1 |1 |

This toolkit has been developed to help GP practice teams to deliver the Thames Valley Cancer Alliance (TVCA) Quality Improvement Scheme for 2019-20 The toolkit is a resource for primary care teams both clinical and non-clinical and the intention is to make relevant information easily accessible within your practice Below is an index for the toolkit if you click on a section heading below it will take you to the relevant place in the toolkit

How to use this toolkit

QIS Toolkit

Patient Information

Screening Guidance

Improving Screening

Uptake

Referral Guidance

Safety Netting

Quality Improvement

ActivitiesData Education amp

TrainingAwareness Campaigns

Key Contacts

Home

2 |2 | Patient Information

Patient Information

Screening Guidance

Improving Uptake

Referral Guidance

Safety Netting

Quality Improvement Data Education amp

TrainingAwareness Campaigns

Key Contacts

Home

Accessing Information in other languages and formats

Macmillan Support Line Call 0808 808 00 00

Cancer information in alternative languages

Health information in other languages

Some hospital trusts andor CCGs will provide easy read large print or braille leaflets on request Contact your CCG cancer lead for more information on what is available in your area

Translate a website into a different language usinglsquoGoogle Translate

Advice and guidance on the health needs of migrants

How to meet the information and communication needs of patients

Cervical screening leaflets in other languages

Contact your CCG lead for more information about local interpreter and translation services

Click on the logos and links for further information

Bowel Breast Cervical

National Cancer Screening Programme LeafletsBowel Screening Breast Screening Cervical Screening

About Cancerrsquo section Leaflets amp Information sheets

lsquoInformation amp Supportrsquo section

lsquoInformationrsquo section lsquoSupportrsquo section

lsquoAbout Bowel Cancerrsquo section

lsquoAbout Breast Cancerrsquo section

Currently there is not a national screening programme for prostate cancer However men may request and book a prostate check at their GP practice PHE guidance on PSA testing Prostate Cancer UK Evidence summary ndash PSA screening in men without symptoms

Having a colonoscopy Bowel Cancer Screening helping you decide

Patient InformationOnline Resources

2 |2 | Patient Information

Patient Information

Screening Guidance

Improving Uptake

Referral Guidance

Safety Netting

Quality Improvement Data Education amp

TrainingAwareness Campaigns

Key Contacts

Home

Accessing Information in other languages and formats

Macmillan Support Line Call 0808 808 00 00

Cancer information in alternative languages

Health information in other languages

Some hospital trusts andor CCGs will provide easy read large print or braille leaflets on request Contact your CCG cancer lead for more information on what is available in your area

Translate a website into a different language usinglsquoGoogle Translate

Advice and guidance on the health needs of migrants

How to meet the information and communication needs of patients

Cervical screening leaflets in other languages

Contact your CCG lead for more information about local interpreter and translation services

Click on the logos and links for further information

Bowel Breast Cervical

National Cancer Screening Programme LeafletsBowel Screening Breast Screening Cervical Screening

About Cancerrsquo section Leaflets amp Information sheets

lsquoInformation amp Supportrsquo section

lsquoInformationrsquo section lsquoSupportrsquo section

lsquoAbout Bowel Cancerrsquo section

lsquoAbout Breast Cancerrsquo section

Currently there is not a national screening programme for prostate cancer However men may request and book a prostate check at their GP practice PHE guidance on PSA testing Prostate Cancer UK Evidence summary ndash PSA screening in men without symptoms

Having a colonoscopy Bowel Cancer Screening helping you decide

Patient InformationOnline Resources

3 |3 | Screening Guidance

Patient Information

Screening Guidance

Improving Uptake

Referral Guidance

Safety Netting

Quality Improvement Data Education amp

TrainingAwareness Campaigns

Key Contacts

Home

Screening Guidance

National Guidance NHS Cervical Screening Programme (CSP)

Best Practicebull Make cervical screening more

accessible

bull Make an informed choice -Cervical Screening Itrsquos your choice

bull Your questions on cervical screening

bull Good Practice Guide

bull Cervical Screening after sexual violence

Booking Appointmentsbull Appointments are booked with

the practice

National Guidance NHS Breast Screening Programme (BSP)

Best Practicebull Follow best practice and

standard guidelines

bull Use information leaflets amp promotional materials

bull Breast Screening Pathway

Booking AppointmentsAppointments can be rebooked even if the mobile unit is not in your area to arrange callbull Aylesbury amp Wycombe

Screening Service 01494 425 689

bull West Berkshire Screening Service 0118 322 8282

bull Oxford Breast Imaging Centre 01865 235 621

bull Swindon Screening service 01793 604 036

National Guidance NHS Bowel Cancer Screening programme (BCSP)

