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Pan London Cancer Team news (TCST)
November 2021

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Welcome from Sue Maughn

Head of Cancer, Programme Director, Pan London Cancer Team (TCST)
Welcome to our new quarterly newsletter. The first of which provides an update on workstreams that were happening in 2020 prior to the team being repurposed to support the Covid-19 response across London. It also updates on some of our new work, as well as our support to the wider NHS in London to reinstate services.
This is also the reason behind the name change for this newsletter; to better reflect the way that the TCST team have been and will continue to work in supporting Cancer services across London.

Early Diagnosis news

National Cancer Diagnosis Audit (NCDA)
The NCDA combines primary and secondary care patient data to better understand pathways to cancer diagnosis. Findings for the region have now been released and show 555 practices, 66 PCNs and 31/32 CCGs participated in 2019.
Completion level in London for 2018 data was 42% compared to 13% nationally.

Haematology Oncology Advice and Guidance
The two-week-wait pan-London urgent suspected referral forms were updated in 2021 to include an option urgent haemato-oncology advice & guidance (within 2 working days). This includes patients with abnormal results not meeting the criteria for 2WW referral about who the referring GP has a particular clinical concern. This is the first urgent suspected cancer pathway to include this type of embedded advice and guidance.
FIT Kit Admin Pathway
The Pan London Cancer Team (TCST) have created a poster for GP practice staff to support them in explaining to patients the correct way to complete and return a FIT Kit. The poster has been designed by the TCST Early Diagnosis team with input and support from professionals within the London cancer community including the Cancer Alliances and Cancer Research UK.

Personalised Care news

Primary Care Nursing and Cancer
Sandra Dyer joined the TCST Personalised Care for Cancer Team in September 2020. Sandra has brought with her a wealth of experience in primary care and has previously led the SW London Macmillan Primary Care Nursing Project. This role has developed based on the recommendations and evidence from the Macmillan funded project.
Pan London Training Needs Analysis 
The Pan London Training Needs Analysis (TNA) for Primary, Community and Social Care Staff ran for 8 weeks with 591 responses.

The aim of the TNA was to identify training needs for a number of key professionals in primary and community care, with the understanding that increasing numbers of different professionals are working in primary care, including for example social care workers .

Fertility Preservation Scoping Report   
During 2019/20, the Pan London Cancer Team (TCST) undertook a scoping exercise on fertility preservation for people affected by cancer. The aim of the Fertility and Cancer Scoping Report is to provide CCGs/STPs/ICSs, cancer alliances, clinicians and management teams with a greater understanding of the fertility preservation services and support offered to people aged 16 and over affected by cancer in London. This includes both teenage and young adult and adult cancer services for both men and women.

Pan London Personalised Cancer Care health inequalities steering group
A Pan London personalised cancer care health inequalities steering group was established in October 2020.The steering group wanted to understand who does and does not receive Personalised Cancer Care interventions and any inequalities within the cancer workforce in London. The group want to understand more about specific inequality issues related to patients, families and the workforce locally; provide recommendations for changes in practice so that no one is disadvantaged or excluded and ensure any recommendations from the group does not inadvertently widen inequalities.

Cancer Care Education news

Primary Care Education Toolkit  
TCST’s online primary care education toolkit contains information regarding:

•Current cancer training and past webinars
•Evaluating training & education framework and TNA's
•Calendar of London based cancer educational events
•Resources and publications: Improving the quality of cancer care in primary care

Data and Intelligence news

New conversion and detection data tool
Public Health England, CRUK and the Pan London Cancer Team (TCST), have created a tool showing cancer waiting times referral, conversion and detection rates. The tool shows information broken down by tumour site, geography and a variety of demographic variables, and holds data from 2009 to 2020, with quarterly updates planned.

This information will support our understanding of referral patterns, as well as supporting earlier diagnosis planning.

Please contact Jason Petit ( if you have any questions or suggestions.

Diagnostics news

Recovery and transformation of endoscopy and imaging services
Liz Jones and Daniel Mercer are currently working with the London Diagnostics Team to support a comprehensive recovery and transformation programme which has been running since June 2020.

The TCST diagnostics optimisation programme has been paused since the start of the pandemic. Working with the regional team has provided an opportunity to share learning, expertise and experience to support ICS and Pan London initiatives improve endoscopy and imaging services.

Demand and Capacity modelling for Diagnostics
The Pan London Cancer Team (TCST) in collaboration with the Elective Care Improvement Support Team (IST) have been supporting with demand and capacity modelling for imaging and endoscopy services across Southwest London since Autumn 2020, and more recently modelling endoscopy services in North Central London.

Commissioned by Integrated Care Systems (ICS) and cancer alliances to provide diagnostic services and systems with a demand and capacity baseline, assist with future planning for community diagnostic hubs and/or mutual aid for instance.The modelling also helps to identify a range of improvement opportunities within single providers and across the systems.
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