... representing and supporting Medical Oncologists in the UK
Prompted by the findings of NCEPOD reports into deaths within 30 days of systemic anticancer treatment, and also deaths within 96 hours of admission to hospital, a joint RCP/RCR working group is now developing a framework that would enable timely and appropriate decision making for patients with cancer who present to emergency care services. This work will support the development of acute oncology services and the end of life care initiatives. Expertise within the group is drawn from oncology, haematology, internal medicine, emergency medicine and critical care; primary care and palliative medicine; nursing and patient/carer representatives.
This meeting organised by Peter Selby took place in Leeds on the 23rd March 2010. It was kindly supported by Amgen and Sanofi-Aventis. The focus was on the development of Acute Oncology services in response to the NCEPOD and NCAG reports. Other areas covered included the management of carcinoma of unknown primary; this dovetails with acute oncology services and will be addressed in upcoming NICE guidance. In addition delegates were given updates on critical care, cardiology, renal medicine and bone marrow transplantation. The main presentations are included here for download as pdfs. I have also included related presentations from the New Consultants Group meeting. UPDATE 17.05.2010: NEW PRESENTATIONS ONLINE. VIDEOS TO COME SOON.
Without much fanfare this new publication from the DoH spells out the strategy for improving cancer outcomes in the NHS. Also watch this excellent video interview with Mike Richards and RCP Chairman Clare Gerada, hosted by Doctors.net, discussing some of the issues.
The final version of the National Chemotherapy Advisory Group (NCAG), "Chemotherapy Services in England: Ensuring quality and safety" has been published. The group is co-chaired by ex-ACP Chair Peter Clark. The recommendations of the report will be a challenge for oncology services around the country. The NCEPOD report on deaths of patients within 30 days of chemotherapy was published in 2008. See the presentations from the Acute Oncology Annual Meeting for more information.
The report highlights 3 main areas:
The key recommendations have been summarised here:
Despite previous assurances that there would be no further top-down reorganisation of the NHS after the election that is exactly what has been proposed by Health Secretary Andrew Lansley; read the House of Commons statement and responses here. This is likely to have significant implications for secondary health providers such as oncologists, raises the possibility of increased competition from private providers, and risks fragmentation of local services. You can read interesting editorials at the BMJ here and eHealthInsider. Add your comments at the ACP forum at Doctors.net.