Test Dr Ed Seward 2:30pmConsultant led case study discussions 3:30 pmRefreshment Break 3:55pmConsultant led case study discussions continued 4:55 pmFeedback and Close

Camden CCG is working with London Cancer and BMJ OnExamination to provide a GP Development Tool for all GPs to improve the earlier detection of cancer within Camden.

What does the Assessment Package contain? A Pre-test (25 questions) - From the results of this Pre-test BMJ OnExamination will identify knowledge gaps which will inform the development of learning modules to target and improve knowledge in these specific areas A programme of 8 x Self Assessment modules (10 questions each) will be provided with relevant learning material based on knowledge test results A Post-test (25 questions) - to confirm knowledge improvement by engaging with the Self Assessment modules Launch: Wednesday 22 nd October

Benefits to you: At least 10 hours CPD on completion / Preparation for Appraisal Improved knowledge in the early diagnosis and treatment of cancers Assessment content is relevant to current GP practice & local guidelines Assessments available anytime to fit in during surgery or work at your own speed at home Revisit modules as often as you like for the duration of the programme Benefits to Camden CCG: Improved patient outcomes Improved knowledge across key clinical areas, i.e. an improvement in earlier cancer diagnosis rates and referrals

ANY QUESTIONS?