ncin road show: cancer data - nhs senate yorkshire 3.12.15...ncin road show: cancer data ncin -...

NCIN Road Show:

Cancer Data

NCIN - Cancer Data Roadshow Public Health England | 2015

Christine Head Data Quality and Development Manager – NCRS Northern and Yorkshire

[email protected]

Emily Griffiths

Data Liaison Manager – NCRS East Midlands and North West

[email protected]

mailto:[email protected]

Datasets &

Data Collection Understanding Data Flows in the NCRS


Radiotherapy

Pathology

PAS

CWT

Chemo

Radiology

COSD MDT

Open Exeter

Encore

Audit

NH

S A

cu

te T

rus

t Re

gio

na

l O

ffic

e

ONS

Oxford

Death Cert

NCRS - Cancer Data Roadshow Public Health England | 2015

Primary

Data Sources

Exports /

Uploads

Radiology Pathology PAS Cancer

Mgt

systems

E

prescribing

Radiotherapy Palliative care

RCPath

xml

COSD

.

DIDS

. CSV

CWT

.xml

COSD

. CSV

SACT

HES / PbR

Screening

3

CSV

Audits

5

. CSV

RTDS

. CSV

Pall Care


Cancer Waiting Times

(CWT)

Upcoming Changes

Version 9 of Cancer Waiting Times: A Guide is being produced.

There will be two new data from March 2016 onwards:

NHS NUMBER STATUS INDICATOR CODE

REFERRAL REQUEST RECEIVED DATE (INTER-PROVIDER TRANSFER).

Data submissions are also set to change from CSV to XML submissions from March 2016.

Useful Links

The quarterly reports can be found:

http://www.england.nhs.uk/statistics/statistical-work-areas/cancer-waiting-times/

Guidance documents can be found:

http://nww.hscic.gov.uk/nhais/cancerwaiting/documentation.

Cancer Waiting Times: A Guide - Version 8.0

National Cancer Waiting Times User Manual - Version 6.1

National Cancer Waiting Times Reports User Manual - Version 1.0

Further questions and queries

E- mail [email protected]

Phone 01392 251289.











http://nww.hscic.gov.uk/nhais/cancerwaiting/documentation

http://nww.hscic.gov.uk/nhais/cancerwaiting/documentation









National Audits

Key points

Lung Cancer Audit - Contracts awarded to Royal College of Physicians in

partnership with NCRS from 1 December 2014

Renamed National Lung Cancer Audit (NLCA)

Colorectal Cancer Audit - Royal College Surgeons with the Health Social

Care Information Centre (HSCIC)

Head & Neck Cancer Audit - Contract awarded to Saving Faces - The

Facial Surgery Research Foundation from 1 July 2015

Renamed Head and Neck Cancer Audit (HANA).

Upper GI Cancer Audit - Ongoing contract with HSCIC until 2016


National Audits

Key points (cont.)

Prostate Cancer Audit - Began in 2014 contract awarded to Royal College

of Surgeons’ Clinical Effectiveness Unit (CEU) in partnership with NCRS

Breast Cancer Audit – Healthcare Quality Improvement Partnership

(HQIP) launched Procurement for the new audit on 13th April 2015


National Lung Cancer Audit

NLCA

New contracts awarded December 2014: From 2015 is now run by the

Royal College of Physicians in partnership with NCRS

Will utilise COSD as its primary data source.

Annual Report for 2014 was published on 2nd December

PROMS/PREMS element in development.

www.rcplondon.ac.uk/resources/national-lung-cancer-audit

[email protected]

http://www.rcplondon.ac.uk/resources/national-lung-cancer-audit








National Prostate Cancer Audit

NPCA

New model for cancer audits

Partnership between NCRS and professional bodies

Near real time data collection from MDT’s

Data set largely collected as part of routine flows

NCRS produces linked audit datasets for analysis

Feedback and Completeness reports available on CancerStats Portal

Annual Report (April-July 2014 data) was published 30th November


The Diagnostic Imaging Dataset

(DIDs 2012)

Record-level data from NHS Radiology Information Systems (RIS) relating to

diagnostic imaging activity in hospitals in England.

Health and Social Care Information Centre (HSCIC) collect data on a

monthly basis. It is linked to Hospital Episodes Statistics for fuller analysis.

