Macmillan's work in primary care
Our work in primary care supports Macmillan’s outcomes for people affected by cancer including; I was diagnosed early, I get the treatment and care which are best for my cancer and my life, and I want to die well.
Supporting early diagnosis of cancer
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Macmillan works with GPs to help them support cancer patients better and to develop tools to enable early referral. This includes the new electronic Cancer Decision Support tool, which is currently being tested by 500 GP practices, across 15 cancer networks in England, Scotland and Wales.
The tool, designed to run alongside the GP clinical system, will help GPs recognise the symptoms of five cancer types. It calculates the risk of a person having cancer based on their symptoms whilst also taking into consideration other factors such as demography and family history.
Find out more about our work in this area.
Practice nurses: an untapped resource for cancer care
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Macmillan is working to test the feasibility of practice nurses in managing cancer as a long term condition. We are supporting 10 pilot courses across the UK involving over 100 practice nurses. The results of the first course are already available, find out more by reading our summary, the executive summary or the full evaluation.
The evaluation shows that practice nurses valued the course and increased their confidence, knowledge and skills in supporting people with cancer. They described how they are now taking on a greater role in cancer care.There are lots of ideas emerging about how to build on this for the future, for example one nurse plans to set up some combined clinics for cancer and other chronic conditions.
Macmillan will support participants of the course to stay in touch by inviting them to join our wider community of influence and to attend our annual primary care conferences.
We will also be reviewing the learning from the collective pilots to consider how we can ensure that all practice nurses have the opportunity to develop their confidence and skills in supporting people with cancer.
Macmillan is delighted to be working in partnership with GP Update Limited to develop a one day cancer course for busy GPs. This course builds on the clinical update courses already delivered by GP Update. We worked together to pilot and test four courses during 2012, which were attended by over 300 GPs. We will be piloting a further series of courses in the summer of 2013.
You can view the feedback from the first pilots:
Feedback from the first pilot
GPs and cancer care: it’s not all diagnosis and death
Collaborative work with Dying Matters
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Macmillan is pleased to have developed a partnership with The National Council for Palliative Care (NCPC) to develop and deliver the Dying Matters communication skills training for GPs. This work builds on the earlier successful Dying Matters pilots to which Macmillan GPs contributed.
In 2013 we are holding a series of workshops across the UK for GPs in ‘Initiating conversations on end of life issues’ and also training GPs as facilitators to run the same workshops which help to improve the confidence and skills of GPs in having sensitive conversations with people in their care.