Background to the Cancer Care Review (CCR)
Patient cancer care contact and follow up is currently available in all GP practices. Cancer Care Reviews (CCR’s) are part of that process and so these are currently available in all GP practices.
These are done with a clinical member of staff, for example, a GP or a nurse and you can request this with your GP practice.
What is a Cancer Care Review (CCR) in Primary Care?
A Cancer Care Review (CCR) is a conversation between a patient and their GP or Practice Nurse about their cancer journey. It is essential to personalised care and helps patients to:
- talk about their cancer experience and concerns
- understand what support is available in their community
- receive the information they need to begin supported self-management.
What is the Quality on Outcomes Framework (QOF)?
The Quality and Outcomes Framework (QOF) is a voluntary annual reward and incentive programme for all GP practices in England, detailing practice achievement results. It is not about performance management but resourcing and rewarding good practice.
Changes to the QOF requirements 2021/22
In recognising the important role that primary care plays to support people after a cancer diagnosis, changes have been made to 2021/22 Quality and Outcomes Framework (QOF) cancer requirements.
The changes focus on key times of need, when patients may feel vulnerable. These include:
- at the time of a patient’s diagnosis (within 3 months)
- after a patient has received acute treatment (within 12 months).
The Macmillan Community Care Project
Cancer Care Reviews in Shropshire, Telford & Wrekin
This project is funded by Macmillan Cancer Support; the focus is to improve Cancer Care Reviews (CCRs) completed in GP surgeries through a Pilot Scheme which has recently started working with selected GP Practices across Shropshire, Telford and Wrekin.
The focus of the project is on:
- Increasing the number of Cancer Care Reviews completed within 12 months of diagnosis
- Improving the quality of Cancer Care Reviews completed within 12 months of diagnosis
- Improving the awareness of the Cancer Care Review process to patients living with and beyond cancer.
- Improving patient’s satisfaction with their Cancer Care Reviews within 12 months of diagnosis.
So what’s new?
This Macmillan Pilot Scheme now adds an additional ‘non-clinical’ part to a patient’s Cancer Care Review (CCR). It is done through our new team of Macmillan Community Care Coordinators working across selected GP practices in Shropshire, Telford and Wrekin. This can help patients with the following:
- Help with their non-medical concerns
- Look at patient and carers’ information needs
- Understand what support is available locally in and around their community
- Receive the information they need to begin supported self-management
- Receive details and signposting for support to a variety of organisations including Macmillan.
Macmillan Community Care Coordinators use the Macmillan’s Health Needs Assessment (HNA) to offer support with non-clinical patient concerns. This includes:
- Practical, such as work, financial, housing, transport or parking, washing/dressing
- Family/Relationships, including carer support
- Emotional, including loss of interest in activities, loneliness or isolation
- Social/Lifestyle or information needs, including patient or carer’s support groups, making a will or legal advice like Power of Attorney, alcohol reduction, smoking cessation or weight loss
- Benefits of physical activity or signposting to appropriate resources
- Cancer information leaflets/resources
Both the clinical and non-clinical elements of the CCR are normally completed within 6-12 months following diagnosis (usually after urgent treatment has finished). However, if a patient needs help before this, they are able to ring the GP Practice to seek this support.
At the moment, this is only available at those GP practices taking part in the Macmillan Pilot Scheme. The vision is that after the pilot, all GP practices will be able to offer the service across Shropshire, Telford and Wrekin.
If you would like an appointment with a Macmillan Community Care Coordinator, please contact your GP practice directly to see if they are taking part in the Macmillan Pilot Scheme.
If they are, they will have Macmillan Community Care Coordinator who will get in touch with you directly. If your GP Practice is not currently part of this scheme and you feel this would benefit you, please ask them to contact the team to see whether there is any availability to join.