Colorectal

Key personnel

Introduction to the pathway group

The colorectal pathway group aims to improve patient access, experience and outcomes for colorectal cancer patients within south and west London. The membership of the group brings together specialist expertise from primary, secondary and tertiary care as well as patients and users to enable development of high quality patient centred care.

The colorectal cancer pathway group supports the aims and objectives of the LCA  in providing world class cancer services across south and west London. It aims to improve cancer patients' experience and outcomes through delivering excellence in clinical care, research, innovation and education with particular emphasis on earlier diagnosis for colorectal cancer.

Objectives

The following are some of the key objectives for the colorectal pathway group.  More information is available in the group's Terms of Reference here.

  • Implement LCA service plan for colorectal cancer.
  • Set standards and accreditation criteria to ensure a standardised, high quality, patient centered approach to the management of colorectal cancer across all providers within the LCA.
  • Develop and agree metrics which demonstrate quality and outcomes.
  • Standardise approaches to service delivery where appropriate.
  • Improve early diagnosis by delivering innovative referral guidelines agreed with primary care.
  • Establish systems for monitoring peer review, clinical lines of inquiry, quality standards and outcome measures and where these are not achieved agree a process of corrective measures.  
  • Embed enhanced recovery programs in all units to improve patient experience and reduce length of stay.
  • Increase rate of laparoscopic surgery and ensure uniformity across units.
  • Encourage and increase participation of units in local research and national clinical trials.
  • Achieve 100% data entry to National Bowel Cancer Audit Programme (NBOCAP) and work with Thames Cancer Registry and multi-disciplinary teams to improve staging data returns of newly diagnosed cancers.
  • Advise clinical commissioning groups (CCGs) and other commissioners on how LCA providers meet standards and work with them to implement best practice pathways, quality standards and outcome measures.

Outcomes

  • Best practice colorectal pathways in place and implemented across the LCA.
  • Standardised best practice clinical guidelines developed and implemented across the LCA.
  • Equitable access for all patients across the LCA to the full range of colorectal cancer services.
  • Improved patient experience, information and safety.
  • Earlier detection and diagnosis of colorectal cancers through improved primary care access to diagnostics.

Core workstreams and priorities

The following are the key workstreams and priorities that the pathway group will be focusing on in 2013/2014.

  • early diagnosis and screening, including endoscopy strategy and access to diagnostics
  • compliance with best practice commissioning guidelines and the Model of Care
  • merging clinical guidelines
  • improving patient experience and safety
  • reducing bed days
  • improving survivorship and follow-up (including implementation of risk-stratified pathways and innovative follow-up models where appropriate)
  • local recurrence (including developing LCA colorectal service response to Model of Care recommendations)
  • standards and governance (including compliance with peer review, improving data collection and regular monitoring of agreed metrics for colorectal cancer services)
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