NHS users may apply for access to the DID via HSCIC’s iView reporting

tool. Details of this and the collection are at: http://www.hscic.gov.uk/DID

Results are analysed and published by NHS England in provisional monthly

summary reports and a final annual release, at:

http://www.england.nhs.uk/statistics/statistical-work-areas/diagnostic-

imaging-dataset/

http://www.hscic.gov.uk/DID

http://www.hscic.gov.uk/DID

http://www.england.nhs.uk/statistics/statistical-work-areas/diagnostic-imaging-dataset/









Cancer Outcomes and

Services Dataset 2013

Phased Rollout: January 2013 – January 2015

New Dataset: Incorporating Registration Data

Aligned and Rationalised with Other Cancer Datasets

Core Data Set and Site Specific Items

Intended to Record Key Data from the Entire Patient Pathway

Requires Monthly Submission from Trusts

Feedback and Quality Reporting Back to Trusts

RCPath aligning with COSD


JAN FEB MAR APR MAY JUN JUL AUG SEP NOV DEC

NCRS NCRS

Process Data

JANUARY Data

NCRS

Planned Reporting and

Feedback Schedule Level 3 Report NCRS Reporting Portal

Level 2 Report NCRS Reporting Portal

Level 1 Report NCRS Reporting Portal

MDT + Path

PAS NHS Trust


OCT

NCRS CancerStats Portal


COSD Level 1 Reports

14 Presentation title - edit in Header and Footer NCIN - Cancer Data Roadshow Public Health England | 2015

COSD Level 2 – 2015 Staging

Completeness


COSD Conformance Summary Level 2

L2.1j - Number of Cancers with a Full Stage at Diagnosis

Report Generated: November 14th, 2015

Total Staged % Staged

Total 13802 44%

Yorkshire And The Humber 13802 44%

Humber & Yorkshire Coast 2259 47%

Hull and East Yorkshire Hospitals NHS Trust (RWA) 1596 50%

Northern Lincolnshire and Goole Hospitals NHS Foundation Trust (RJL) 647 41%

Virgin Care East Riding LLP (NQTH0) 16 22%

North Trent 4835 48%

Barnsley Hospital NHS Foundation Trust (RFF) 500 54%

Chesterfield Royal Hospital NHS Foundation Trust (RFS) 1090 82%

Doncaster and Bassetlaw Hospitals NHS Foundation Trust (RP5) 438 29%

Sheffield Children's NHS Foundation Trust (RCU) 2 17%

Sheffield Teaching Hospitals NHS Foundation Trust (RHQ) 2365 44%

The Rotherham NHS Foundation Trust (RFR) 440 45%

Yorkshire 6708 41%

Airedale NHS Foundation Trust (RCF) 571 66%

Bradford Teaching Hospitals NHS Foundation Trust (RAE) 510 28%

Calderdale and Huddersfield NHS Foundation Trust (RWY) 584 34%

Harrogate and District NHS Foundation Trust (RCD) 700 72%

Leeds Teaching Hospitals NHS Trust (RR8) 2128 36%

Mid Yorkshire Hospitals NHS Trust (RXF) 880 35%

York Teaching Hospital NHS Foundation Trust (RCB) 1335 52%

2015 Staging Completeness -

Top 25 National Ranking



L2.1j - Number of Cancers with a Full Stage at Diagnosis - Top 25



Homerton University Hospital NHS Foundation Trust (RQX) 489 88%

Papworth Hospital NHS Foundation Trust (RGM) 372 87%

Wrightington, Wigan and Leigh NHS Foundation Trust (RRF) 1221 87%

Royal Devon and Exeter NHS Foundation Trust (RH8) 2568 87%

Royal Free London NHS Foundation Trust (RAL) 880 83%


Liverpool Heart and Chest NHS Foundation Trust (RBQ) 822 81%

Blackpool Teaching Hospitals NHS Foundation Trust (RXL) 1364 80%

St Helens and Knowsley Hospitals NHS Trust (RBN) 1634 79%

St George's Healthcare NHS Trust (RJ7) 1403 79%

Royal Liverpool and Broadgreen University Hospitals NHS Trust (RQ6) 1293 78%

Ipswich Hospital NHS Trust (RGQ) 1274 78%

Bedford Hospital NHS Trust (RC1) 830 77%

Stockport NHS Foundation Trust (RWJ) 949 76%

Bridgewater Community Healthcare NHS Trust (RY2) 84 75%

Wirral University Teaching Hospital NHS Foundation Trust (RBL) 1546 75%

Royal National Orthopaedic Hospital NHS Trust (RAN) 200 75%

The Royal Orthopaedic Hospital NHS Foundation Trust (RRJ) 114 75%

Hinchingbrooke Health Care NHS Trust (RQQ) 488 74%

The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust (RCX) 896 74%

Kingston Hospital NHS Foundation Trust (RAX) 734 74%

Imperial College Healthcare NHS Trust (RYJ) 1934 74%

The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust (RDZ) 1657 74%

Countess Of Chester Hospital NHS Foundation Trust (RJR) 862 73%

East Lancashire Hospitals NHS Trust (RXR) 1472 73%

2015 Staging Completeness -

