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

Head of Cancer, Programme Director, Pan London Cancer Team (TCST)
Welcome to the second edition of our relaunched Pan London Cancer Team newsletter.
We have been busy working to step up our programmes after a shift in focus for many of the team over the last two years.
A number of new projects have started or are planned to support our cancer systems and restore services after the pandemic for Londoners.
The themes of our projects are wide ranging and look at several different aspects around the key priorities for cancer care in London.

Early Diagnosis news

  Urgent Suspected Cancer Referral Pathway materials update
The urgent suspected cancer referral forms (2 week wait referral forms) were developed following publication of NG12 NICE guidance in 2015. To ensure they remain relevant, they are reviewed and updated regularly to reflect agreed changes to pathways including the availability of new tests .
  Cancer Maps
Cancer Maps is an interactive tool designed to make the NG12 guidelines more accessible to healthcare professionals during consultations and summarise the guidance in three maps. This allows healthcare professionals to quickly reference NG12 guidelines in just a few clicks, acting as a reassuring referral guide and a helpful safety-netting tool in discussion with patients.
Faecal Immunohistochemical (FIT) in East London Bengali Communities
The Transforming Cancer Services Team have been awarded funding to extend an exciting project initiated by Barts Health exploring how best to improve the bowel cancer pathway for local Bengali communities. The project aims to improve the explanation of diagnostic test results in a completely understandable way for adult cancer patients in the Bengali community.
Cervical Screening Pilot Improvement Projects
London has some of the lowest rates of uptake and coverage of the Cervical Screening Programme in the UK and the COVID-19 pandemic has exposed areas of health inequalities across the capital where this disparity is higher. A series of Primary Care Network (PCN) improvement projects started in 2019 offer some insight in how to tackle low uptake and inequalities in different communities.

Personalised Care news

Primary Care Nursing programme
The Cancer in the Community course is funded by Health Education England and designed for registered nurses working in community settings. It aims to develop their knowledge of cancer prevention, screening, early diagnosis, treatment and treatment toxicities, as well as an understanding of the needs of people living with cancer as a long-term condition. TCST are collaborating with Central London Community Health to develop the content and support their delivery of the course, following a very successful pilot in South West London.
Personalised Stratified Follow Up
Personalised Stratified Follow Up (PSFU) provides supported self‐management pathways with remote surveillance for patients assessed as ‘low risk’ who have completed their cancer treatment. PSFU has been a national priority since the launch of the NHS Plan in 2019 and the recently published 2022/23 planning guidance now includes specific timescales for the roll out of PSFU in six tumour types.
National Quality of Life Survey    
The National Cancer Quality of Life survey in England was launched in response to the NHS Long Term Plan commitment to introduce an innovative Quality of Life metric to track and respond to the long-term impact of cancer. The survey is world leading, routinely measuring Quality of Life outcomes to help improve care and outcomes for people diagnosed with cancer.

Cancer Care Education news

Inequalities Toolkit - feedback
In August 2019 The Transforming Cancer Services Team (TCST) launched the Cancer Inequalities Toolkit - covering clinical, psycho-social and patient experience dimensions and providing recommendations for all organisations planning, commissioning and delivering cancer care for Londoners.
The recommendations were based on a comprehensive needs and assets assessment which included analysis of published data, evidence of effective interventions (including relevant NICE guidance), consultation with a range of stakeholders, the views of people affected by cancer and insights drawn from these sources.
The team would now like to hear from those who have used the toolkit to gain a better understating of how it's recommendations have been put into practice.

Diagnostics news

Demand and Capacity modelling for Diagnostics
A system-wide demand and capacity modelling assignment for diagnostics was commissioned by the Southwest London Integrated Care System (ICS) and the Transforming Cancer Services Team for London and Elective Care Improvement Support Team (IST) were responsible for supporting the modelling and producing provider level and system outputs.

A case study from Epsom and St Helier University Hospitals NHS Trust Imaging service has been published to share the benefits of this piece of work.

Diagnostic workforce

Imaging and Endoscopy Academies
TCST are contributing to the founding and development of London Imaging and Endoscopy Academies. These academies are a collaboration between NHSE&I, Health Education England and London Integrated Care Systems to support the delivery of training for diagnostic teams across London. The idea of the academies is to support and enhance regional training, particularly for professions where the responsibility training currently relies on individual trusts.

London Breastscreening - Mammographer recruitment
Like many healthcare services, London’s NHS Breast Screening Programme (NHSBSP) has been working to recover from the impact of the COVID19 pandemic.
Over the last 20 months the six London breast screening services have collaborated to develop innovative ways of working, and have implemented proactive workforce initiatives, to support them to increase capacity to help clear the backlog. During the summer of 2021 services developed a pan London recruitment toolkit which includes a website that hosts a professionally produced campaign to promote careers in breast screening. To date, all these efforts have reduced London’s mammography vacancy rates by 70%.
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