Improving Sarcoma Patient Care: Triaging Success and Future Developments
Enhancing patient care for sarcoma through effective triaging protocols, resulting in reduced wait times, improved communication, and positive feedback. Explore the impact, strategies implemented, and future developments in this comprehensive overview.
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Presentation Transcript
CNS Led Sarcoma Triaging Chris Millman and Becky Peach Sarcoma Clinical Nurse Specialists
Background Insufficient clinic capacity High numbers on MDT discussions Multiple appointments for patients Poor communication with both GPs and patients
What have we done? Triaging protocol implemented 1stAugust 2019 2020: 856 referrals 2021 1116 referrals 2022 to date 892 referrals In total 3247 referrals received and triaged (to 1/10/2022)
Impact Reduction in 14 day wait breaches. Patients attending OPA with appropriate investigation already performed and plan from MDT. Reduced number of OPAs per patient. Positive feedback from GPs and patients re improved communication. CNS contact details given to patient earlier in the pathway.
Looking closer: July MDT Discussions Full MDT Discussion Radiology Reject Total 2018 206 206 2019 130 54 184 2020 104 61 16 2021 21 75 6 102 2022 34 48 11 94
DIAGNOSIS (since 1/8/2019) LG Sarcoma 333 HG sarcoma 351 Fibromatosis 21 DFSP 21
Feedback We are hitting TWW targets, patients are seen in appropriate clinics at appropriate times Shortlisted for NBT Director of Nursing awards Team of the Year -Performance & Operations Manager appreciated the call and having an understanding of what happens next. Reassuring having CNS contact details we see the triage process as a positive impact to help with MDT -Cancer Services Manager -Patient
Future Development Updated Triaging/Lipoma Protocol Updated ALT/LG Liposarcoma BSG guidelines Audit efficacy of triage process to demonstrate no delays in patient pathway. Now have a prospective database with service data readily available for research, audit and finance monitoring. Inform future service developments.
14 Day 2WW Breaches 1/4 -1/9/2022 7 Breaches 1 Skin breach transferred to us 2 Breast breaches transferred to us 1 case MRI not completed within 14 days 1 case rejected as no imaging, re referred, SCR error 1 case fast track admin error 1 No breach date, imaging delayed
ACTION Contact cancer services re transferred breaches CNS team at triaging to ensure tests requested to avoid breach SCR to be recorded accurately Patient choice to be investigated
