Slide 1 UCLH Cancer Collaborative (part of the

Slide 1 UCLH Cancer Collaborative (part of the National Cancer Vanguard with RM Partners, and Greater Manchester Cancer) Slide 2 Benefits for Patients four pillars Earlier Diagnosis patients diagnosed at an earlier stage of their disease, leading to better survival rates, improved experience Centre for Cancer Outcomes transparent published data on outcomes that matter to patients to drive research and improvements in care London Cancer Pathway Boards/ERGs improving quality and reducing variation for every patient; and bringing appropriate care closer to home; expanding self managed care and reducing waiting times New Models of Care defining a kitemark for chemotherapy to ensure every patient receives improved quality of treatment; linking radiotherapy providers so all patients can benefit from new innovations quicker

We want to be able to say that our patients are diagnosed faster, have a better chance of survival, a better experience of care and are better informed and supported Slide 3 Benefits to the NHS Cancer survival rates that match the best in the world delivered in a sustainable way By detecting and treating cancer earlier we will improve outcomes and save lives and additional cost of diagnostics will be partially (at least) outweighed by the reduced cost of expensive later stage treatments By implementing best practice of new pathways such as straight to test, stratified follow up and self-managed care we will create a more cost effective service for the NHS that shifts resources from secondary care to the community That by working in a joined up way (joint accountability, alliance contracts, shared workforce) we will be able to share resources and make further efficiency gains Slide 4

Our Approach Collaboration and system leadership: The UCLH Cancer Collaborative aims to take a step change approach to shared workforce, capacity, capability and financial understanding across the sector to drive best practice, efficiencies and improved patient experience London Cancer: London Cancer continues within the Vanguard structure at UCLH as an enabler of partnership working and to ensure sustainability of projects already underway in all four pillars Primary care providers, commissioners and public health: working in partnership to deliver sustainable local transformation across whole pathways Patient involvement and empowerment: Patients help set priorities and design new services from the start; are better informed about outcomes that matter to patients; and are supported in the community Slide 5 System leadership Slide 6

The four pillars of our collaborative are embedded in the UCLH Cancer Strategy Slide 7 What will we do? four pillars Earlier Diagnosis Centre for Cancer Outcomes London Cancer Pathway Boards /ERGs New Models of Care Supported by three enablers System architecture Workforce IT and Information Governance

Slide 8 1) Earlier Diagnosis Working Working with with primary primary care care to to improve improve public public awareness and awareness and screening screening uptake uptake by by implementing implementing best best practice practice communication communication and and education material education material Straight

Straight to to test test and and multidisciplinary multidisciplinary diagnostic diagnostic centre centre models models rolled rolled out out in in more pathways and more pathways and venues venues New New methods methods of of rapid effective rapid effective communication communication between between colleagues,

colleagues, to deliver to deliver required required direct direct access access to to investigations investigations Improving Improving standardisation standardisation and and use of existing use of existing resources, resources, sharing sharing and and building building workforce workforce as as aa sector sector and

and investing investing in in capacity with best capacity with best value value for for money money 2) Centre for Cancer Outcomes Slide 9 Slide 10 3) London Cancer Pathway Boards/ERGs Rollout Rollout self self managed managed care to multiple care to multiple trusts, trusts, improve improve consistency

consistency of of quality, quality, support support IT IT system system deployment deployment Prevention Prevention and and earlier earlier diagnosis diagnosis workstream workstream Stratified Stratified follow-up follow-up London Cancer Pathway Boards Set Set high high standards,

standards, conduct conduct gap gap analyses, analyses, supporting supporting trusts to create trusts to create and and implement implement business business cases cases to to close close gaps. gaps. Embed Embed robust robust timed timed pathways. pathways. Reduced Reduced variation variation

Living Living with with and and beyond beyond cancer cancer incl. incl. palliative palliative care care With With the the patient patient always at always at the the centre, centre, Consider Consider options options for for other other pathways, and pathways, and hold

hold the the ring ring on on the the standards standards Rollout Rollout to to multiple trusts, multiple trusts, improve improve consistency consistency of of quality, quality, support support IT IT system system deployment deployment Slide 11 4) New models of care

ORGANISATIONAL: establishing new organisational relationships: share expertise, increase efficiencies - UCLH-NMUH Radiotherapy collaboration OPERATIONAL: codifying exemplar service and business models to improve outcomes and sustainability. - Chemotherapy in the community Chemotherapy quality kite mark Slide 12 4) New models of care (options in place or under consideration) Slide 13 4) New models of care ORGANISATIONAL: establishing new organisational relationships: share expertise, increase efficiencies - UCLH-NMUH Radiotherapy collaboration OPERATIONAL: codifying exemplar service and business models to improve outcomes and sustainability. - Chemotherapy in the community Chemotherapy quality kite mark

Slide 14 Supported by three enablers System Architecture we will work with commissioners and providers to understand costs and value of whole pathways, devise tariffs and consider alliance contracts to support the four pillars Workforce we will seek a new contractual solution to shared workforce, develop new roles and training programmes, improve joint working, increase resilience, reduce duplication, aim for more common systems we can all use IT / Information Governance we will work up a single information sharing agreement and options to enable a) clinical information to be available at the point of care throughout the sector across all pathways b) tracking of patients between organisations c) simplifying data entry and analysis

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