Primary care cancer toolkit
Continued Professional Development Training and Appraisal
Cancer is an evolving area of practice with new developments both in the background science and in treatments and care pathways. It is therefore vital to keep up to date.
Professional
Educational Events
Face-to-Face Learning Events
- RCGP/Cancer Research UK run educational events through local RCGP faculties.
E-Learning
Cancer Research UK
- Online Course – Talking About Cancer: Reducing Risk, Early Detection and Myth Busting
- Online Course – Demystifying Targeted Cancer Treatments
Cancer Research UK in Association with Doctors.net.uk
- Early Detection of Gynaecological Cancer in Primary Care
- Early Detection of Urological Cancer in Primary Care
- Skin Cancer in Primary Care
- Oesophago-gastric Cancers in Primary Care
- Bowel Cancer: Prevention and Early Diagnosis
- Early Diagnosis of Lung Cancer
- Real-life Clinical Case Studies
RCGP Cancer Education Hub
Selection of RCGP Hosted e-Learning Modules – Accessible to those with RCGP membership:
- Behaviour change and cancer prevention
- Bloating and Other Abdominal Symptoms: Could it be Ovarian Cancer?
- Breast Cancer Screening - The Essentials
- Cervical Screening Update
- Colorectal Cancer
- Dermatology Podcast: Skin of Colour
- Diagnosis and management of Leukaemia
- Essentials of Smoking Cessation
- Lung Cancer
- Myeloma
- Neuroendocrine Neoplasms
- Quality Improvement: Screencasts
- Early Diagnosis of Cancer RCGP e-learning module - This course highlights the importance of recognising cancer in its early stages and the essential role of the GP in identifying common delays.
- Pancreatic Cancer: Early Diagnosis in General Practice
- Prostate Cancer: Early Diagnosis in General Practice
BMA
- Variety of CPD Modules – Available to those with a BMA membership, includes many modules relevant to cancer
Audit and Quality Improvement
The Quality and Evidence Personal Excellence Pathway (QEPEP) Toolkit. - This toolkit is tailored for QEPEP use at the University of Manchester, however principles of QIP facilitation within it are universal and maybe applicable to other programmes.
Learning Event Analysis
Learning event analysis (LEA) toolkit for early diagnosis of cancer
Improving Diagnosis of Cancer: A Toolkit for General Practice
Significant event audit of all emergency presentation of cancer is a recommendation from the national cancer taskforce in England and a part of the GMS contract in Wales. It is a useful way to learn from cases and improve care. Ideally significant event audits in these cases should be done across primary and secondary care.
National Cancer Diagnosis Audit
The National Cancer Diagnosis Audit (NCDA) helps us to gain new insights into patient pathways to cancer diagnosis and can inform service improvements that will help to diagnose cancers earlier.
How does it work?
The NCDA gathers primary and secondary care data to explore patient pathways to cancer diagnosis. The last audit round took place in 2016/17 using 2014 data.
The audit looks at clinical practice to understand:
- Interval length from patient presentation at the surgery to diagnosis
- Use of primary care led investigations prior to referral
- What the referral pathways for patients with cancer are, and how they compare with those recorded by the cancer registry
What’s next?
- A publication summarising the findings from the most recent round of the NCDA is expected soon in the British Journal of General Practice.
- The next round of the NCDA is planned for early 2019.
To find out more:
- Visit http://www.cruk.org.uk/ncda
- Check out CRUK and the RCGP’s ‘Quality Improvement Toolkit For Early Diagnosis Of Cancer’ at www.cruk.org/ncdaresults#NCDA_feedback3
- Email for further information at ncda@cancer.org.uk
Clinical Cases
- Cancer Insight Centre Hub of Clinical Resources – Provided by Cancer Research UK in partnership with Doctors.Net.uk, with the facility to discuss anonymised clinical cases submitted by others or submit your own for discussion
Practical Profiles
- Fingertips Public Health England Website – Allows GPs in England to obtain practice level data on how they are doing in cancer care. It allows practice date to be compared with CCG and national averages and other practices. It is a useful tool to look for areas of quality improvement
Local Cancer Statistics
- Cancer Research UK: Local Cancer Statistics Page – Allows GPs to find and compare statistical information and intelligence about cancer specific areas across the UK