The National Institute for Health and Clinical Excellence published Improving Outcomes guidance in 2006 on the healthcare that should be provided for people with brain tumours and other central nervous system (CNS) tumours to ensure the best outcomes, including early diagnosis. It is for the National Health Service locally to implement this guidance, and the National Cancer Action Team continues to work with the NHS at local level to agree implementation plans.
The National Cancer Peer Review Programme is currently developing measures for brain and CNS tumours, which will be incorporated into the Manual for Cancer Services. Other work includes supporting the British Neuro-Oncology Society with the development of national guidelines for rarer brain tumours. It is planned that all brain services in England will be reviewed against these measures from April 2011 in order to establish how well the Improving Outcomes guidance has been implemented.
In September 2009, we announced plans to further improve access to diagnostics in primary care by offering all patients access to tests and results, which can confirm or exclude cancer within one week. Our aim is to start rolling this out from 2011-12 over a five-year period.