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Prostate Cancer: Staff

Volume 475: debated on Tuesday 13 May 2008

To ask the Secretary of State for Health with reference to the Answer of 26 February 2008, Official Report, column 1476W, on prostate cancer: staff, if he will place in the Library a copy of each of the latest reports submitted by strategic health authorities to his Department detailing cancer networks’ (a) progress in meeting any milestones contained in the Improving Outcomes Guidance on Urological Cancers in the last six months and (b) likelihood of meeting future milestones on schedule. (201667)

The information requested is not collected. Strategic health authority (SHA) returns to the Department do not detail progress on individual Improving Outcomes Guidance milestones.

However, SHA returns do detail whether cancer networks have met or are on target to meet all IOG milestones. Information from the latest returns along with relevant comments from the returns about cancer networks’ progress in implementing the urology IOG are in the following table.

Improving Outcomes Guidance (IOG)—cancer networks, December 2007

Organisation

Cancer network

Milestones met1

On target

Comment 1

Comment 2

East Midlands

Derby-Burton

Yes

Yes

East Midlands

LNR

Yes

Yes

East Midlands

Mid Trent

No

No

Urology IOG—Revised IOG compliant pathway signed off by Network Board and relevant CEOs and now implemented. This is based on a joint consultant appointment between Sherwood Forest NHS Trust and Derby.

East of England

Essex

No

Yes

East of England

Mount Vernon

No

Yes

Urology. Following delays to the Hatfield Cancer Centre proposals the NHS EoE has required the network to develop IOG Action Plans to designate IOG-compliant Cancer Centres. These plans will replace previously agreed ‘interim’ plans with more than one MVCN ‘Centre’ for each tumour site. The four new plans designating IOG compliant centres, were submitted to the Cancer Action Team in December and formal agreement is awaited.

East of England

Anglia

No

Yes

Urology. IOG Action plan identifying IOG Compliant pathways for the population of east Suffolk/catchment population of Ipswich Hospital, following inclusion of this population in the new Anglia Cancer Network. No previous plan submitted for this population. Plan submitted to the Cancer Action in December and formal agreement is awaited. December 2007 milestone for transfer of surgery and SMDT achieved.

London

South East London

No

No

London

North East London Cancer Network

Yes

No

London

West London Cancer Network

Yes

Yes

London

North London Cancer Network

Yes

Yes

Urology—after significant pressure the Royal Free finally agreed to allow centralisation of open and lacroscopic procedures at UCLH. This started in December and is successful peer review revisit of the specialist MDT took place in January 2008.

London

South West London

Yes

Yes

North East

North of England cancer Network

No

Yes

North West

Cheshire Cancer Network

No

Yes

Urology—NE of Network has not implemented single site working for either—being led by Chair of Cancer Network.

North West

Cumbria and South Lancashire Cancer Network

No

Yes

North West

Merseyside and Cheshire Cancer Network

Yes

Yes

South Central

Thames Valley Cancer Network

No

Yes

Urology—Penile non-compliant. Plan to be compliant from 1 February 2008 with RBHT as satellite of UCLH. Proposal should be going to specialist commissioners on 18 January 2008 for sign off.

South Central

Central South Coast Cancer Network

No

Yes

South East Coast

Kent and Medway

No

No

Urology.

(1) Three MDTs now in place; each is compliant in terms of the target for 50 total cystectomy/radical prostatectomy target.

(2) Agreed that there will only be two MDTs; one in East Kent the other in West Kent.

(3) Work plans in place (and submitted to the National Team) outlining the strategy to achieve 2 MDTs.

(4) Decisions on final reconfiguration expected by Mid February 2008.

South East Coast

Surrey, West Sussex and Hampshire

No

Yes

Urology—Following further discussion at Network Policy Board and Tumour Group level the decision has been taken to move to a single specialist centre for bladder and prostate based on the Royal Surrey site in Guildford. However because of the need to develop infrastructure including consultant cover etc. the service will not be fully IOG compliant until April 2010. However, the network is confident that a safe and effective service is being provided in the interim.

South East Coast

Sussex

No

No

Urology—Network specialist MDT began in December 2007 on time. Therefore referral guidelines between local and specialist MDTs and clinical guidelines of specialist MDTs have been agreed. Transfer of surgical work has occurred as necessary. Ongoing—Functioning of supraregional MDTs (penile and testicular) to be reviewed, in terms of cases referred, to ensure compliant with IOG. Missed milestones = December 2006—not all clinical guidelines agreed as per quality measures. Now specialist teams in place, to be a priority.

South West

Avon, Somerset and Wiltshire

No

Yes

South West

Three Counties

No

No

Urology IOG—has been implemented; although the current agreed model for Gloucestershire and Herefordshire will change in 2011 with all urological services moving to a single site at Cheltenham General Hospital. This move is dependent on a earlier capital plan implementation. The Specialist MDT starts to meet weekly in mid-February. There is also a resection centre at Redditch which is part of the Three Counties and Arden Cancer Networks’ specialist multidisciplinary teams. Full compliance by Mid February 2008.

South West

Dorset

Yes

Yes

South West

Peninsula

No

Yes

West Midlands

Arden

No

Yes

While the Urology SMDT was established for the Network in early 2007, there is currently a gap in clinical representation from the Alexandra Hospital, Redditch (part of the Worcestershire Acute Hospitals Trust). A further meeting has been arranged for 18 January 2008 in conjunction with Three Counties Cancer Network and the Worcestershire Acute Hospitals Trust to review the timing of the established SMDT in order to facilitate representation from the Alexandra Hospital, Redditch. Thus while the Network is currently mostly compliant we are not fully so in respect of the Worcestershire population at this point in time.

West Midlands

Greater Midlands

No

Yes

Urology not implemented. Plan is agreed to have one smdt video conferenced December 2008.

West Midlands

Pan Birmingham

No

Yes

Yorkshire and Humber

Coast

No

Yes

Urology—Centralisation of Radical Prostatectomies outstanding—September 2008

Yorkshire and Humber

North Trent Cancer Network

No

Yes

Yorkshire and Humber

Yorkshire

No

Yes

1 Milestones met/on target refers to SHAs overall progress on implementation of all the Improving Outcomes Guidance.