Improving Cancer Services
For people in the area served by the
South Essex Cancer Network
Gynaecological Cancer, Urological Cancer
and Oesophageal (Gullet) Gastric
(Stomach) Cancer
Consultation period
November 2003 – February 2004
Distributed by the South Essex Cancer Network, which comprises the
following organisations: Basildon and Thurrock University Hospitals
NHS Trust; Basildon PCT; Brentwood Billericay and Wickford PCT;
Castle Point and Rochford PCT; Southend Hospital NHS Trust;
Southend PCT, and; Thurrock PCT.
Final: 23 February 2004
1
Initial Distribution
This document has been distributed to key contacts within the South Essex
Cancer Network (SECN). Please copy this paper to all relevant staff and
colleagues.
Basildon and Thurrock University Hospitals NHS Trust
Cancer support groups and voluntary organisations
Community Health Councils
Department of Health
Essex Strategic Health Authority
Essex Workforce Development Confederation
Hospices
Local authorities
Local GP’s
Local MP’s
Local pharmacists
Local press and media
Local representatives committees
Overview and Scrutiny Committees
Parish councils
Primary Care Trusts for the area covered by the network
SECN service users and carers groups
Southend Hospital NHS Trust
South Essex Cancer Network
“Hard to reach” groups including
- Physically Disabled Groups
- Learning Disabilities Groups
- Ethnic Minorities
Further copies of this document (in different formats and translations on
request) are available from:
The South Essex Cancer Network Management team office.
Key Contact: Mr Kevin McKenny, Cancer Network Lead Manager
Telephone: 01702 – 508214
Fax: 01702 – 421952
E-mail: secn@southend.nhs.uk
Deadline for feedback is 20th February 2004 - see appendix 3 for details
on how to give your views.
Final: 23 February 2004
2
Foreword by the
South Essex Cancer Network
Lead Clinician
We have a robust and flourishing cancer network in South Essex with an overall aim
to improve cancer services for our population. Key service changes are often
required to continue these improvements. This document details such changes.
This consultation seeks the views of patients, the public and health staff across
South Essex on the development of cancer surgery in the network, following the
decision by the South Essex Cancer Network to centralise specialist surgery for
certain cancer types at either Southend or Basildon University Hospitals. These
decisions were based on recommendations contained within national guidance for
the treatment of these cancer types
Under these proposals surgery for some complex gynaecological cancers (ovary and
cervix) and some urological cancers (prostate and bladder) would be centred at
Southend Hospital. Gastro-oesphageal (stomach and gullet) cancer surgery would be
carried out at Basildon Hospital. All other cancer services will continue at the two
hospitals as before and the numbers of patients affected who will have to travel for
their surgery as a result of these proposals will probably be only 50 to 60 per year.
This process is taking place in all cancer networks up and down the country. In fact
our neighbouring cancer network in North Essex (Mid-Anglia Cancer Network) have
undertaken similar process and propose to centralise their gynaecology and urology
cancer surgery in Ipswich and gastro-oesphageal surgery in Colchester.
To be able to continue to offer this relatively complex surgery locally is extremely
good news for our patients and staff. Centralisation on one site will enable us to
improve our service further. The decision as to which site to choose was extremely
difficult given the high level of expertise available at both Southend and Basildon.
Now there is a lot more work to do to ensure that the patient’s journey remains
smooth and seamless and we must remember that the vast majority of patients will
continue to have their surgical treatment as before.
Dr Colin Trask
Consultant Clinical Oncologist
South Essex Cancer Network Lead Clinician
Final: 23 February 2004
3
Contents
1.
The South Essex Cancer Network – map
5
2.
What is this Consultation about?
6
3.
Background
3.1 National Guidance on Treating Rare Cancers
3.2 Developing Specialist Cancer Surgery
7
4.
Current Network Arrangements
8
5.
What is the Network Required to do
8
6.
How the Proposals were Developed
6.1 Expert Review
8
9
7.
Actual Proposals
10
8.
What this means for the Local Population
8.1 What will change and what will stay the same?
8.2 The advantages of developing those proposed
specialist cancer surgical centres
8.3 Disadvantages
11
11
11
9.
Other Options
13
10.
Your Questions Answered
14
11.
Next Steps and Why You Views are Needed
18
12.
How to Give Your Views
19
12
Appendices
Appendix 1 – Further Information
Appendix 2 – Membership of the South Essex Cancer
Network Board
Appendix 3 – Feedback Questionnaire
Final: 23 February 2004
20
22
23
4
1.
The South Essex Cancer Network
The South Essex Cancer Network was set up in December 1995. It has
representatives from:
Essex Strategic Health Authority, five Primary Care Trusts which includes:
Basildon PCT; Brentwood, Billericay & Wickford PCT*; Castle Point &
Rochford PCT; Southend PCT, and; Thurrock PCT; two Acute Hospitals
(Basildon and Southend), palliative care services, Community Health
Councils, and the South Essex Cancer Network Cancer Management Team.
The aim of the South Essex Cancer Network is to improve cancer services
for the people living in South East and South West Essex.
The South Essex Cancer Network serves a population of about 750,000
people in the geographical area shown below. The map shows the primary
care organisations covered by the network and the location of the two district
general hospitals.
Map of South Essex Cancer Network
Southend Hospital NHS Trust
Basildon & Thurrock University
NHS Trust Hospitals
Basildon Primary Care Trust
Billericay, Brentwood and Wickford Primary Care Trust
Castle Point and Rochford Primary Care Trust
Southend Primary Care Trust
Thurrock Primary Care Trust
*Only the East population of Brentwood, Billericay & Wickford PCT are affected by this service change
as the west (Brentwood) population links are largely to North East London Cancer Network and their
constituent London Hospitals
Final: 23 February 2004
5
What is this Consultation About?
2.
Nationally, clinicians have developed guidance on the best way to improve
services for people with cancer. Local health professionals have been
working on plans to put this guidance into action.
*National guidance (listed below) requires a single surgical centre for each
specific cancer type within each cancer network.
The proposed service changes are to develop single specialist surgical
centres for gynaecological (ovarian, cervical and vulvae) cancer, urological
(prostate and bladder) cancer and gastro-oesophageal (stomach and gullet)
cancer within the South Essex Cancer Network.
Benefits for patients
These changes will mean that patients with these cancers will have:
-
the best possible treatment
-
better results and survival rates
-
a coordinated, managed, ‘patient journey’ i.e. a plan based on
individual patients’ needs, covering all aspects of their healthcare
throughout the health system, as all the health professionals
involved will work as a team.
The purpose of this consultation is:

