Page 33 - Regional Services Plan 2016/19

o Implementation of the Cancer Nurses Knowledge and Skills Framework
o Hospices Innovation Fund initiatives (in progress)
o Midland clinicians agreed 10/12/15 to run a Midland Early Detection of Lung Cancer Project 2016/17 – DHBs need to agree to support
with some minimal funding – addresses prevention, early detection, health promotion, health literacy and addressing equity issues. o Work with PHOs to identify actions to implement the prostate cancer management and referral guidance during 2016/17.
Initiatives
Milestone/Date
Responsibility
Faster Cancer Treatment (FCT)
The FCT programme is a key focus of the Midland and National Cancer Programme. The FCT programme is designed to improve access, timeliness, quality of cancer services, and standardise care pathways for all patients wherever they live. There are several main work streams to the FCT programme such as development and review against national tumour standards, service improvement and/or equity initiatives to ensure achievement of the Health Target and/or implementation of the national tumour standards, one-off FCT projects, improving the coverage and functionality of multidisciplinary meetings (MDMs).
1. Improve the quality of cancer services by supporting the identification of at least three actions the regional will undertake to improve equity at a systems and/or organisational level (refer to the Equity of Health Care for Māori: A Framework resource)
1.1. Support DHBs to deliver one Kia Ora E Te Iwi community health literacy programme per DHB
1.2. Support the facilitation of the Midland Hei Pa Harakeke Group
Q4 2016/17 Q4 2016/17
MCN, DHB Māori, Cancer Society MCN
1.3. Review and update the Midland Māori Cancer Action Plan
1.4. Develop and implement standardised equity focused reporting for all initiatives
Q1 2016/17
Hei pa Harakeke
1.5. Implement the Midland Patient Information Resource Project 2016/17 – 2017/18 as milestones outlined in the project plan
Q4 2018/2019
Midland DHBs/MCN
1.6. Implement the Determine, Test and Implement Viable Ways of Improving the FCT Pathway for Māori in BOP Project 2015-2018
Q4 2017/18
BOPDHB
1.7. Implement the Midland Psychological and Social Support Services Plan 2015-2018
Q4 2017/18
Midland DHBs/MCN
1.8. Support DHBs to consider including cancer component into whānau ora / long term conditions contracts – completed for Waikato.
Q4 2016/17
Midland DHBs/MCN
1.9. Support Midland DHBs with a “cough cough cough” early detection lung cancer project – clinicians support regional project
ongoing
Midland DHBs/MCN
2. In partnership with DHBs coordinate two regional reviews national tumour standards of service provision and identify key activities to address issues identified as a result of the regional review
2.1. Undertake a stocktake of myeloma services and gap analysis against the national myeloma standards
2.2. Midland DHB self-assessments and data analysis completed by October 2016
2.3. Establish a regional myeloma work group to review findings and develop regional report
by December 2016
2.4. Undertake a stocktake of lung cancer services and gap analysis against the national lung
cancer standards
2.5. Midland DHB self-assessments and data analysis completed by April 2017
2.6. Midland Lung Cancer Work Group to review findings and develop regional report by
June 2017
Q1 2016/17
Q2 2016/17 Q2 2016/17
Q3 2016/17
Q4 2016/17 Q4 2016/17
MCN in partnership with Midland DHBs
3. Identify key activities to address issues identified as a result of completed regional tumour standards reviews for lung (2014), colorectal (2014), gynae-oncology (2015), breast (2015), sarcoma (2015), lymphoma (2016)
3.1. Coordinate DHBs to develop and update Improvement Plans and support monitoring and evaluation against review recommendations
3.2. Develop Midland Lung Cancer KPI report six monthly to Midland DHBs to support monitoring
Q1-4 2016/17
Midland DHBs in partnership with MCN
4. Improve the functionality and coverage of Midland multidisciplinary meetings (MDMs) 4.1. Implement Midland MDM Action Plan (2016) recommendations
Q4 2016/17
MCN in partnership with Midland DHBs
5. Implement actions that support the region to deliver on DHBs AP priorities (where not covered in other initiatives) for cancer such as:
5.1. Continue to implement MCN-Waikato Faster Access to Cancer Services through a Staged Tumour Approach to Treatment Project 2015-2020
5.2. Continue to implement MCN-Lakes FCT Service Improvement Project 2015-2020
5.3. Continue to implement MCN-Waikato PMB and Endometrial Cancer Project 2015/16-
Q1-4 2016/17
Q1-4 2016/17 Q2 2016/17
MCN Waikato DHB MCN Lakes DHB MCN Waikato DHB Lakes DHB MCN
REGIONAL SERVICES PLAN 2016-2019
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