Electronic Cancer Referral
Dr Regina CoddGP Community Oncology Team
NCCP
About the National Cancer Control Programme
Established in 2007 to implement the national cancer strategy
NCCP StructureNCCP Structure
Director
Surgical Oncology Network East
Radiation Oncology Network South
Medical Oncology Network West
Community Oncology
8 cancer centres and a satellite centre
Community Oncology
General Practice / Primary Care
Guidelines / Standards / Integration
PreventionInformation
Communication
Survivorship
Community Oncology
‘Early Detection of Cancer: A Needs Assessment of GPs’( ICGP 2006)
Delay in Patient presentation Lack of clear recommendations Inequity of access Long waiting lists Lack of access to hospital based diagnostics
Why is cancer important?
What is the extent of the problem in Ireland1 in 3 will develop invasive cancer
1 in 4 will die from cancer
29,745 new cases annual average 2007--2009 (National Cancer Registry, 2011)
60% die within 5 years of diagnosis
134,000 cancer survivors (National Cancer Registry, 2009)
Incidence will increase by 45% between 2010 and 2020
Incidence will increase by 110% between 2020 and 2030
(National Cancer registry 2008)
Actual Case Numbers of Invasive Cancers for 2005 and Projected Case Numbers for 2010 - 2035
2005 2010 2015 2020 2025 2030 2035% increase 2010 - 2020
% increase 2010 - 2030
Head and Neck 277 352 452 573 709 882 1078 55 129
Oesophagus 334 389 453 530 620 718 815 32 73
Stomach 453 468 491 516 545 569 581 10 21
Colorectal 2111 2422 2863 3402 4065 4805 5537 40 97
Pancreas 384 459 540 637 751 878 1016 39 91
Lung 1831 2084 2457 2906 3460 4086 4746 30 70
Melanoma skin 606 767 985 1247 1556 1918 2323 64 154
Female breast 2196 2720 3294 3976 4752 5670 6724 46 108
Gynaecological 1002 1146 1350 1587 1850 2154 2464 38 88
Kidney 375 501 542 625 731 870 1023 34 91
Bladder 474 497 543 594 650 705 745 19 42
Brain and CNS 306 382 448 530 634 757 896 39 97
Lymphoma 601 804 996 1231 1514 1852 2233 53 129
Prostate 2415 2871 3437 4093 4828 5668 6559 43 97
All excl NMSC 15678 19060 23187 28110 33831 40399 47296 47 111
All cancers 21973 26283 31798 38379 46049 54780 63845 46 108
Source: NCRI, 2008
Healthy lifestyle can prevent at least 30% of cancers
1. Never smoking 2. Maintaining a healthy weight3. Being physical active4. Limiting alcohol5. Taking care in the sun and never using a sun bed
People with all five healthy behaviours live an average of 14 years longer than people who do not have any of them; are less likely to die from cancer or heart disease
Referral Guidelines for Suspected Cancer
• Shared approach between Primary and Acute Care
• Evidence based and timely referral, prompt diagnosis
• Assist GPs to identify and manage symptoms that may
indicate cancer
– GPs are familiar with presenting features and alert to unusual
patterns or recurrence – GPs know where to refer and what to refer urgently– GPs know the appropriate investigations they can
order– Patients and carers get appropriate support and
information
Multidisciplinary Care
• Diagnostic expertise
• Surgeons with specialised cancer expertise & high volume practices
• Radiation and Medical Oncologists with sophisticated knowledge & experience plus access to hi-tech therapy
• Compassionate, caring environment with supportive nurses, social workers and other health care professionals
Benefits of developing cancer electronic oncology referral forms
• Provision of direct access for GPs to the cancer teams at the eight designated cancer centres
• Streamline the cancer referral process• Reduce communication difficulties• Provide automatic confirmation of receipt of GP referral• Reduce delays in patient referral for suspected cancer• Aim to increase the number of patients diagnosed at an
early stage and maximise the potential for cure
Getting Started
• It is very easy to register with Healthlink. This service is available free to all GPs. All you need is a computer, the internet and to register with Healthlink. To register you just need to complete the following three steps:
1.Complete a registration form and send it to Healthlink (this is available on their webpage www.healthlink.ie )
2.Healthlink will then email you an encryption certificate and ring you to set this up over the phone
3.Healthlink will set up a username and password for your online Healthlink Account
• If you currently use Healthlink, the electronic cancer referrals will be automatically available to you.
• For further information please ring their helpdesk on (01) 8825606 or go to www.healthlink.ie. Their help desk is open Monday to Friday 9am to 5pm.
ICGP Accredited Software Systems
• Socrates• Helix Practice Manager• Health One• Complete GP
Helix Practice Manager (HPM)
Screen Shots for Presentation
Setup: Administration Tab – Practice & Machine Config
Practice Config - Enable Electronic Referrals
Machine Config - Healthlink Details
Administration – IMC Number in User Set up
Patient File
Documents Drop Down – Electronic Referral
Patient Details (registration & medical) will be auto populated
Message when accepted
Stored in Patient file
Tasks
HL7 Messages
Health 1
Screen Shots for Presentation
Set up: Tools and options
Referrals – Healthlink
Patient Chart
Referral Forms
Auto populated but can Configure what Health 1 items it displays
Socrates
• Live Demonstration
NCCP Kings Inns House 200 Parnell Street Dublin 1 www.cancercontrol.hse.ie [email protected]
Tel 01 8287100 ext 170
Discussion and your feedback