Macmillan has produced a number of documents to assist GPs in influencing their local health economy and help shape the future of primary care.
Rapid Referral Toolkit
Referral guidance for suspected cancer is available for England and Wales in the form of Macmillan’s Rapid Referral Guidelines for desktop [PDF] (based on the 2015 update of the NICE suspected cancer recognition and referral guidance).
The interactive PDFs act as referral toolkits to provide support, guidance and practical solutions for healthcare professionals involved in the improvement of cancer care. The guidelines are organised by tumour type, to help support GPs in referring patients for cancer, as well as identifying the appropriate referral pathway to use.
The desktop version of Macmillan’s Rapid Referral Guidelines [PDF] also provides the option for users to add contact information for local services, so that patients can be signposted to appropriate health services in their area. Additionally, these guidelines are now available for:
These allow GPs to access the guidance whilst away from their practice. In Scotland, a mobile app is currently in development for the Scottish Referral Guidelines, with hard copies already available.
Macmillan’s Rapid Referral Guidelines are based on NICE guidance whose remit covers England and Wales. This toolkit supports all of the recommendations in the NICE guideline on suspected cancer: recognition and referral apart from those relating to specific childhood cancers. For more information on this endorsement, please see the implementation section of the NICE website. GPs located in Scotland can access the Scottish Referral Guidelines for suspected cancer online.
Top tips for Commissioners: Improving One-Year Cancer Survival
From April 2015 one-year cancer survival rates, broken down by Clinical Commissioning Groups (CCGs), will be included in the Delivery Dashboard of the NHS’ Assurance Framework. This is the only disease-specific outcome measure in the dashboard that is used to hold CCGs to account.
Macmillan GP Advisers have collaborated with Macmillan’s Commissioning Support Programme to develop a new guide -Top tips for Commissioners: Improving one-year cancer survival [PDF, 3MB].
This guide brings together national intelligence, data sources and examples of strategies useful to local commissioners seeking to improve one-year cancer survival rates for their local population. It also provides the policy background to cancer survival as a national priority. Hyperlinks to useful data sources, resources and further information are included throughout.
UKONS Acute Oncology Guidelines for Primary Care
Patients who have received Systemic Anti-Cancer Treatment (SACT) or radiotherapy, or those at risk of disease related immune-suppression often present to primary care with problems linked to their treatment or disease. The level of risk associated with these problems is significantly increased in this patient group.
The UK Oncology Nursing Society (UKONS) have collaborated with Macmillan GPs to develop their Acute Oncology Guidelines for Primary Care, an easily used risk assessment tool.
Based on the WHO and CTC toxicity/symptom-grading systems it indicates risk by green, amber or red classification.
Patients who score red or amber for any presenting symptom should be referred immediately to the local 24 Hour Acute Oncology Advice Line for a full triage assessment. (Please note: within Scotland patients can be referred to the NHS Board endpoints used by the Cancer Treatment Helpline.)
The tool has been adapted from the UKONS 24 Hour Triage Tool which is widely used by oncology advice lines across the UK.
Please be aware that advice line numbers will differ across the country. Contact your oncology or acute oncology service to identify the number specific to your locality before adding to the tool as a reminder prior to local circulation.
'Support for people affected by cancer in primary care' module for GPs and Practice Nurses
Macmillan GP Adviser Charles Campion-Smith has been working with the team at BMJ Learning to produce a module aimed at GPs and practice nurses.
The module focuses on the benefits of a high quality cancer care review, but incorporates other aspects such as the management of late effects of cancer and cancer treatments. The module:
is free to all and fully accessible on the BMJ Learning home page
includes clinical scenarios, video clips, self assessment and a post module test
includes certificates for appraisal and revalidation can be printed once the module is completed
links to further information and tools such as the distress thermometer and resources for patients are also included.
Find out more about the module.
Other modules which Macmillan Cancer Support have been involved in developing are:
Primary Care updates
Find out about the activities of the Macmillan Primary Care Community through our newsletters:
Evaluation and impact
Read our evaluation of the Cancer Care Review template [PDF]
Practice nurse course Macmillan summary [PDF]
Practice nurse course evaluation executive summary [PDF]
Practice nurse course main evaluation [PDF]
Treatment summary evaluation [PDF]