Assessing the impact of an English national initiative for early cancer diagnosis in primary care

British Journal of Cancer
G RubinI Ablett-Spence

Abstract

The Cancer Networks Supporting Primary Care programme was a National Health Service (NHS) initiative in England between 2011 and 2013 that aimed to better understand and improve referral practices for suspected cancer. A mixed methods evaluation using semi-structured interviews with purposefully sampled key stakeholders and an analysis of Cancer Waiting Times and Hospital Episode Statistics data for all 8179 practices in England were undertaken. We compared periods before (2009/10) and at the end (2012/13) of the initiative for practices taking up any one of four specified quality improvement initiatives expected to change referral practice in the short to medium term and those that did not. Overall, 38% of general practices were involved in at least one of four quality improvement activities (clinical audit, significant event analysis, use of risk assessment tools and development of practice plans). Against an overall 29% increase in urgent cancer referrals between 2009/10 and 2012/13, these practices had a significantly higher increase in referral rate, with reduced between-practice variation. There were no significant differences between the two groups in conversion, detection or emergency presentation rates. Key features of...Continue Reading

References

Sep 23, 2003·Sociology of Health & Illness·R SheaffM Roland
Dec 4, 2009·British Journal of Cancer·P BaughanE Fletcher
Jul 23, 2011·Clinics in Podiatric Medicine and Surgery·Laurence G Rubin
Dec 6, 2011·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Gemma MansellKelvin Jordan
Sep 6, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·David MeechanGreg Rubin
Apr 18, 2013·International Journal of Integrated Care·Tom LingMartin Roland

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Citations

Nov 3, 2016·Nature Reviews. Clinical Oncology·Yin ZhouGeorgios Lyratzopoulos
Feb 8, 2018·Nature Reviews. Gastroenterology & Hepatology·Greg RubinNiek de Wit
Dec 19, 2019·Journal of Health Organization and Management·Karen Fitzgerald, Louise Biddle
Dec 26, 2019·The Tohoku Journal of Experimental Medicine·Kenichi KomatsuKazuhiko Kotani
Jan 18, 2020·BMC Health Services Research·Reema HarrisonRu Kwedza
Jan 7, 2021·JCO Global Oncology·Minjoung Monica KooGeorgios Lyratzopoulos

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