Going Further on Cancer Waits

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• Going Further on Cancer Waits
• The New Pathways
• Cheryl Cavanagh

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AIM OF SESSION

• Run through pathways that underpin the Going
  Further on Cancer Waits Standards
• 2ww for all breast referrals
• 62d - screening referrals
• 62d consultant upgrades
• 31d subsequent treatments
• Look at how the pathways fit together

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GFOCW STANDARDS TWO WEEK WAIT

• Any patient with breast symptoms will be referred
  and seen within 2 weeks.
• Implementation Date December 2009

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GFOCW STANDARDS TWO WEEK WAIT
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GFOCW STANDARDS TWO WEEK WAIT

• Start
• WAS Referral Decision Date
• NOW Receipt of Referral
• or
• UBRN Conversion Date
• End
• REMAINS Date first seen

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GFOCW STANDARDS 62 DAY PATHWAY (SCREENING)

• Referral from NHS Cancer Screening Programmes
• Implementation Date December 2008

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GFOCW STANDARDS 62 DAY PATHWAY (SCREENING)
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GFOCW STANDARDS 62 DAY PATHWAY (SCREENING)

• Start
• WAS Not applicable
• NOW Receipt of Referral
• End
• WAS Not applicable
• NOW Treatment Start Date
• (1st Definitive Treatment)

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GFOCW STANDARDS 62 DAY PATHWAY (UPGRADE)

• Consultant upgrade (following a non-urgent
  referral)
• Implementation Date December 2008

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GFOCW STANDARDS 62 DAY PATHWAY (UPGRADE)
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GFOCW STANDARDS 62 DAY PATHWAY (UPGRADE)

• Start
• WAS Not applicable
• NOW Consultant Upgrade Date
• End
• WAS Not applicable
• NOW Treatment Start Date
• (1st Definitive Treatment)

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GFOCW STANDARDS 31 DAY PATHWAY

• First definitive and all subsequent treatments
  covered for all patients incl those with
  recurrence.
• Implementation Date
• December 2008 (surgery drug treatment)
• December 2010 (radiotherapy other)

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GFOCW STANDARDS 31 DAY PATHWAY

• Subsequent treatment working definition
• Anti-cancer treatments (curative and palliative)
  aimed at shrinking or delaying growth/spread of
  the tumour/cancer.
• Supportive care such as blood transfusions and
  pain relief not included.
• Follow on treatments not directly related to
  shrinking or delaying growth/spread of the cancer
  not included (yet) - may be included by 2010

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GFOCW STANDARDS 31 DAY PATHWAY
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GFOCW STANDARDS 31 DAY PATHWAY

• Start
• WAS Decision to Treat
• NOW Decision to Treat
• or
• Earliest Clinically Appropriate Date
• End
• REMAINS Treatment Start Date
• (but for subsequent as well as 1st treatment)

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GFOCW STANDARDS OVERARCHING PATHWAY