Bottom 25 National Ranking



L2.1j - Number of Cancers with a Full Stage at Diagnosis - Bottom 25




Nottingham University Hospitals NHS Trust (RX1) 1172 28%

Sandwell and West Birmingham Hospitals NHS Trust (RXK) 479 28%


East Sussex Healthcare NHS Trust (RXC) 574 27%

George Eliot Hospital NHS Trust (RLT) 174 27%

Shrewsbury and Telford Hospital NHS Trust (RXW) 684 26%

West Hertfordshire Hospitals NHS Trust (RWG) 358 24%

University Hospitals North Midlands (RJE) 757 24%

Mid Essex Hospital Services NHS Trust (RQ8) 501 23%

University Hospital Birmingham NHS Foundation Trust (RRK) 842 23%

County Durham and Darlington NHS Foundation Trust (RXP) 441 21%

Walsall Healthcare NHS Trust (RBK) 183 19%

United Lincolnshire Hospitals NHS Trust (RWD) 242 18%

Ashford and St Peter's Hospitals NHS Foundation Trust (RTK) 241 18%

South Warwickshire NHS Foundation Trust (RJC) 81 17%

Royal Surrey County NHS Foundation Trust (RA2) 564 16%

Oxford University Hospitals NHS Trust (RTH) 379 16%

Salford Royal NHS Foundation Trust (RM3) 84 15%

North Cumbria University Hospitals NHS Trust (RNL) 175 15%

Queen Victoria Hospital NHS Foundation Trust (RPC) 64 11%

Royal Berkshire NHS Foundation Trust (RHW) 170 11%

East and North Hertfordshire NHS Trust (RWH) 215 10%

The Walton Centre NHS Foundation Trust (RET) 0 0%

Great Ormond Street Hospital for Children NHS Foundation Trust (RP4) 0 0%

L3.1a – Total Number of Diagnoses

Single Hospital Pathway

Shared Hospital Pathway

Total

429

269

160

Jan

48

31

17

Feb

31

18

13

Mar

49

31

18

Apr

47

28

19

May

38

18

20

Jun

31

20

11

Jul

27

17

10

Aug

22

16

6

Sep

32

19

13

Oct

31

23

8

Nov

41

30

11

Dec

32

18

14



Total

52

35

Jan

3

1

Feb

7

4

Mar

8

2

Apr

4

1

May

7

6

Jun

2

2

Jul

3

2

Aug

4

1

Sep

3

3

Oct

3

5

Nov

6

5

Dec

2

3

+ Stage 1

+ Stage 2

L3.1g – Final Stage Group at Diagnosis

66 10 6 7 11 7 2 5 3 4 4 5 2 + Stage 3

185

89

2

21

13

0

10

4

0

25

6

1

14

16

1

15

3

0

15

10

0

10

7

0

11

3

0

17

5

0

17

5

0

16

9

0

19

6

0

+ Unknown

+ Unstageable

+ Stage 4



Reporting Portal NLCA Reports


Reporting Portal NLCA Reports


NLCA - Data Completeness Reports

3d Provider First Seen

Report Generated: November 22nd, 2015

Total Cases % Complete

Total 3940 82%





North Trent 904 55%






Yorkshire 2328 95%




Harrogate and District NHS Foundation Trust (RCD) 83 87%




Reporting Portal NPCA Reports


Reporting Portal NPCA Reports


NPCA - Data Completeness Reports

42 Planned radiotherapy type


Total Cases Total %

Total 41 19%





North Trent 3 2%






Yorkshire 25 32%


Bradford Teaching Hospitals NHS Foundation Trust (RAE) 0 -


Harrogate and District NHS Foundation Trust (RCD) 0 -




Reporting Portal Clinical Headline Indicators



Remote Access

The ability to view hospital data outside of the hospital setting

There are different types of remote access:

Hospital PAS

Clinical letters

Oncology systems

Imaging

Cancer Management systems

National drive to gain access to all major hospital systems

Relieves data burden

Improves staging

Helps with clinical information for sites such as haematology – clinical


Remote Access – Status in Yorkshire/Humber & Yorkshire Coast

MDT Imaging PAS Pathology Letters

Airedale NHS Foundation Trust

Bradford Hospitals NHS Foundation Trust

Calderdale & Huddersfield NHS Foundation Trust

Harrogate & District NHS Foundation Trust

Hull & East Yorkshire Hospitals NHS Trust

Leeds Teaching Hospitals NHS Trust

Mid Yorkshire Hospitals NHS Trust

Northern Lincolnshire and Goole NHS Trust

York Hospitals NHS Foundation Trust


Remote Access – Status in

North Trent

MDT Imaging PAS Pathology Letters

Barnsley Hospital NHS Foundation Trust

Chesterfield Royal Hospital NHS Foundation Trust

Doncaster & Bassetlaw Hospitals NHS Foundation

Trust

Sheffield Children's NHS Foundation Trust

Sheffield Teaching Hospitals NHS Foundation Trust

The Rotherham NHS Foundation Trust


Remote Access –

Staging improvement

Questions?


ncin road show: cancer data - nhs senate yorkshire 3.12.15...ncin road show: cancer data ncin -...

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