To explain how cancer services will be changed locally so as to
improve care for people with these less common cancers.
We welcome your views on the proposals to centralise specialist cancer
surgery on single hospital sites within the network as well as more
general views or ideas on local cancer services.
*Improving Outcomes in Gynaecological Cancer – the manual
*Improving Outcomes in Upper Gastro-intestinal Cancer – the manual
*Improving Outcomes in Urological Cancers – the manual
(See Appendix 1 for full list of information)
Final: 23 February 2004
6
3.
Background
3.1
National “Improving Outcomes” Guidance
Gynaecological, urological, and gastro-oesophageal cancers are
considered to be less common than other cancers, such as breast, lung
and bowel.
The national guidance has to be put into action as soon as possible. Cancer
services that do not meet the guidance will not be accredited and will not be
able to treat patients with these cancers.
National guidance says that specialist teams should treat people with these
cancers in ‘cancer centres’ for specialist surgery. This will improve survival
rates and standards of care.
3.2
Developing Specialist Cancer Surgery
All over the country the NHS is working to develop specialist cancer surgery
services, so that people with these cancers get the best possible care.
Health professionals will have:
o
A focus on one or more of the rare cancers. This is known as ‘site
specialisation’. It means people with less common cancers are treated
on a hospital site serving a population of around 1 million people. This
enables the professionals to develop and maintain a special interest and
expertise in a particular cancer type. The more they work in an area, the
more specialised they become.
o
Specialist teams. Each individual patient will benefit from having his or
her care planned by a multi-disciplinary team (MDT). By that we mean a
dedicated group of doctors, nurses and other health professionals. All of
the team will develop expert skills and knowledge. This will ensure
patients receive the best possible care from diagnosis to treatment and
follow up care. Working in specialist teams provides patients with an
expert view on the treatment options open to them and decisions made
will enable patients to receive the best possible care from an
experienced team.
o
Dedicated specialist facilities for treating people with these less
common cancers.
Health professionals will develop expert specialist skills if they work in
teams and treat larger numbers of people with a particular cancer.
To find out how you can get more information on national cancer plans, see
appendix 1.
Final: 23 February 2004
7
4.
Current Network Arrangements
Currently there are two excellent district general hospitals in South Essex that
provide cancer services. They both work closely together and with the
community health services in their area and with others who have a role in
providing care.
The hospitals are in Basildon and Southend. Non-surgical specialist cancer
treatments, including radiotherapy (radiation treatment) and chemotherapy
(cancer drug treatment) are provided at Southend only. People with common
cancers such as breast, bowel and lung cancers make up approximately 50%
of all cancer cases; these will continue to be treated at each of our two local
hospitals.
Currently specialist cancer surgery for gynaecological, urological and gastrooesophageal cancer is carried out at both Basildon and Southend hospitals.
This arrangement does not meet the national guidance.
5.
What is the network required to do?
The South Essex Cancer Network has been working to find out how best to
put national guidance into action in its area (see map in Section 1 on page 5)
so that services for local people will improve further.
For these less common cancers (this includes ovarian, cervical, vulval,
stomach, gullet, prostate and bladder) there will need to be centralisation of
the specialist surgery at one of the two local hospitals. Patients will have their
operation at the hospital that specialises in their rarer cancer.
Developing specialist cancer surgery is national policy. All patients
must be offered care by accredited services that meet the national
guidance.
If we do not provide these services on single sites within this network
patients will have to travel outside of the network area for their surgical
treatments. This would likely be one of the London hospitals.
6.
How the proposals were developed
The process for developing the proposals to identify which hospitals provide
specialist cancer surgery was the same for all of the cancer types in question.
This was decided by:


