Page 30 - Regional Services Plan 2016/19

 Shorter waits for cancer treatment (policy priority 30) – all patients ready-for-treatment wait less than four weeks for radiotherapy or chemotherapy
 Improving cancer multidisciplinary meetings – monitor improvements to the coverage and functionality of the region’s multidisciplinary meetings
 Diagnostic colonoscopy (policy priority 29)
o 85% of people accepted for an urgent diagnostic colonoscopy will receive their procedure within two weeks (14 calendar days,
inclusive), 100% within 30 days
o 70% of people accepted for non-urgent diagnostic colonoscopy will receive their procedure within six weeks (42 days), 100%
within 90 days
o Surveillance colonoscopy (policy priority 29) – 70% of people waiting for a surveillance or follow-up colonoscopy will wait no
longer than 12 weeks (84 days) beyond the planned date, 100% within 120days.
Midland DHBs baseline table: as at 2015/16 December 2015 results
Refer to Line of Sight sections for other relevant cancer control measures such as better help for smokers to quit, immunisation, screening, improved access to diagnostics, elective services.
DHB
Bay of Plenty
Lakes
Tairāwhiti
Waikato
Taranaki
2015/16 urgent diagnostic baseline % achieved
76.8%
55%
50%
80.6%
85.4%
2015/16 non-urgent diagnostic baseline % achieved
38.4%
41.6%
40%
59.6%
26.2%
2015/16 surveillance baseline 70% achieved
8.7%
53.6%
68.8%
45.8%
63.8%
Line of Sight – for discussion and agreement to ensure delivering whole of system care
The Midland plan aligns with the New Zealand Cancer Plan Better, Faster Cancer Care 2015-2018 (NZ Cancer Plan) which provides a strategic framework for an ongoing programme of cancer related activities for the Ministry, DHBs and regional cancer networks so that all people have even more timely access to excellent services that will enable them to live better and longer. The NZ Cancer Plan sets out the cancer related programmes, activities, expectations and services that are to be implemented over the next three years. Cancer networks work across boundaries to improve the outcomes for patients by:
 reducing the incidence and impact of cancer
 increasing equitable access to cancer service and equitable outcomes with respect to cancer treatment and cancer outcomes. Implementing the priorities of the NZ Cancer Plan is the priority for regional and local planning to improve:
 equity of access to cancer services
 timeliness of service across the whole cancer pathway  the quality of cancer service delivered.
Integration. Midland Cancer Network work across boundaries to improve outcomes for patients by bringing stakeholders from multiple services and/or organisations across the cancer continuum.
The following summarises linkages and alignment regionally and locally.  RSP: Please see linkages related to cancer control for:
o Regional Priority – Cardiac Network – section 1.2
 Discussions started about joint regional end stage cardiac and palliative care initiative – tbc dependent on resourcing
o Radiology Services Action Group – section 1.8
 Improved access to MRI, CT, CTC
 Implement Midland Oncology Imaging Pathway and Protocols (based on NCN work) in partnership with Midland Radiology Group
(tbc - dependent on available resources)
 Workforce: Please see Appendix 1 of the 2016-19 Midland Regional Services Plan
o National - Recruitment of new palliative care specialist nurses and educators – assume related to Hospice 2015 funding
o National - Support for the role of nurses performing endoscopies – Midland DHBs do not have any active plans to train 2016/17 o National - Support for training of physicists – consider national recommendations tbc
o Waikato Regional Cancer Centre facility upgrade – concept currently under consideration
o Waikato genitourinary increase in FTE for cancer CNS and nurse led haematuria clinic – business case needs to be developed and
resourced is this urology and/or oncology (tbc)
o Midland advanced palliative care trainees. Waikato advanced palliative care registrar business case – implemented 2015/16
o Support Tairāwhiti with enhancements to cancer nurse care coordination model of service project, share learnings regionally
o Support DHBs to implement the Cancer Nurses Knowledge and Skills Framework
o Support DHBs to implement new cancer psychologists and social workers as per the Midland Psychological and Social Support Services
Plan 2015-2018
 Regional IS: Please see Appendix 1 of the 2016-19 Midland Regional Services Plan
o Support implementation of the New Zealand Cancer Health Information Strategy (2015) (tbc – dependent on available resources)
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INITIATIVES OF REGIONAL NETWORKS AND CLINICAL ACTION GROUPS