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Cancer in Scotland: Action for Change - National Implementation/Investment Plan 2002-03

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Cancer in Scotland: Action for Change
National Implementation/Investment Plan 2002-03

CANCER IN SCOTLAND: ACTION FOR CHANGE

"To increase the probability of treatment success while at the same time minimising patient anxiety and stress, delays in investigation, diagnosis and subsequent treatment of cancer must be eliminated wherever possible."

Chapter 4 - Rapid Access To Diagnosis And Treatment

CANCER IN SCOTLAND:ACTION FOR CHANGE
IMPLEMENTATION/INVESTMENT PLAN 2002-03
BUILDING CAPACITY: RAPID ACCESS TO DIAGNOSIS AND TREATMENT

Plan

Tumour
Type

Capital
'000

Revenue
'000

Measurable Benefit/
Expected outcome

Target
dates

Responsible
Lead

North of Scotland

Grampian

Staff Grade Doctor

Breast

33

Reduce waiting times for the Breast Service to CSBS essential levels.

March 03

Mr Z Krukowski

Grampian

General Surgeon

Capital costs for office renovations

Various

10

23

To redesign networking across Grampian. Equity of service delivery as specified by CSBS. Address waiting time targets.

From Oct 02

Mr Z Krukowski

Grampian

2 extra Theatre Sessions

Breast, Colorectal

120

To maintain CSBS waiting time standards in light of increased demand.

From Oct 02

Ms Deb Grant

Grampian

Development of outreach diagnostic service

Peripheral hospital conversions; Endoscopy equipment, Nursing staff, Van/Trailer/Driver, Van Driver, Medical Supplies, Service Costs, Labs Supplies

Colorectal

350

114

Improving local access to diagnosis and treatment for Grampian patients. Reduce waiting times and facilitate early diagnosis.

From Nov 02

Ms Deb Grant

Highland

Fast Track Rectal Bleeding Clinic

Colorectal

8

Development of one stop clinic , reduces waiting times

Immediate

Mr James Docherty

Highland

Tissue Processor

All

37

Provide optimum processing of surgical specimens e.g. breast samples

Immediate

Dr Jim McPhie

Highland

Automated Immunocytochemistry Stainer

All

30

Expansion in service to support increase in Immunocytochemistry requests

Immediate

Dr Jim McPhie

Highland

Cytogenetics microscope

All

18

Allow chromosomal abnormalities testing to be carried out within the Pathology Department

Immediate

Dr Jim McPhie

Orkney

Colonoscope and supplies

Colorectal

31

To reduce waiting times.

2002/03

Kathleen Bree

Shetland

Development of Radiographer-led barium enema service

Training, locum, and service costs.

Colorectal

26

Earlier diagnosis and reduced waiting times in line with CSBS standards and improved treatment protocols.

Training by early Summer. Full service by Autumn 02.

Steve Jack

Tayside

Radiography staff

Various

79

Reduction of waiting times for radiotherapy, meet CSBS standards/ SIGN guidelines.

Dr John Dewar

Tayside

Portable SIA Scope

Skin

8

10% reduction in excision surgery of pigmented lesions. Achievement of 2 month waiting standard

Equipment Delivery - July 02. Audit of impact March 2003.

Dr Colin Fleming

Tayside

MRI Scanner Contribution to running costs

Various

100

Reduce waiting times, meet presently unmet need, improve equity of access as machine will be sited in Perth

Commissioning dates yet to be agreed by NHS Tayside

Dr A Cook and Mr S Menhenick

Tayside

2 Histopathology/ Cytopathology Consultants, support staff and consumables

Various

218

Support for new diagnostic initiatives, improved turnaround times, better audit data

Recruit by June 02; Specialist Service Sept 02

Dr F Carey

Tayside

Nuclear Medicine/Imaging Technician/Radiopharmacy Technician

Various

33

Reduce waiting times for bone scan to less than 3 weeks

Recruit by June 2002

Dr R A Lerski

Tayside

Digital Photography for Electronic Referral

Skin

15

Reduce waiting times to assessment and treatment; reduce patient travel

Implementation January 03

Mr J H Stevenson

Tayside

Additional Consultant for Clinical Genetics

Various

75

Reduce waiting times through extra clinics

Recruit by June 2002

Dr David Goudie

Tayside

Cervical Screening Services Equipment - capital charges

Cervical

6

Colposcopy acts to reduce the number of patients developing cervical cancer

Summer 2002

Dr C McKenzie

W Isles

Audit of referral times and mapping of patient pathway

All

10

Baseline for redesign and improving rapid access to services in compliance with standards

Completed by December 02

DPH/LHCC

South East Scotland

Borders

MRI (&CT) sessions

All

30

Reduce waiting times (currently 6 months) and meet increased demand

September 2002 - start service

Hamish McRitchie

South East Region

MRI scanning unit for cancer patients - lease of MRI scanner for Cancer Centre, staffing and consumables

All

650

Reduce waiting times Increase access to service Improve identification, diagnosis, staging and treatment of cancer.

Installation by December 2002

Colin Turnbull

South East Region

Screening co-ordinator for women at high risk of ovarian cancer

Ovarian

16

Patients with abnormal results seen within 1 week by a gynaecological oncologist.

By September 2003

Mary Porteous

South East Region

Development of computerised cancer registers in GP practices - project co-ordinator and practice allowance

All

80

Enhance patient journey through improved communication, comparison against best practice and multidisciplinary working.

Recruit by September 2002, collection of data by January 2003

Paul Cormie

West of Scotland

Argyll & Clyde

Improve colorectal cancer services and support the West of Scotland NOF Cancer Awareness Campaign.

Colorectal

61

347

More rapid investigation and surveillance ~ 1000 patients.Meet CSBS standards.

Recruit 6 months after funding

Mr I Watt

Ayrshire & Arran

Consultant Radiologist

All

105

Earlier diagnosis through 50% reduction in waiting times for investigation; meet CSBS standards

Recruit summer 2002

Dr McMillan

Ayrshire & Arran

Consultant Chest Physician

Lung

140

Reduction in waiting times for diagnosis; enhance symptom control; meet CSBS standards

Recrruit May/jJune 2002

Dr J Elliott

Forth Valley

Imaging Services (Staff, increasing MRI provision, support)

All

20

216

Reduce waiting times for imaging. Enhanced MCN support. Improved access to specialist investigation.

Late summer 2002

Carole Morrison

Glasgow

1 nurse endoscopist and 4 nurse assistants

Colorectal

130

Meet CSBS Standards. MCN support. Improved access.

Training as soon as funds.

Donna Buchan

Glasgow

1 clinical assistant, 1 nurse assistant, 1 radiographer and radiologist sessions for imaging support for breast clinics

Breast

172

Meet CSBS Standards.Support service redesign and improved access

Recruitment as soon as funds released

J Grant

WoSCAN

3 radiographers, MRI running costs and consumables

All

100

200

Enhanced access and redesign for ultrasonography.

Support for Regional MRI services.

Recruit summer 2002

Mr J Crombie

WoSCAN

Regional Pathology Services - 2 consultant posts, 1 MLSO, FISH + scientist

200

Enhanced Lymphoma Pathology support to MCNs; supports infrastructure of regional pathology for complex cases

Summer 2002

Mr Crombie and Prof Gusterson

Sub-Totals

737

3,074

RAPID ACCESS TOTAL

3,811

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Page updated: Friday, June 24, 2005