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Supporting resources
NCL Wide
Under Review — this page was due to be reviewed
by Friday, 31 May 2024. The information shown here may be outdated.
This page provides a list of resources to help support primary care to achieve the 2023-24 Directed Enhanced Service (DES) and Quality and Outcomes Framework (QOF) cancer metrics.
- Macmillan electronic safety netting toolkit for cancer
- Macmillan's safety netting and coding module: Audit and review the current system in place for safety netting around suspected cancer diagnoses as early diagnosis activity.
- Cancer Research UK's (CRUK) Your Urgent Referral explained leaflets: To support conversations with patients
- Royal College of General Practitioner's quality improvement toolkit for early diagnosis of cancer
- GP Excellence Programme: Undertake a more in-depth learning/significant event analysis
- National Cancer Diagnosis Audit: For participating practices
- Office for Health Improvement and Disparities Fingertips data
- Macmillan clinical decision support tools
- Gateway C: Free cancer education platform
- CRUK faecal immunochemical test (FIT) patient leaflet
- A questionnaire to be sent prior to a Cancer Care Review
- Macmillan electronic Cancer Care Review templates.
Key messages for primary care from the Good Practice Screening Guide include to:
- designate a cancer screening lead from a member of the practice healthcare team
- check patient contact details at each encounter and regularly maintain the practice list
- ensure that the practice has the most up-to-date mobile phone number for patients and has obtained the appropriate consent for using this number
- ensure that prior notification lists for cervical screening are dealt with promptly
- ensure that advance lists (where available) for bowel screening are dealt with promptly
- ensure that did-not-attend/non-responder reports are flagged in patient records, using the correct codes, and followed-up promptly
- offer cervical screening opportunistically if due or appointment missed
- actively promote cancer screening within the practice
- do not omit patients with special or additional needs and ensure arrangements are in place for them
- do not omit patients with a previous cancer diagnosis as they may be at higher risk of a new cancer in the same or a different site
- ensure all practice staff know how to use the bowel screening kit and how to request a new kit
- make screening and signposting information for each screening programme readily available.
Additional resources include:
- NCL PCN cancer dashboard: Assessment of practice screening program uptake rates
- Macmillan quality improvement toolkit Early Diagnosis and Screening modules
- Public Health Commissioning and Operations list of actions that can be taken to improve screening uptake and actions to reduce inequalities
- CRUK bowel screening hub
- CRUK bowel screening good practice guide
- CRUK cervical screening good practice guide
- Easy read leaflets for cervical, bowel and breast screening for people with learning disabilities
- Public Health England cervical screening information for lesbian and bisexual women.
Resources and tools to support GPs in conducting good quality Cancer Care Reviews (CCRs) include:
- Macmillan's top ten tips on carrying out an effective CCR
- NCL Cancer Alliance videos
- What is a CCR? video
- How to carry out a CCR effectively video
- What is a CCR? video: For people affected by cancer
- a patient letter and questionnaire that can be sent to patients ahead of the CCR
- question about issues the patient wants to address
- CCR templates.
Please note: The CCR SNOMED code is 720006006.
Review date: Friday, 31 May 2024