RCGP - NCAT Cancer Diagnosis Audit The report generated below should be of interest to your own practice. The information will also be of use to the
National Cancer Action Team PCT's Primary Care Cancer Lead when considering potential improvements to local cancer services.
(For the period dd/mm/yy - dd/mm/yy)
Total No. Not referred by No. where avoidable
Practice Completed by Emergency 2 week Routine
patients Practice delay identified
Name
0 0 0 0 0 0
If you have any queries on the use of this form, please contact…..
If known, enter Date patient How many times did Did the GP Would rapid access to If yes, which Date Which Date first seen Were there Were there If patient No. days from first Time from referral Total time from
Patient ID Where is this Does this patient Please enter What was Where did the What was the If yes, please list Which Trust Time from first
Gende Is this patient date patient reported symptom patient attend organise any investigations have investigation Referral speciality or investigated any delays any avoidable If Yes or unsure, please deceased, symptoms / signs to date first seen first symptom or
(for Type of Cancer Total
Age Ethnicity patient's country of have any problems Diagnosis further details of the stage at first noted patient first main presenting investigations was the Type of referral was the patient informing the delays to this enter Date of attendance to sign to date first
practice r housebound? or sign to Primary surgery before they investigations altered your management would have been Sent by specialist comment to Primary Care by specialist
use only)
birth? communicating? the diagnosis diagnosis? symptoms or present? symptom? ordered referral referred to? practice of the patient's Death referral (days) seen by
Care (dd/mm/yy) were referred? before referring? of this case? most useful? (dd/mm/yy) (dd/mm/yy) attendance (days)
signs of cancer sent to? diagnosis? journey? (dd/mm/yy) specialist (days)
The information to the 0 0 0 0 Bladder 0
right of this column will 0 0 0 0 Brain 0
be calculated 0 0 0 0 Breast 0
automatically from any 0 0 0 0 Cervical 0
0 0 0 0 Colorectal 0
dates entered for the
0 0 0 0 Endometrial 0
patient.
0 0 0 0 Gallbladder 0
0 0 0 0 Laryngeal 0
0 0 0 0 Leukaemia 0
0 0 0 0 Liver 0
THIS FUNCTION WILL 0 0 0 0 Lung 0
ONLY WORK IF 0 0 0 0 Lymphoma 0
DATES ARE ENTERED 0 0 0 0 Melanoma 0
FOR EACH CELL IN 0 0 0 0 Mesothelioma 0
0 0 0 0 Myeloma 0
THE CORRECT
0 0 0 0 Oesophageal 0
FORMAT (dd/mm/yy)
0 0 0 0 Oropharyngeal 0
Please ensure that you 0 0 0 0 Ovarian 0
have used forward 0 0 0 0 Pancreatic 0
slashes ( / ) and not 0 0 0 0 Prostate 0
dots or dashes 0 0 0 0 Renal 0
0 0 0 0 Sarcoma 0
0 0 0 0 Small Intestine 0
0 0 0 0 Stomach 0
0 0 0 0 Testicular 0
0 0 0 0 Thyroid 0
0 0 0 0 Vulval 0
0 0 0 0 Other 0
0 0 0 0 Unknown Primary 0
0 0 0 0 No Information 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
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0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
If known, enter Date patient How many times did Did the GP Would rapid access to If yes, which Date Which Date first seen Were there Were there If patient No. days from first Time from referral Total time from
Patient ID Where is this Does this patient Please enter What was Where did the What was the If yes, please list Which Trust Time from first
Gende Is this patient date patient reported symptom patient attend organise any investigations have investigation Referral speciality or investigated any delays any avoidable If Yes or unsure, please deceased, symptoms / signs to date first seen first symptom or
(for Type of Cancer Total
Age Ethnicity patient's country of have any problems Diagnosis further details of the stage at first noted patient first main presenting investigations was the Type of referral was the patient informing the delays to this enter Date of attendance to sign to date first
practice r housebound? or sign to Primary surgery before they investigations altered your management would have been Sent by specialist comment to Primary Care by specialist
use only)
birth? communicating? the diagnosis diagnosis? symptoms or present? symptom? ordered referral referred to? practice of the patient's Death referral (days) seen by
Care (dd/mm/yy) were referred? before referring? of this case? most useful? (dd/mm/yy) (dd/mm/yy) attendance (days)
signs of cancer sent to? diagnosis? journey? (dd/mm/yy) specialist (days)
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Do not enter any data below this line, it will not be analysed or included in the automatically generated report
CANCER PATHWAY NOTES
Template Heading What is wanted
Some way for your practice to identify the patient. Please do not use
Patient ID patient name, DOB or any other identifiable data. Consider using
computer number
Age Age in years rounded to nearest year
Gender Male or Female
Ethnicity Ethnicity of patient
Country of origin Patient's country of origin
Problems communicating Any communication problems the patient has
Housebound Is the patient housebound
Enter the diagnosis of the primary cancer Please note that the audit
should only include confirmed malignancies and EXCLUDES non-
Diagnosis
melanotic carcinomas of the skin. Also EXCLUDE CIN, for example
of the cervix, or other carcinoma in situ.
For all date entries please enter date as dd/mm/yy. This will allow a
hidden program to calculate the number of days between different
Date patient noted first symptoms
dates. If the notes only refer to the month (i.e. diarrhoea since May
or signs of cancer
2007), put '15th' as the day of the month (i.e. 15/05/07) If the date is
not known, please enter 'NK'
First notification to any health care professional working within the
Date patient reported symptom or
Primary Health Care Team about a symptom or sign which was
sign to Primary Care
probably due to the cancer
Date that a Primary Health Care professional decided to refer the
Date of Decision to Refer patient to secondary care for further investigation or management of
the symptoms or signs suggestive of cancer
Date that the referral letter was sent from Primary Care. If this is not
Date Referral Sent available, please use the date that the referral letter or proforma was
completed.
The urgency with which a patient was referred for further
Type of referral
investigation or management
Date the patient first had contact with secondary care following the
Date first seen by specialist
referral, whether for an investigation or an out patient appointment
Do you think that there were avoidable delays in the practice being
Delays in informing practice
infromed?
Were there avoidable delays to this Reflect on the referral process and consider what things may have
patient's journey improved the diagnostic journey for the patient, and how things may
If yes, please comment have been improved
WAY NOTES
Why this is wanted
To allow the GP practice to identify and differentiate
between different patients when completing the template
To help determine any relationship between
age/gender/ethnicity/language/communication
problems/access and the likelihood of urgent referral or
diagnosis of cancer
This will allow comparison about the referral process for
different types of cancer
The cancer journey starts when the patient first notices a
symptom or sign that is suggestive of cancer. There may
be long delays before the patient then presents to Primary
Care. Noting how long the patient waited before presenting
may provide useful information about barriers to attending
for health care. It may also help inform which cancers
need Health Promotion campaigns to encourage earlier
attendance.
To identify if there is any delay in actioning referral in
certain cancers.
To identify if delays in practice systems significantly affect
overall waits for treatment from first presentation.
To allow GPs to review the urgency with which they
referred their patient
This information (if available) will help give information
about any delays around diagnosis or communication
Powerful learning tool and opportunity to make suggestions
about how the referral process could be improved.