National guidance
Local consultation and discussions with local people and clinicians
alongside expert external review.
Final: 23 February 2004
8
6.1
Expert review
A dedicated assessment team was established and reviewed the current
gynaecological, urological and gastro-oesophageal cancer services in
Basildon and Southend using the criteria in the national guidance.
Detailed submissions from both hospitals were reviewed by the assessment
team and were scored against an agreed set of weighted criteria (See
appendix 2 for Scoring sheet and weighting criteria used). These scores were
reviewed further following individual presentations to the assessment team
from the lead clinician / manager for each hospital cancer site team.
Following the review, the assessment team recommended that the best way
to improve cancer services would be centralising specialist cancer surgery on
single hospital sites as detailed in section 7.
Members of this assessment team included: consultants in public health;
commissioning directors; an external cancer clinician, and; senior Community
Health Council representation (observers).
Final: 23 February 2004
9
7.
Actual Proposals
The South Essex Cancer Network Management Board has responsibility for
improving cancer services for the people of South Essex. The board has
senior representatives from local health organisations (appendix 3 for details).
The board supports the following recommendations of the assessment team.
Gynaecological Cancers
The proposal is for Southend Hospital to become the centre for
specialist gynaecological cancer surgery in the South Essex area.
Most of the diagnosis, treatment and follow-up, except specialist
surgery, will continue to be carried out at both local hospitals.
Until the changes are implemented, patients will continue to undergo
specialist surgery at both hospitals.
Urological Cancers
The proposal is for Southend Hospital to become the centre for
specialist urological (prostate and bladder) cancer surgery in the South
Essex area.
Most of the diagnosis, treatment and follow-up, except specialist
surgery, will continue to be carried out at both local hospitals.
Until the changes are implemented, patients will continue to undergo
specialist surgery at both hospitals.
Gastro-oesophageal Cancers
The proposal is for Basildon Hospital to become the centre for
oesophageal (gullet) and gastric (stomach) cancer surgery centre in the
South Essex area.
Most of the diagnosis, treatment, and follow-up, except specialist
surgery, will continue to be carried out at both hospitals.
Until the changes are implemented, patients will continue to undergo
specialist surgery at both Basildon and Barts & Royal London Hospitals
(Southend area patients).
Final: 23 February 2004
10
8.
What this means for the local population
8.1
What will change and what will stay the same?
Gynaecology and Urology
Currently gynaecological and urological cancer surgery is carried out at both
Basildon and Southend Hospitals. In the future it is proposed that this
specialist gynaecological and urological cancer surgery be undertaken at
Southend Hospital by individual specialist teams. For most gynaecological
and urological patients, this is likely to involve a 7 – 9 day hospital stay. The
number of patients per year from Basildon area who will need to travel to
Southend for their specialist surgery is: 16-18 gynaecology cancer patients
and 18-20 urology cancer patients.
Gastro-oesophageal
Currently gastro-oesophageal cancer surgery for South Essex patients is
carried out at both Basildon Hospital and Barts and the Royal London Hospital
(Southend Hospital patients are currently attending a London hospital as an
interim arrangement following recent departure of their Upper GI specialist
surgeon). In the future it is proposed that all non-emergency specialist gastrooesophageal cancer surgery will take place at Basildon Hospital.
For most patients, gastro-oesophageal surgery is likely to include a 7 – 14 day
hospital stay, in view of the intensive post-operative care generally required.
Approximately 24-26 patients from the Southend area will need to travel to
Basildon Hospital for their surgery each year.
Local hospitals will continue to provide diagnostic tests, and follow up
care after surgery, as well as non-cancer surgery. The vast majority of
treatments will be provided in local hospitals. Southend Hospital will
continue to provide radiotherapy and chemotherapy, as now.
Local hospitals will continue to provide the majority of care avoiding the
need for patients to travel into London.
8.2
The advantages of developing these proposed specialist cancer
surgical centres.

