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Pan London Cancer Team news (TCST)
November 2022
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Welcome from Sue Maughn

Head of Cancer, Programme Director, Pan London Cancer Team (TCST)
Welcome to our Autumn newsletter - we're sharing a snapshot of the work that the team is currently working on, in partnership with a multitude of stakeholders across London.

There are two particular pieces of work, that we would like to draw your attention to, The London region
Cancer in the Community Conference -a showcase of the work being led as part of our personalised cancer care programme. As well as The London Integrated Cancer Psychosocial Pathway developed by the team between 2017-2020, which has now been adopted by Macmillan who have funded this to be spread across the UK. It was presented at the World Cancer Conference in October.

The team continue to support the NHS to recover from the pandemic with work across cancer waits, diagnostics and supporting specific pathway improvements

Early Diagnosis news

Urgent Suspected Cancer Referral forms in testing phase
Over the last few months, the Pan-London urgent suspected cancer (USC) referral forms have gone through another round of consultation. This included all cancer tumour groups, GP groups via their respective Cancer Alliances, as well as Pan-London forums, including the primary care and Rapid Diagnostic Centres groups. Consensus on changes has now been reached and this work is moving into the next phase.

Personalised Care news

London Regional Cancer in the Community Conference
The Cancer in the Community Programme has successfully run 4 cohorts, reaching 90 delegates across London in 2022. The collaborative work of Transforming Cancer Services Team for London, Central London Community Health (CLCH) Academy and Health Education England (HEE) delivered a very well evaluated and successful programme, followed by a regional conference in October.
Quality of Life (QoL) and cancer
Quality of Life and Cancer continues to be a key priority area within the TCST Personalised Cancer Care programme. There is an established London Quality of Life and Cancer Working group and two established Task and Finish groups focusing on: Improving survey completeness across London and the Understanding the data and what it means for London.
An action plan has been agreed with key priority areas for the next 6 months and additional areas of focus for 23/24 including developing a broader QoL and cancer strategy for London.

Further Personalised Care updates, events and save the dates
- Dr Philippa Hyman in conjunction with Macmillan Cancer Support has recorded a ‘virtual’ session for the World Cancer Congress 2022 on the London Integrated Cancer Psychosocial Pathway that was developed between 2017-2020.

- On November 30th, a workshop is being held to take forward the work led by Liz Price and colleagues in partnership with NCL ICS who initiated this work - ‘Exploring psychological harm on the cancer diagnostics pathway’.
Contact for more information -

- The National Cancer Team are holding a conference on December 6th - ‘Improving Mental Health for people affected by cancer’. Each Cancer Alliance has been asked to nominate 5 people to attend. Dr Philippa Hyman and Dr Alex King, Psycho-oncology lead at Imperial College London, have been asked to run a workshop at the event to share learning from the cancer psychosocial work that has taken place in London to date.
Contact for more information -

- On February 8th, 2023 a London Personalised Cancer Care face to face event is to be held as a joint venture between Macmillan Cancer Support and TCST. More details will follow soon, but please save the date.
Contact for more information -

Cancer data news

National Cancer Experience survey 2021 (NCPES)
The National Cancer Patient Experience Survey (NCPES) is an important part of the national NHS Cancer Programme, which places patient experience on a par with clinical effectiveness and safety as a key strategic priority. It has been designed to monitor progress on cancer care, to drive local quality improvements, to assist commissioners and providers of cancer care and to inform the work of various charities and stakeholder groups in supporting cancer patients.
London Urgent Suspected Referral Analysis (2021 update)*
We have updated our on-line interactive dashboard to include 2021 cancer waiting times data. Analysis is provided at London, STP, Cancer Alliance and tumour level.
Over the past ten years the number of patients seen as suspected cancer has increased each year, except during 2020, due to pandemic.
Between 2012 and 2019 the number of patients seen for suspected cancer increased each year, but the rate of increase decreased from 17% between 2017 and 2018 to 12%, between 2018 and 2019. There was a decrease of 17% between 2019 and 2020 followed by an increase in referrals of 26% between 2020 and 2021.

Diagnostics Optimisation news

Endoscopy and Imaging services updates
The Imaging and Endoscopy Academies continue to develop. Imaging Practice Educators are coming on board and starting to run training lists across London. Clinical Leadership Fellows have been appointed in endoscopy to support dedicated immersion training periods for trainee endoscopists.
We have also recruited the second cohort to the course for new imaging leaders, Building Confidence and Connections in Imaging, and expect to start a third cohort in January 2023.

Cancer Waits news

System Level Demand and Capacity Modelling for Imaging Services
The Transforming Cancer Services Team and Elective Care Improvement Support Team have been supporting Integrated Care System (ICS) led demand and capacity (D&C) modelling for CT, MRI and ultrasound across North Central and North East London systems.
The approach was initially developed with the Southwest London ICS using the national demand and capacity teams ‘Core Model’. It has now been successfully delivered, applying the standardised methodology across two further systems in London, building demand and capacity modelling into strategic resources.
It provides outputs which enable evidence-based decision making around the re-allocation of capacity within a system, opening opportunities for new ways of care delivery.

Training Sessions in Cancer Waits, Best Practice Timed Pathways and Staging Completeness
Working with Royal Marsden Partners Cancer Alliance we ran a series of training sessions via Teams covering three key areas.
One session covered the guidance and requirements for cancer waits and the best practice timed pathways. The other session focussed on the requirements for reporting of cancer staging and the approach Croydon Health Services NHS Trust have developed to improve the level of staging information they record and report.

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