Streamlining Cancer Diagnosis and Care Pathways
Implementing safety netting processes and integrating clinical systems for efficient cancer diagnosis and management. Utilizing templates, diary entries, and multiple stakeholders to ensure timely referrals, comprehensive reviews, and personalized patient support throughout the care journey.
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Presentation Transcript
2ww Cancer Safety Netting Process
Why safety netting is important
What did in-house >We decided to look at our usual paper process and merge with the clinical system >Using recall scheduler by adding diary entries to codes >Creating templates for ease >Keeping paper process as a back up >Having numerous people involved >Diary reminders for staff member as prompts
At Cancer diagnosis Using template which includes: Codes of: seen in fast track clinic * Malignancy type * Key worker * Surgeon * Any prognosis / treatment intent * HNA * Cancer information given. Provision of information about cancer support services in primary care - Letter sent to patient with key worker details and that referring clinician will be in touch Referring clinician informed telephone appointment made. Check CRR diary entry made If Palliative add to Palliative RAG list inform DN and add to PC MDT (If an LD patient inform community LD team via template.
Referral format Investigation results received Cancer Care Review Referral made Cancer not found Cancer diagnosed Coded and diary entry made Send letter with HNA questionnaire Code any diagnosis Code any diagnosis Code Clinician makes decision to keep on safety netting pathway Clinician to review and remove from safety netting or add new diary entry Send letter to offer support, trigger diary entry for cancer review Arrange appointment offer telephone F2F Video or home visit Recall ran If Palliative add to register and initiate Palliative MDT and RAG Check recall against correspondence received from hospital Check for appointment date Remove diary entry and from 2ww file Coding of treatment summary s pre-coded from STFT Log in 2ww file/records
Timeline Ensure GP has contacted patient for their informal cancer care review chat and check CCR diary entry is in place. Referral made and safety netting code applied Check records for any correspondence - chase Day 1 Day 10 Day 14-21 Day 21-31 Day 60 Diary entry ran check records for any appointment info All coding complete via templates: any diary entries either extended or deleted depending on outcome. OR Cancer Diagnosis letter sent.
Thank You for your patience!!!