Better clinical outcomes
Concentrating surgery in one centre will enable the specialist teams to
develop expert skills as individuals and as a team. All of the clinical
evidence supports this and this way of working is now national policy
(see appendix 1 for details of sources of further information).

Modern facilities on one hospital site
Both hospitals have modern facilities that are of a high standard
including intensive care and high dependency units. At Southend there
are also the facilities for chemotherapy and radiotherapy treatments.
Final: 23 February 2004
11
Basildon Hospital has also been identified as a future centre for Cardiothoracic surgery which will provide benefits to the provision of
oesophageal (gullet) cancer surgery.

Specialist Staff
Gynaecology and Urology
Both hospitals already have experience of specialising in gynaecological
and urological cancer surgery. A dedicated specialist gynaecological
cancer surgeon will be recruited and consideration will be given for the
appointment of a second in the future. Southend Hospital is also
discussing with local commissioners the possibility of an additional
consultant urology surgeon to support centralisation.
Gastro-oesophageal
Both hospitals already have experience of specialising in
oesophageal/gastric cancer surgery. A second dedicated specialist
surgeon will need to be recruited to Basildon Hospital.

Good communication
Gynaecological and Urology
The specialist gynaecological and urological cancer surgery centres at
Southend will work in partnership with Basildon Hospital. All of the
diagnostic treatment and follow up care for the Basildon area patients will
still occur in their local hospital.
Gastro-oesophageal
The specialist oesophageal gastric cancer surgery centre at Basildon will
work in partnership with Southend Hospital. All of the diagnosis,
treatment and follow up care for patients from the Southend area will still
occur in their local hospital
Communication is already easier between health professionals because
everyone is working within the South Essex Cancer Network

