4 September 2013
Macmillan Cancer Support is calling for urgent action to improve cancer care across London. This comes as the charity reveals that nine of London’s hospital NHS Trusts scored in the bottom 10 of its annual patient experience league table of hospitals in England1.
It is the third year running that London NHS Trusts have filled the majority of places in the bottom 10 of Macmillan’s league table. Many London Trusts show little improvement in their ranking.
The league table follows NHS England’s release of the National Cancer Patient Experience Survey last Friday (30 August). It compares the performance of hospitals across England based on measures of patients’ experiences while being treated at hospital such as: whether their diagnosis and treatment options were explained clearly to them; whether they felt supported in their care; and whether they felt they were treated with respect.
Carol Fenton, Macmillan’s General Manager in London says:
'It is unacceptable that some cancer patients in London are being let down by hospitals failing to provide crucial support, alongside medical treatment. There can be no excuses – especially post-Francis and the situation at the Mid Staffordshire Hospital NHS Trust.
'Improvements are very possible. Trusts across London, such as Imperial, are making enormous efforts to improve. They are working well with cancer patients and with Macmillan to address the problem. Improvements won’t happen overnight – they take time and rely on continued top-level commitment.
'But we need one pan-London effort. There is no reason why the capital should not have the best cancer outcomes of any major city. Today it falls lamentably short.'
In the past year Macmillan has been working closely with NHS Trusts in London, the new Integrated Cancer Systems (London Cancer Alliance and London Cancer) and NHS England - London - to improve the experience of cancer patients. Examples of progress in London include:
• Training courses for thousands of NHS cancer staff in how to better support people with emotional, financial, social and physical needs, many of them funded and arranged by Macmillan.
• Efforts by a number of hospitals to improve the culture and behaviours of staff through the Macmillan Values Based Standard®, which promotes outcomes such as full patient involvement in decision-making about their care and sensitive treatment of patients
• Cancer patients commenting in real time via touch screens and other means about their experience of care.
Today Macmillan also launches a new report, Improving care for people with cancer which includes a number of recommendations for putting cancer patient experience at the heart of the new NHS.
Shelley Mason, 54, was diagnosed with a rare type of breast cancer last year and was treated in a London Hospital Trust. Shelley says:
'Some of my experiences in hospital were traumatic. I remember a drain being pulled out of me like I was a piece of meat, and staff talking about me just behind my bed curtain. I also felt that some of my questions were dismissed in a patronising way, which really upset me.
'When I asked to be referred to a psychologist to help me cope with my rare cancer diagnosis, I was curtly dismissed with a ‘why?’ I was new to this world of breast cancer and needed someone to guide me, not dismiss my fears.
'But there were plenty of good experiences, too. It was reassuring to be able to see my doctor at every appointment and the oncology team was outstanding, making time to understand my needs and answer all of my questions. Their swift action has undoubtedly saved my life.'
For further information, please contact:
Keith Ewing (020 7091 2365; 07595 243 109) or Amy Brett-Schneider (020 7091 2367; 07894 566611)
Email: firstname.lastname@example.org / email@example.com
Out of hours media enquiries: 07801 307068
Other useful contact: Allie Johnstone, Media Manager, NHS England – London and the South of England, (020 7932 3911).
Notes to Editors:
1 Analysis by Macmillan Cancer Support based on NHS England’s National Cancer Patient Experience Survey 2013, run by Quality Health.
10 best performing Trusts*
Rank Trust Strategic Health Authority
1 Gateshead Health NHS Trust North East
2 East Cheshire NHS Trust North West
3 South Tyneside NHS Foundation Trust North East
4 The Rotherham NHS Foundation Trust Yorkshire
5 Liverpool Women’s NHS Foundation Trust North West
6 Chesterfield Royal Hospital NHS Foundation Trust East Midlands
7 St Helens and Knowsley Teaching Hospitals NHS Trust North West
8 Bolton NHS Foundation Trust North West
9 Papworth Hospital NHS Foundation Trust Eastern
10 Northumbria Healthcare NHS Foundation Trust North East
* Trusts are ranked according to the number of times they appear in the highest 20% on the 63 scored questions. Non evaluative questions (e.g. "have you had an operation") have been excluded. Top 10 are the 10 most often in the ‘green’ top 20%, sorted by how often they are in the ‘red’ bottom 20%.
10 worst performing Trusts**
Rank Trust Strategic Health Authority
1 Imperial College Healthcare NHS Trust London
2 Barts Health NHS Trust London
3 Croydon Health Services NHS Trust London
4 Barking, Havering and Redbridge University Hospital NHS Trust London
5 King’s College Hospital NHS Foundation Trust London
6 North Middlesex University Hospital NHS Trust London
7 St George’s Healthcare NHS Trust London
8 Whittington Health London
9 The North West London Hospitals NHS Trust London
10 The Dudley Group NHS Foundation Trust West Midlands
** Trusts are ranked according to the number of times they appear in the lowest 20% on the 63 scored questions. Non evaluative questions (e.g. "have you had an operation") have been excluded. Bottom 10 are the 10 most often in the ‘red’ bottom 20%, sorted by how often they are in the ‘green’ top 20%.
10 most improved Trusts***
Rank Trust Strategic Health Authority
1 University Hospital Southampton NHS Trust South Central
2 Royal Cornwall Hospitals NHS Trust South West
3 The Royal Wolverhampton NHS Trust West Midlands
4 Nottingham University Hospitals HS Trust East Midlands
5 Oxford University Hospitals NHS Trust South Central
6 Worcestershire Acute Hospitals NHS Trust West Midlands
7 Royal Devon and Exeter NHS Foundation Trust South West
8 East Kent Hospitals University NHS Foundation Trust South East Coast
9 Basildon and Thurrock University Hospitals NHS Foundation Trust East Of England
10 Derby Hospitals NHS Foundation Trust East Midlands
*** Only improved or declining statistically significant scores between 2012 and 2013 are reported. Scores that do not show statistically significant change between 2012 and 2013 are not included. Scored questions with less than 20 respondents from any particular Trust are excluded. Non evaluative questions (e.g. "have you had an operation") have been excluded.
Patient experience by tumour type - best to worst ****
4 Bowel/Lower Gastrointestinal
6 Head & Neck
9 Upper Gastrointestinal
12 Brain/ Central Nervous System
**** Urological excludes Prostate cancer which was included as a separate tumour group in the survey.
A summary of the analysis can be found here:
The Macmillan report, Improving care for people with cancer, launched today, can be found here:
About Macmillan Cancer Support
Cancer is the toughest fight most of us will ever face. But you don’t have to go through it alone. The Macmillan team is with you every step of the way.
We are the nurses and therapists helping you through treatment. The experts on the end of the phone. The advisers telling you which benefits you’re entitled to. The volunteers giving you a hand with the everyday things. The campaigners improving cancer care. The fundraisers who make it all possible.
We are Macmillan Cancer Support.