CancerPalliative list

Deaths review Boundary House Medical Centre

16/12/2013Quarterly review

Cancer – National DataLatest data from 2008 – just over 2 million in UK

In 2010 - 324,579 patients diagnosed with cancer

Breast Cancer is THE most common cancer In women, followed by

Lung>Colorectal>Uterus>OvarianCauses of death – Lung>Breast>Bowel

Prostate is the most common cancer in men, followed by Lung>Colorectal>Bladder>NH-LymphomaCauses of death – Lung>Prostate>Bowel

Diagnosis pathways

Emergency presentation National average – 23.7%South Manchester CCG – 26.4%North Manchester CCG – 33%

HSC205 – Operational standard is 93% to see a specialist within 2 weeks95.7% national average. 96.2% of Manchester PCT meet this standard

Summary Dec 13 Feb 14Total new cancer diagnosis:

Jan-June – 31 July-Nov – 15Dec – Feb ‘14 – 9

2 prostate1 breast1 SCC1 Colon 1 Bladder1 Rectal2 BCC

Pick up ratesExcluding BCC, 7 new cases

1 referred from Boundary House Rectal Ca via 2ww 3 under relevant specialist

1 prostate1 Breast – under familial clinic1 SCC – under derm for actinic keratosis

3 via hospital1 via A&E – presented with back pain, diagnosed with

prostate Ca during admission2 Admitted on home visits – large PR bleed = colon ca

and large haematuria = bladder Ca

Two-week referral102 between Jan-June’13

12/102 = 11.7% positive diagnosis

98 between July – Nov ’137/98 = 7.1% positive diagnosis

67 between Dec 13 – Feb 141/67 = 1.5% positive diagnosis. However 4 cases still outstanding, if +ve, the rate

= 5/67 = 7.5%

Doctor variation Total followed by BCC

exclusion

PG – 1, BCC

FMM – 1 BCC

YB – 1 2ww – rectal Ca

Everyone else – 0.

Palliative CareCancer register – 172 – was 169 Jan-Jul’13

Palliative care list – 12 – was 13 Jan-Jul’13. 3 Dementia2 Heart Failure1 SLE1 CVA5 Cancer

1 oesaphageal, 1 lung, endometrial, unknown primary, 1 breast

2 < 65yrs of age.

Deaths reviewTotal 33 between Jan-June’13

Total 20 between July-Nov ‘13

July – 5 (2 Ca, 1 PE, 1 Pneumonia, 1??)

Aug – 3 (1 Pneumonia, 1 Ca, 1??)

Sept – 2 ( 1 old age, 1 MI)

Oct – 6 (2 LVF, 1 CVA, 1 Ca, 1 Resp. Failure, 1??)

Nov – 4 ( 1 Ca, 1 MOF, 1 Suicide, 1??)

Deaths reviewHospital – 6

Home – 12

Hospice – 2

Deaths review – causeCancer – 5

Unknown –4

MI – 1

Pneumonia – 2

Sepsis – 1

Respiratory failure – 1(MND)

CVA – 1

HF – 2

Multi-organ failure – 1

Old age/Dementia – 1

Suicide - 1

Discussion