8.3
Continuous improvement
Similarly it is easier to improve service and quality issues as all health
professionals are working within the same network.
Potential Disadvantages
o Some patients will have to travel further for their cancer surgery,
albeit small distances (approximately 10 to 15 miles).
o Relatives may also find visiting more difficult and family support is
vital at such times.
Final: 23 February 2004
12
9.
Other options
The following alternatives options were discussed by the assessment
team:
a) No change to present arrangements
b) Developing both local hospitals as ‘centres’ for gynaecology,
urology and gastro-oesophageal cancers.
These options were discounted as they did not meet the national guidelines to
become a fully accredited cancer centre. To meet the guidelines, specialist
surgery has to be located on one of the acute hospital sites. If we do not
change to single centres, the Royal College of Surgeons will stop our
surgeons doing this work and our patients will have to travel into London for
their treatment.
c) Siting specialist cancer surgery for all 3 cancer types at one
hospital
Since each set of national site-specific guidelines has unique requirements, it
would not have been appropriate to consider all three cancer types collectively
in this way in view of the multi-factorial issues affecting each cancer type.
d) Surgery at a centre outside the Network area.
The remaining option is for patients to travel outside of the South Essex
Cancer Network for their specialist gynaecological, urological or
oesophageal/gastric cancer surgery.
This would mean that most patients would have to travel further than
Southend or Basildon for their specialist surgery. Also there may not be
enough capacity in adjoining networks. This option does not support our
desire to develop local cancer services and ensure this specialist surgery is
available as close to the patients home as possible.
Experience shows that communication is easier and better if all the health
professionals involved in a patient’s care work in a single specialist team
within the network. In practice, if clinical teams in each local hospital have to
communicate with several centres then this is difficult to manage.
Final: 23 February 2004
13
10.
Your questions answered

How many patients will go to Southend and Basildon for their
surgery?
Basildon: About 20 – 25 additional gastro-oesophageal cancer patients a
year from the areas served by Southend Hospital will attend Basildon
Hospital.
Southend: About 20 additional gynaecological cancer patients a year and 20
– 30 urological cancer patients per year will attend Southend Hospital from the
areas served by Basildon Hospital.

What age ranges of patients are likely to be affected?
The majority of patients will be over 60.

What about travelling?
A key part of the detailed planning process over the next 18 months will be to
ensure that transport arrangements for patients are made.
Patients who need hospital transport will have this arranged in the normal
way.
Transport for relatives/carers will also be considered as part of the detailed
planning process.
Car parking at Basildon and Southend has to be paid for, but this is the case
now in all NHS hospitals. At both Basildon and Southend Hospitals car
parking can be difficult at peak times; however, since the patient numbers are
extremely small, these should be accommodated.
Information on how to get to the hospital by road and public transport will also
be provided for relatives and patients, as will car parking charges and details.

Family support can be very important. This may be more difficult
for those who have to travel.
The plans for specialist cancer surgery centres at both Basildon and Southend
hospitals will include some accommodation for those relatives and carers who
need to stay overnight in the hospital.
These plans have not yet been finalised. The importance of family support is
recognised and arrangements will be looked at very closely in the detailed
planning stage. Your views and ideas will be important in helping us to
develop these plans.
Final: 23 February 2004
14

What information will be available for patients/carers?
Information about the Basildon and Southend hospital centres will be
available for patients, which includes details of public transport arrangements,
car parking, the facilities and other useful information will be included.

What about if the cancer recurs?
If the cancer recurs, then treatment will be at the local hospital, unless further
specialist surgery is required.

What about readmission after surgery?
Your immediate care will continue to be managed by your local healthcare
team. However, should you need further specialist surgery you will be
referred back to the centre.

Is this being done to save money?
No. Cancer surgery centres are being developed because this is the best way
to improve clinical standards, clinical outcomes and care. In fact more
money is required to enable these changes to occur.

What about staff?
These changes will help us to recruit and retain nurses, doctors and other
health professionals.
In particular, doctors’ training is changing and the emphasis now is on
producing specialists, this is the way of the future.

