Early Diagnosis of Cancer and Quality Improvement Pilot

Objective

Over 2015/2016 the Early Diagnosis of Cancer and Quality Improvement Pilot aimed to support early diagnosis of cancer in primary care through effective use of quality improvement tools, (including Cancer SEAs) and sharing learnings across primary care audiences in NHS Birmingham CrossCity CCG and NHS Gloucestershire CCG.

This work also supported delivery of 2015-2020 Cancer strategy's recommendation number 25: “All GPs should be required to undertake a Significant Event Analysis for any patient diagnosed with cancer as a result of an emergency admission”.

The pilot has produced the Early Diagnosis of Cancer Significant Event Analysis Toolkit. This Toolkit may be used by CCG or cancer leads, practice GP leads, or any GP in a practice delivering training to GPs on cancer SEA.

Background

NHS England in collaboration with RCGP and Macmillan Cancer Support are undertaking a project to improve the early diagnosis of cancer using quality improvement tools to identify innovation, learn from and enhance reflective practices in primary care, and to identify and share good practice and quality improvement opportunities at the local and national level.

RCGP has been supporting Significant Event Audit as a quality improvement tool under its Quality Improvement work stream. RCGP developed a Cancer SEA template to facilitate reflection and implementation of improvements in general practice. RCGP partners Macmillan Cancer Support held an event in September 2014 to train appraisers to effectively employ Cancer Significant Event Audits and support appraises to maximise patient care. This project built on that activity, and encompassed education regarding safety netting and the use of Risk Assessment Tools.

Approach

The project supported early diagnosis of cancer in primary care to:

  • Capture learnings and themes from Round 1 of Cancer SEAs
  • Identify good practice, barriers and enablers, and specific areas for quality improvement
  • Develop an educational learning event for GPs from the SEA findings and incorporate safety netting and the use of Risk Assessment Tools in October 2015.
  • Capture further learnings and to identify quality improvements from Round 2 of Cancer SEAs
  • Developing an appraiser/trainers/programme directors/cancer lead learning event on Cancer SEAs in January 2016 to cascade learning
  • Developing further guidance for cancer SEAs
  • Sharing learnings in an accessible format across primary care audiences in the UK.

 

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Cancer SEA resources

  • The Early Diagnosis of Cancer Significant Event Analysis toolkit is accessible here
  • A Cancer SEA GP Guide has been producer for any GP wishing to undertake a cancer SEA. This guide is accessible here.  

Cancer SEA training events

Free education and training events for GPs were held in Birmingham and Gloucestershire in October 2015 where we shared learnings, identified good practice, barriers and enablers, and specific areas for quality improvement that would benefit patients. We offered guidance on safety netting and Risk Assessment Tools. We also held a second round of Cancer SEAs to evaluate the improvements and make further recommendations. 

Train the Trainer events were held in Birmingham and Gloucestershire in January/February. These were free events aimed at Cancer Leads, Training Programme Directors, Trainers, and Appraisers looking at how Cancer SEA’s can be used to improve quality of reflection and learning for CPD, and further share the learnings of the pilot.

Cancer SEAs from across Birmingham CCGs and NHS Gloucestershire CCG were considered by the project.

Project contact  

RCGP: Stuart.Barr@RCGP.org.uk

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