1. www.mccn.nhs.uk Cancer Commissioning Toolkit and the Somerset Cancer Register Jon Hayes Deputy Network Director

2. 2 The CCT is a web-based tool with interactive outputs

3. 3 The dashboard contains the key cancer metrics

4. 4 Each metric can be observed in more detail with information on sources and guidance

5. 5 A cancer specific dashboard contains another selection of metrics that can be analysed for each cancer type

6. 6 The index contains links to each chapter and section – which lead on from the CRS

7. 7 Each issues raised in the sections of the CRS are informed by the reports in the relevant section

8. 8 Each report is fully interactive and contains sources and guidance

9. 9 Reports can be pre-customised with selected networks, PCTs, trusts or SHAs

10. 10 Reports can be selected, aggregated and exported into a word document

11. www.mccn.nhs.uk Somerset Cancer Register Slides by Karen Graham, St Helens & Knowsley NHS Trust

12. Many Systems Many Processes Primary Data Sources Patient Tracking (62 / 31 Day Patients) CWT Secondary Repositories Service Requirements Outcomes PTL Spreadsheet ScreeningRecordsCNSMDT RadiologyPathologyPAS

13. Many Systems Many Processes Primary Data Sources Cancer Registry Returns Secondary Repositories Service Requirements Outcomes ScreeningRecordsCNSMDT RadiologyPathologyPAS ColorectalBreastHaematologyUrologyLung Head & Neck SkinUpper GICancer Registry

14. Upper GI Many Systems Many Processes Primary Data Sources National Cancer Audit Secondary Repositories Service Requirements Outcomes ScreeningRecordsCNSMDT RadiologyPathologyPAS Colorectal Head & Neck LungBreastOpen Exeter

15. Many Systems Many Processes Primary Data Sources Network Cancer Audit Secondary Repositories Service Requirements Outcomes ScreeningRecordsCNSMDT RadiologyPathologyPAS Audit Reports Tumour Databases 8

16. MDT Proforma Many Systems Many Processes Primary Data Sources MDT data Secondary Repositories Service Requirements Outcomes ScreeningRecordsCNSMDT RadiologyPathologyPAS 8 Tumour Databases 8

17. Many Systems Many Processes Primary Data Sources Patient TrackingMDT Data CollectionNational Audit Data Network Audit DataCancer Registry Returns Secondary Repositories Service Requirements Outcomes ScreeningRecordsCNSMDT RadiologyPathologyPAS Cancer Registry Screening Forms Gynae Forms Tumour Databases Local Audit PTL Spreadsheet CWT 8 MDT Proforma BAUS Forms Network Audit Open Exeter Screening Databases 3 8

18. Many Systems Many Processes Primary Data Sources Patient TrackingMDT Data CollectionNational Audit Data Network Audit DataCancer Registry Returns Secondary Repositories Service Requirements Outcomes ScreeningRecordsCNSMDT RadiologyPathologyPAS Cancer Registry Screening Forms Gynae Forms Tumour Databases Local Audit PTL Spreadsheet CWT 9 MDT Proforma BAUS Forms Network Audit Open Exeter Screening Databases 3 9

19. Consolidating Data Capture Somerset Cancer Register Primary Data Sources Patient TrackingMDT Data CollectionNational Audit Data Network Audit DataCancer Registry Returns Service Requirements Outcomes ScreeningRecordsCNSMDT RadiologyPathologyPAS Cancer Registry Local Audit CWT Network Audit Open Exeter Screening Databases 3 Somerset Cancer Register CNSMDT

20. Aintree University Hospitals NHS Foundation Trust Alder Hey Childrens Hospital Liverpool Heart and Chest Hospital Clatterbridge Centre For Oncology Countess Of Chester Hospital NHS Foundation Trust Liverpool Womens NHS Foundation Trust North Cheshire Hospitals NHS Trust Royal Liverpool & Broadgreen University Hospitals NHS Trust Southport & Ormskirk Hospital NHS Trust St Helens & Knowsley Hospitals NHS Trust Walton Centre For Neurology & Neurosurgery Wirral University Teaching Hospital NHS Foundation Trust

21. www.mccn.nhs.uk Time for Something Else? 8:54 PM

22. www.mccn.nhs.uk Where do you want to go? New Website Health Bus Waiting Times Service Improvement Screening – new challenges

23. www.mccn.nhs.uk.

25. .

26. Waiting Times

27. www.mccn.nhs.uk Time from GP to Treatment.

28. www.mccn.nhs.uk Last time … A B

29. www.mccn.nhs.uk This time … A B ?.

30. www.mccn.nhs.uk Service Improvement 21 locality-based projects, including –Lung Cancer Risk Scoring Tool –Upper GI Cancer A&E admissions –Coping Strategies –Radiotherapy Template Booking –Cancer Screening Information Guide –Rapid Discharge, Home to Die –“Get Checked” campaign Network-Wide work includes –E-learning- Patient Information - Data Quality –Learning Disabilities- Early Detection & Prevention.

31. www.mccn.nhs.uk Screening – New Challenges Breast –Age extension, 47 – 73 –Digital mammography –MRI surveillance of high risk patients managed through screening programmes Cervical –14 day turnaround –Recommended move to smaller number of larger labs –Recommended move to smaller no. of larger screening agencies Bowel –Age extension, 60 – 75 –National funding  PCT baselines –Recommended split of Cheshire and Mersey programme All screen-detected patients included in 62 day target.