The Online Journal of Clinical Audits, Vol 8, No 4 (2016)

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Cancer Care Review Implementation in General Practice

Sanjay Sood, Sabia Dalaya


Aims-Cancer survivorship has increased in recent years, placing pressures on secondary services to provide follow-up. As a result, there has been a shift towards the management of cancer survivors in primary care. The overall aim of this audit was to determine whether or not CCRs are being performed to the standards set by the National Institute of Health and Care Excellence (NICE) i.e. reviews include a discussion of health and support needs as well as the co-ordination of care between sectors.

Method- Patient consultations on EMIS were recorded anonymously and comparisons against the standard were made.

Results- 27 patients were identified on the cancer register and 26 had a review within the QOF time-limit of six months. Health needs were addressed in the majority of cases but support needs were discussed less frequently meaning that almost half of CCRs failed to meet the standards set by NICE. This audit was unable to determine the co-ordination of care between sectors.

Conclusions- GPs should use the Macmillan cancer template to deliver consistent and comprehensive reviews. Signposting GPs to resources on support needs could also be beneficial. 

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