Streamlining Cancer Diagnosis and Care Pathways
2ww Cancer
Safety Netting
Process
Kelly Hardy
Practice Manager
Why safety netting is
important
>Essential process to help manage uncertainty
in management of patient and to organise
follow up.
>Patients informed of when why and how.
>Use process for all urgent referrals including
FIT / CT / Radiology and Scopes etc.
>Ensure clear documentation using templates.
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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
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Sample Footer Text
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HMG Admin Referral Process:
* Check patient demographics
* Use template: Has all relevant codes such as cancer
safety netting code, cancer information given, explained
importance of attendance for diagnostic test, time frames
and specified time frame to come in.
* Add copy of appointment / referral to the 2ww file and
log on spreadsheet.
* Give patient appointment / leaflet and advised to contact
us within 3 days if not had any confirmation from hospital.
Admin Management Process:
Use template to code specific referral (this adds a diary entry for 10 days)
Every Friday the search is ran –records checked whether patient has an appointment
If a cancer is confirmed, we use cancer diagnosis template
This triggers certain codes and recalls also.
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.
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Sample Footer Text
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Referral format
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Timeline
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Team Involvement
Referrals
G
P / Secretary
Incoming mail workflows
A
ll cancer correspondence are sent to cancer coding team consisting of PM and
secretary then notifying referring clinician
Discuss at clinical meeting with all clinicians and PM
Recalls
C
linical system: PM Paper log: Secretary and PN
Palliative Care
P
M GP and 2x Admin MDT Co-Ordinator DN PCSN
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Thank You for your
patience!!!
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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!!!
