Cancer Reform Strategy - First Annual Report - Merseyside ...

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38 CANCER REFoRM STRATEgyBox 12: North London Cancer Network – Picker Survey of cancer patients’ experiencesAs part of the peer review process, each multidisciplinary team (MDT) is required to undertakean annual survey of patients’ experience. To date these surveys have been locally developedoften with poor analysis and limited impact on service improvement. National peer review datashows that although 62% of MDTs had undertaken a survey, 42% had presented and discussedresults and only 35% had acted on the results.In response to this, the North london Cancer Network has worked with local patients, clinicians,managers and commissioners to develop a network approach to surveying the experience ofcare of cancer patients. The benefit of conducting a network wide survey has meant that thenetwork will be able to:• provide a systematic approach to assessing the patient experience that allows us tobenchmark our MDTs• understand the experience of care across the patient pathway and identify areas of goodand poor experience• provide reports at a Trust and Network level• provide reports to PCT commissioners on local providers.The Network has worked with the Picker Institute to develop, distribute, analyse and providereports back to Trusts and commissioners so that there is robust data to input into Trusts’ qualityand patient experience strategies. The first reports are due in March 2009.5.27 In assessing progress in implementingthe CRS, Advisory Board members said thatthey considered that one of the top prioritiesfor the future is to develop a culture wherethere is more of a focus on outcome measuresrather than process measures, and where patientexperience is seen as a key outcome measure.Progress on the patient experience survey will beone of the top priorities for next year.backed by new funding (£286 million over twoyears).5.29 Progress on implementation of the Endof Life Care Strategy will be monitored by anexternal advisory group and an annual reportto Ministers on progress will be published.End of Life Care Strategy5.28 End of life care is not covered in any detailin this report, as progress will be monitoredelsewhere. In July 2008, the DH publishedthe first ever comprehensive End of Life CareStrategy for this country. This covers end of lifecare for all conditions and in all settings, butwill of course benefit cancer patients. The aimis to bring about a step change in the quality ofservices and to enhance choices relating to carefor people approaching the end of life. Particularemphasis is being put on improving communityservices and coordination of care. The Strategy is
39Chapter 6:Reducing cancer inequalitiesProgress:• Further reduction in inequality gap in mortality rate• June 2008 – launch of Health Inequalities: progress and next steps• Development of the National Cancer Equality InitiativePriorities for the coming year:• Ensuring that the cancer programme is fully integrated into broader work on tackling inequalities• Dissemination of good practice in relation to tackling inequalities in cancer care and outcomes• Embedding action on health inequalities throughout all strands of the Cancer Reform Strategy implementation• Publication of incidence and mortality figures by ethnicity, to provide evidence base for future action• National BME Cancer Patient Advisory Panel establishedIntroduction6.1 The Cancer Reform Strategy (CRS)contained a number of actions to help reduceinequalities, and this chapter reports on progressand plans for the future.gap in mortality has reduced to 18%. Thechallenge for the future is to decrease it further.Mortality6.2 The latest mortality figures (see below)demonstrate a further reduction in the inequalitygap for cancer mortality for people under theage of 75. This graph shows that in the baselineyears (1995/97) cancer mortality was 20.7%higher in Spearhead (deprived) Primary CareTrusts (PCTs) than in England as a whole. overthe past decade, mortality has falled both inSpearhead and other PCTs, but the inequality
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