[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-164989-en":3,"doc-seo-164989-105":30,"detail-sidebar-cat-1-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":4,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":29},164989,962085662650,"Dozel","https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0",1,11,"Presentations","Indicator Development Programme - Cancer consultation report - IND 2020-82 and IND 2020-83","Cancer indicator development consultation report covering two proposed primary-care based indicators within the Indicator Development Programme. It details the consultation period (25 June–15 July 2020) and the indicator advisory committee meeting date (04 August 2020). IND 2020-82 evaluates whether patients discussed primary care support within three months of diagnosis, while IND 2020-83 focuses on conducting a structured cancer care review within 12 months of diagnosis. Stakeholder feedback assesses expected benefits, implementation requirements, coding outputs, remote delivery, and concerns about timing alignment, patient experience, and GP capacity.","NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE\nINDICATOR DEVELOPMENT PROGRAMME\nConsultation report\nIndicator area:  Cancer\nConsultation period: 25 June – 15 July 2020\nDate of Indicator Advisory Committee meeting: 04 August 2020\nContents\n\u0013 TOC \\o \"1-3\" \\h \\z \\u \u0014\u0013 HYPERLINK \\l \"_Toc46152148\" \u0014Summary of indicators included in the consultation\t\u0013 PAGEREF _Toc46152148 \\h \u00142\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc46152149\" \u0014IND 2020-82: Cancer: support available from primary care\t\u0013 PAGEREF _Toc46152149 \\h \u00143\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc46152150\" \u0014IND 2020-83 Cancer: 12 month review\t\u0013 PAGEREF _Toc46152150 \\h \u00145\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc46152151\" \u0014Appendix A: Consultation comments\t\u0013 PAGEREF _Toc46152151 \\h \u00149\u0015\u0015\n\u0015\n\u000f\nSummary of indicators included in the consultation\n\u000f\nIND 2020-82: Cancer: support available from primary care\nThe percentage of patients with cancer, diagnosed within the preceding 12 months, who have had a discussion within 3 months of diagnosis about the support available from primary care.\nRationale\nCurrent QOF indicator CAN003 which focuses on review at 6 months has high levels of personalised care adjustment reporting (formerly known as exception reporting). Anecdotal feedback on the current indicator suggests that the timing of the review 6 months post diagnosis is inappropriate for many patients especially in relation to understanding the support available from primary care. This indicator aims to encourage GP practices to proactively make patients aware of the support available from their GP and wider practice team soon after their diagnosis and how this can complement the care they are receiving in secondary care. The intention is to facilitate early and supportive conversations and ensure patients are aware of what help is available.\nSummary of consultation comments\nStakeholders generally welcomed the inclusion of this indicator, commenting that it will have a positive impact on health outcomes, raise patient awareness of what support is available from primary care and increase understanding of care in general. They highlighted that:\nThere is potential to link with holistic needs assessments undertaken in secondary care, existing support roles and support transitions of care\nDiscussions could be effectively done remotely.\nMeaningful coding and having a defined output such as a care plan would help prevent tick-box approaches.\nThis is being done effectively already in some areas.\nStakeholders raised issues around implementation such as GPs not receiving timely information on diagnosis, a need to define what offers of support should be made and to specify how the contact should take place. Some stakeholders did raise that patients could be overwhelmed by secondary care appointments and may not welcome an additional appointment at this time, and that some patients may not be able to take part in discussions by phone/digital means. They also highlighted barriers in practice capacity.\nConsultation question: Is 3 months an appropriate timeframe to discuss with the patient the support available from primary care?\nMany stakeholders thought the timeframe was appropriate and highlighted that:\nThe discussion should be offered periodically if not initially accepted.\nWhere diagnosis information is slow in getting to GPs the timescale would ensure discussion within a meaningful timeframe.\nIt would give patients knowledge of support available at the beginning of treatment.\nIt would give GPs enough time to prepare for the discussion.\nSome stakeholders did not think the timeframe was appropriate and highlighted that:\nIt would not align with health needs assessment hospital pathways.\nIt would be difficult to arrange a face to face appointment in this time.\nThe window to have the discussion should be wider to give patients time to understand their diagnosis and secondary care appointments.\n6 months may be more appropriate.\n\u000f\nIND 2020-83 Cancer: 12 month review\nThe percentage of patients with cancer, diagnosed within the preceding 24 months, who have a pa","cbCaiqBNMBTPEyMU","https://ap.wps.com/l/cbCaiqBNMBTPEyMU","docx",130764,104,"English","en",105,"# Summary of indicators included in the consultation\n## IND 2020-82: Cancer: support available from primary care\n## IND 2020-83 Cancer: 12 month review\n# Appendix A: Consultation comments","[{\"question\":\"What is the purpose of IND 2020-82?\",\"answer\":\"IND 2020-82 measures the proportion of patients diagnosed within the preceding 12 months who have a discussion within 3 months about the support available from primary care.\"},{\"question\":\"How does IND 2020-83 differ from IND 2020-82?\",\"answer\":\"IND 2020-83 focuses on a patient Cancer Care Review using a structured template within 12 months of diagnosis, with discussion that can include broader follow-up needs.\"},{\"question\":\"What implementation issues did stakeholders raise during the consultation?\",\"answer\":\"Stakeholders highlighted concerns such as timely information transfer to GPs after diagnosis, defining which support offers should be made and how contact should occur, potential patient overwhelm, remote communication limitations, and practice capacity barriers.\"}]","Indicator Development Programme - 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