1. Chester Ellesmere Port & Neston Rural Making sure you get the healthcare you need West Cheshire CCG Strategy Dr Andy McAlavey Medical Director West Cheshire CCG

2. Making sure you get the healthcare you need Improving outcomes: a strategy for cancer was published on January 2011 and describes plans to put patients and the public at the heart of cancer services. It also sets out the ambition to drive up England’s cancer survival rates, which are currently behind; every year it is believed there are 10,000 preventable cancer deaths in the UK. Overarching aims of the strategy:  Improving cancer survival rates  Improving patients' experience of care  Quality of life for cancer survivors The key areas of work include:  Promoting lifestyle changes to reduce cases of preventable cancers.  Increasing the uptake of early cancer screening and introducing new screening programmes.  Improving patient experience and support for cancer survivors.  Ensuring that all patients have access to the best possible treatment, care and support. National Cancer Strategy

3. Making sure you get the healthcare you need  Cancer incidence in West Cheshire is higher than the England average, on average there are 471 new cancer cases per 100,000 population in England, the CCG average is 591.  An average practice of 6000 patients in West Cheshire will see around 35 new cases of cancer per year  The three most common cancers for men in West Cheshire are Prostate (26%) Lung (14.1%) and Colorectal (14%)  The three most common cancers for women in West Cheshire are Breast (33.2%) Lung (11.5%) and Colorectal (10.5%) An average practice may see just 4-5 new cases prostate cancer, 4 new cases of lung cancer and 4 new cases of colorectal cancer each year. West Cheshire Clinical Commissioning Group

4. Making sure you get the healthcare you need Our local strategy:  Care is always about the whole person.  Care will always be delivered in partnership with the individual.  Care is always delivered in the most appropriate place.  Patients should expect the same level of care, no matter where they access the NHS, or social care. We call this the “West Cheshire Way” Cancer has been identified as a key priority for West Cheshire CCG Priority programmes of work that support improving care and survival rates, and link directly to the cancer strategy:  Avoiding emergency admissions - through early identification of long term conditions and risk stratification. - Improving cancer survival rates.  Reviewing effectiveness of cancer two week wait pathway. - Improving experience of care.  Self-care, supporting people to manage their condition outside of hospital, making use of community services to support them. - Quality of life for survivors. Local strategy

5. Making sure you get the healthcare you need Building on the West Cheshire Cancer audit  19 practices in Western Cheshire took part in an audit of routes to diagnosis for cancer patients. This covered 200 patients journeys from first presentation to subsequent diagnosis, the audit has produced a large data set which we are keen to analyse and produce data that is helpful to practices.  The audit included patients with 26 different tumour sites, which reflects the challenge faced by GPs in cancer diagnosis. The most common cancers were prostate (18.4%) Lung (15.3%), colorectal (13.2%) and breast (12.8%).  Data analysis and key learning points from the audit will be shared across all the practices to in order to identify any common themes and good practice/learning points. Programmes of work: Cancer Audit

6. Making sure you get the healthcare you need  The main focus for the survivorship work initially has been around the colorectal cancer pathway, all patients now going through this pathway receive a holistic needs assessment and end of treatment summary which will be shared with the GP.  Patients are able to have telephone follow up with a clinical nurse specialist alongside their planned surveillance, and are given information and signposting about accessing the services they need. This is a model that has been piloted in various areas around the country and has been successful in helping patients to make the transition to cancer survivor.  Our work now is to transfer this model to other tumour sites, working with partners to ensure support services continue to be developed that are easily accessible in the community; enabling patients make the transition from cancer patient to cancer survivor. By working with all partners we hope this work will significantly improve the communication between primary and secondary care. Programmes of work: Survivorship

7. Making sure you get the healthcare you need  The first 14 days of the cancer pathway will be carefully scrutinised with both primary and secondary care colleagues in order to be clear that the information flow is effective, and access to care is as fast as possible.  Work will be starting on Upper and Lower GI cancer sites, and then spread to wider tumour sites.  We will continue to work with providers to minimise any delays in patients journeys, by ongoing review of the pathways and rapid access to diagnostics. Programmes of work: 2 Week Wait Pathway

8. Making sure you get the healthcare you need  The Clinical Commissioning Group intends to ensure that continued improvements in end of life care are made.  We are currently in the process of recruiting a Macmillan Commissioning Manager, the post will work in partnership with Macmillan on End of Life Care to review local services, and develop plans to provide best practice care. End of Life