Best Practicebull PHE Increasing uptake of

bowel screening

bull Bowel screening resources to support best practice

bull Bowel Screening Pathway

bull Good Practice Guide

Booking Appointmentsbull To order a bowel screening kit

call Freephone 0800 707 6060 or order online

PSA Testing

bull PSA screening in men without any symptoms

Cervical ScreeningBreast ScreeningBowel ScreeningFIT for Bowel Cancer

Screening

Reaching out to specific groups

NHS guidance on equitable access to screening under the Equalities Act

Supporting Trans and Non Binary peoplebull Supporting trans and non-

binary people

bull Screening information for trans and non-binary people

Post-Hysterectomybull Screening post-hysterectomy

Easy Read Materialbull Easy read cancer leaflets

Supporting people with a learning disabilitybull Supporting people with a

learning disability

bull Smear test video for women with learning disabilities

bull Breast screening for women with learning disabilities

bull Promoting access to screening for people with a learning disability

4 |4 |

s

Good Practice Guide

Increasing Screening UptakeImproving Screening Uptake

Patient Information

Screening Guidance

Improving Uptake

Referral Guidance

Safety Netting

Quality Improvement Data Education amp

TrainingAwareness Campaigns

Key Contacts

Home

Improving the uptake of cancer screeningProcesses and actions to improve screening uptake

Evidence on making cervical screening more accessible

Making cervical screening more accessible

Royal College of GPs cancer toolkit for primary care

A practical guide to increasing cervical screening in primary care

How to use prior notification lists (PNLs) ndashcervical screening only

How to maximise screening uptake (page 8)

Processes and actions to improve screening uptake

Processes and actions to improve screening uptake

60th Birthday Bowel Screening letter

SMS prior to screening

Letter for non-attenders

Phone call for non-attenders

SMS for non-attenders

Templates

Processes and actions to improve screening uptake

Screening prompts amp alerts

London Cancer amp Macmillan (safety netting guide)

Screening alerts and prompts within your clinical system

Processes and actions to improve screening uptakeCCG amp Practice level dataBreast Screening Bowel Screening Cervical Screening

Understanding your cancer data

Processes and actions to improve screening uptake

Breast Screening

Bowel Screening

Cervical Screening

Safety Netting

How to code your data

Working with patients with a learning disability

Improving uptake in hard to reach groups

Best Practice

5 |5 |

How to decide if you should refer for a suspected cancer

Patient information on urgent referral for suspected cancer

Referral Guidance

NICE Guidance Reducing Emergency Presentations

Two-Week Wait Referral Guidance

How to decide if you should refer for a suspected cancer

Desk Easel

Poster

Cancer Decision Support (CDS) tool

QCancer Risk Assessment tool

Risk Assessment tools

Risk Assessment tools (pages13-14)

Tumour Markers Guidance

Patient Information

Screening Guidance

Improving Uptake

Referral Guidance

Safety Netting

Quality Improvement Data Education amp

TrainingAwareness Campaigns

Key Contacts

Home

Referral Guidance

NG12 NICE guidance for suspected cancer recognition and referral

Best practice tips to reduce the risks of emergency presentations

How to decide if you should refer for a suspected cancer

6 |6 | Safety Netting

Safety Netting

What is safety netting Safety netting is a management strategy of patients tests and referrals used in the context of diagnostic uncertainty in healthcare It aims to ensure patients are monitored until signs and symptoms are explained or resolved ~ Cancer Research UK

Patient Information

Screening Guidance

Improving Uptake

Referral Guidance

Safety Netting

Quality Improvement Data Education amp

TrainingAwareness Campaigns

Key Contacts

Home

How to decide if you should refer for a suspected cancer

Safety Netting

London Cancer and Macmillan

Safety Netting Guidelines

TVCA best practice tips

Guidance How to decide if you should refer for a suspected cancer

Safety Netting Checklist

Safety Netting Toolkit

RCGP Cancer Toolkit

Top 10 Tips for Safety Netting

Tools

How to decide if you should refer for a suspected cancer

Best practice READ codes

READ Codes

7 |7 |

How to decide if you should refer for a suspected cancer

National Cancer Diagnosis Audit

Quality Improvement Toolkit for Primary Care

Audit Topics

Cervical Screening Audit Tool

Routes Diagnosis Audit

Quality Improvement Activities

Quality Improvement Activities

Significant Event Analysis

Case-based decision

Return on Investment Tool colorectal cancer

Analysis

Audit

Patient Information

Screening Guidance

Improving Uptake

Referral Guidance

Safety Netting

Quality Improvement Data Education amp

TrainingAwareness Campaigns

Key Contacts

Home

8 |8 |

Breast Bowel amp Cervical screening data

This tool contains data on cancer services for healthcare professionals and commissioners to use when assessing the impact of cancer on local populations It includes data on cancer incidence screening diagnostic services two week-wait referrals and emergency presentationadmissions

Quality assurance of screening data using Safety and Quality Assessment System (SQAS)

Cervical Screening programme - interactive data at practice CCG and local authority level

Fingertips ndash Cancer Profiles (choose 2ww tab)

Patient Experience (by CCG)

Thames Valley Cancer Alliance (2018)

How to decide if you should refer for a suspected cancer

Cancer data at practice and CCG level

South of England Cancer Alliance Dashboard

Cancer data dashboard

Data

Cancer Profiles

National Cancer Patient Experience Survey (CPES)

Two-Week Wait ndashConversion Rates

CCGPractice Level Screening Data

Quality Assurance

Patient Information

Screening Guidance

Improving Uptake

Referral Guidance

Safety Netting

Quality Improvement Data Education amp

TrainingAwareness Campaigns

Key Contacts

Home

Data

PHE Fingertips Local Cancer Intelligence

9 |9 |

E-learning for Health (e-LfH)

Macmillan resources for health professionals

CRUK Healthcare Facilitators

BMJ Learning

Jorsquos cervical cancer trust ndash Information for GPs and practice nurses

Training for Cervical Sample Takers

bull PHE ndash Guidance for the training of cervical sample takers

bull London Regional Cytology Training Centre (LRCTC) training modules

bull National training guide for cervical screening

Education amp Training

Clinical Staff

An online education platform for GPs practice nurses and other primary care professionals Click here for more information about available courses

Gatewaycorguk

Patient Information

Screening Guidance

Improving Uptake

Referral Guidance

Safety Netting

Quality Improvement Data Education amp

TrainingAwareness Campaigns

Key Contacts

Home

Education Training amp Support for Primary Care

Be Clear on Cancer material

PHErsquos resource centre

Information on screening programmes

Information on bowel screening

Facilitator Team support for non-clinical staff (cancer awareness workshop)

Communicating with Patientsbull How to talk about cancer

bull NHSGGC bowel screening engagement workbook (case study)

bull South West education and development opportunities for Macmillan professionals and wider paid or unpaid workforce

Non Clinical Staff

bull CRUK Resources for professionals

bull Safety netting workshopbull Talk About Cancer Reducing risk

early detection and myth busting course

Macmillan resources for health professionals or for bespoke training contact swmidslearningmacmillanoorguk 01904 756443

Clinical amp Non Staff

10 |10 |

4 in 10 cases preventable Healthy diet

Alcohol Screening

Bowel Screening Spotting cancer early

E-cigarettes Lifestyle risks

Quit smoking Tips for seeing your doctor

Tobacco Obesity

How to decide if you should refer for a suspected cancer

Be Clear on Cancer

BeMacmillan (online resources)

Awareness Campaigns

Patient Information

Screening Guidance

Improving Uptake

Referral Guidance

Safety Netting

Quality Improvement Data Education amp

TrainingAwareness Campaigns

Key Contacts

Home

Awareness Campaigns

June19

July19

Aug19

Sept19

Oct 19

Nov19

Dec19

Jan20

Feb20

Mar20

April20

May20

Campaign ResourcesAwareness Calendar Resources for Waiting Rooms

11 |11 | Key Contacts

Berkshire East CCG

CCG Clinical Lead for CancerDr Anant SachdevanantsachdevnhsnetCancer Research UKLouise Forster FacilitatorlouiseforstercancerorgukMacmillanJen Ramsey Learning amp Development Managerjramseymacmillanorguk

Buckinghamshire CCG

CCG Clinical Lead for CancerDr Raj ThakkarrthakkernhsnetCancer Research UKLouise Forster FacilitatorlouiseforstercancerorgukMacmillanLyn Bruce Learning amp Development Managerlbrucemacmillanorguk

Swindon CCG

CCG Lead for CancerAnna Fieldannafield1nhsnetCancer Research UKHannah Williams Facilitator ManagerhannahholliscancerorgukMacmillanLyn Bruce Learning amp Development Managerlbrucemacmillanorguk

Other

Advocacy ServicesList available here

Macmillan GPsContact your local Macmillan Learning amp Development Manager for details

Berkshire West CCG

CCG Clinical Lead for CancerDr Kajal Patel Hannah Cunninghamkajalpatel9nhsnet hannahcunninghamnhsnetCancer Research UKLouise Forster FacilitatorlouiseforstercancerorgukMacmillanJen Ramsey Learning amp Development Managerjramseymacmillanorguk

Oxfordshire CCG

CCG Clinical Lead for CancerDr Shelley HaylesshelleyhaylesnhsnetCancer Research UKHannah Williams Facilitator ManagerhannahholliscancerorgukMacmillanLyn Bruce Learning amp Development Managerlbrucemacmillanorguk

Screening Hub

Screening Hub (South)Rsc-trBCSPSouthernhubnhsnetBowel Screening and Immunisation CoordinatorFrances Burnettfrancesburnett1nhsnetBreast amp Cervical Screening and Immunisation CoordinatorAmber Coddambercoddnhsnet

QIS Project Leads

Thames Valley Cancer Allianceenglandtvcaadminnhsnet

Dr Anant Sachdev QIS SROanantsachdevnhsnet

Alison Burton QIS SROalisonburton5nhsnet

Patient Information

Screening Guidance

Improving Uptake

Referral Guidance

Safety Netting

Quality Improvement Data Education amp

TrainingAwareness Campaigns

Key Contacts

Home

Key Contacts

Any feedback Contact Thames Valley Cancer Alliance on englandtvcaadminnhsnet