How will you ensure that health professionals communicate
effectively?
Day to day communications concerning individual patients will be coordinated
through clinical nurse specialists. They will work with all the health
professionals involved in a patients’ care from diagnosis to treatment
(including specialist surgery) to follow up care.
Health professionals are required to meet regularly as multi-disciplinary teams
to discuss patients’ treatment plans, progress, and any other relevant issues.
This is a national standard for cancer services.
Network-wide multidisciplinary teams are now in place in all these cancer
types. The teams consist of the health professionals involved in a patients’
care e.g. doctors, nurses, pathologists, radiologists. These teams will
continue to work together under the new proposals.
k.
Why do the specialist cancer surgery centres need to be
developed quickly?
Final: 23 February 2004
15
National expert teams are responsible for ensuring that services comply with
national guidance. Local services are expected to put the guidance into action
promptly, so that patients receive improvements in care as soon as possible.
The South Essex Cancer Network will be reassessed to see if it has specialist
gynaecological, urological and oesophageal cancer surgery centres in
operation that meet the guidance between 2004 and 2007.
Failure to comply with the guidance would mean that the network would not
be accredited. As a result all patients would have to be referred to a specialist
centre, outside of the network area, that does meet the guidance.
l.
How will you know that the service is better?
 An external review of the services will be made during 2004 – 2007
to ensure local services meet the national guidance.
 If the guidance is not met then the service will not be accredited.
This would mean that it would be unable to treat patients with the
these forms of cancer.
 It takes time to measure progress statistically, but systems will be
put in place which will enable us to measure how our clinical
outcomes compare with the other similar services and other
countries.
The national guidance that is driving this work is evidence based. It
has been written by a group of national cancer experts who include
Professor Mike Richards (the National Cancer Director), the NHS
Centre for Reviews and Dissemination at York, the Department of
Health, patients, cancer nurses, cancer specialists, specialist
surgeons and GP’s. A much wider group which included the
voluntary sector and charities was also involved.
 The South Essex Cancer Network is also working hard to set up a
network of people who use the services, so that it can seek their
views and involve those people who use the service, relatives, and
carers on a regular basis. Service users and carers will also know
where things could be better and if there are gaps, for example –
not enough information, poor communication etc.
To find out more about the South Essex Cancer Network, contact the Sharon Paradine
at: Cancer Network Management Team NHS Britannia House, Units 12 – 13, Britannia
Business Park, Comet Way, Southend on Sea, Essex SS2 6GE
Final: 23 February 2004
16
m.
Have local health care professionals been involved?
Local gynaecologists, urologists and Gastro-intestinal surgeons, cancer
doctors and other health care professionals based at Basildon and Southend
have all been involved. This involvement will continue.
One of the purposes of this consultation is to enable more health care
professionals to be involved, particularly local GP’s and others in Primary
Care.
n.
What about other cancers?
People with common cancers such as breast, bowel and lung cancers make
up approximately 50% of all cancer cases. These will continue to be treated
at the local hospitals in both Basildon and Southend Hospitals.
For rarer cancers, patients will have their operation at the hospital that
specialises in their rare cancer. The process for deciding which hospital will
provide the specialist care has been the same for gynaecology, urology and
oesophageal/gastric cancers.
Final: 23 February 2004
17
11.
Next steps and why your views are needed
A team of health professionals for each of the cancer sites has been set up to
undertake the detailed work that is needed before any changes take place.
They will be looking at all aspects of care including the initial referral to
hospital services, diagnosis, treatment and follow up care when the patient
returns home.
Service users and carers to be engaged in this process through the existing
Cancer Network User Group Partnership and the Patient and Public
Involvement Forums, reaching out to other support groups, individual service
users and carers.
It is important that the whole patient journey (from initial consultation to
discharge and follow up) is considered and so the views of local people are
needed to ensure that:



Concerns are addressed
The Service remains centred on the needs of the patient
The experience, knowledge and ideas of local people are used.
Voluntary organisations, local health and social care professionals and
Community Health Councils also have a wealth of experience and knowledge
and their views are being sought.
Please see section 12 on how to give your views and be involved.
Final: 23 February 2004
18
12.
How to give your views
a)
Written views and/or the enclosed feedback form should be sent
to:
The South Essex Cancer Network Team
NHS Britannia House
Units 12 – 13
Britannia Business Park
Comet Way
Southend on Sea
Essex SS2 6GE
Fax: 01702 – 421952
E-mail: cancer.network@southend.nhs.uk
b)
Key contacts
- Dr Colin Trask, Lead Clinician, the South Essex Cancer Network
- Kevin McKenny, Lead Manager, the South Essex Cancer Network.
If you have any questions/would like further information, please contact either
one of the above at:
NHS Britannia House
Units 12 – 13
Britannia Business Park
Comet Way
Southend on Sea
Essex SS2 6GE
Tel. 01702 – 508214
Fax: 01702 – 421952
E-mail: kevin.mckenny@southend.nhs.uk
c)
Meetings with local Groups and Individuals can be organised.
Contact the office above for details.
Final: 23 February 2004
19
Appendix 1
FURTHER INFORMATION
Guidance on commissioning cancer services: improving outcomes in
gynaecological cancers – the manual.
Available from:
Department of Health
PO Box 777
London SE1 6XH
Guidance on commissioning cancer services: improving outcomes in
urological cancers – the manual
Available from:
Department of Health
PO Box 777
London SE1 6XH
Guidance on commissioning cancer services: improving outcomes in
Upper gastro-intestinal cancers – the manual
http://www.nice.org.uk/pdf/Urological _Manual.pdf
Manual of Cancer Services Assessment Standards
Available from:
Department of Health
PO Box 777
London SE1 6XH
Or visit:
www.doh.gov.uk/ukicancerfstandards.htm
National Service Framework for Cancer
www.doh.gov.uk/nsf/cancer.htm
NHS Cancer Plan
Printed copies of the complete Cancer Plan and of a Summary are available
free of charge (ref. 22293) from:
Department of Health
PO Box 777
London SE1 6XH
www.doh.gov.uk/cancer/cancerplan.htm
Final: 23 February 2004
20
The NHS Cancer Plan: Making Progress
Order this document from:
Department of Health
PO Box 777
London SE1 6XH
www.doh.gov.uk/cancer/makingprogress.htm
Referral Guidelines for Suspected Cancer
www.doh.gov.uk/cancer/pdfs/cancer/referral.htm
Cancer Networks in England
www.doh.gov.uk/cancer/pdfs/021hsc.pdf (Adobe Acrobat File)
Cancer Information Strategy
www.doh.gov.uk/cancer/cis.htm
Final: 23 February 2004
21
APPENDIX 2
SCORING AND WEIGHTING CRITERIA USED BY THE DEDICATED ASSESSMENT TEAM
Upper GI G-O
Rank
Benefit
Criteria
Weight
Basildon
Hospitals
CRITERIA
Score
a.
Conforming with IOG
1
16
c.
Access for patients
2
11
d.
Timetable
4
4
f.
National Targets
2
11
h.
Risks
3
8
I.
Non-malignant Work
2
11
j
2
11
1
16
l
Academic links
Ensuring Best
Practice
Links with other
centres
3
8
m
Costs
4
4
k
TOTAL
Score
x
Weight
Gynaecology
Southend
Hospital
Score
Score
x
Weight
Basildon
Hospitals
Score
Score
x
Weight
Urology
Southend
Hospital
Score
Score
x
Weight
Basildon
Hospitals
Score
Score
x
Weight
Southend
Hospital
Score
100
RANK
Final: 23 February 2004
22
Score
x
Weight
Appendix 3
Membership of the South Essex Cancer Network Management Board
As at June 2003
Mr Malcolm McCann
(Chair)
Dr Andrea Atherton
Maurice Bailey
Sandra Darkins
Dr Tony Dickens
Tina Faulkner
Anne James
Dr Linda Hastings
Jane Loughlin
Ms Maggie Luck
Chief Executive
Consultant in Public Health
Community Health Council
(East)
Colorectal Nurse Consultant
Primary Care Trust Cancer
Lead
Lead Manager
Director of Operations
Deputy Medical Director
Service Development
Manager
Breast and Cervical Screening
Commissioner
Liz McGranahan
Director of Commissioning
Mrs Marlene Moura
Community Health Council
(West)
Information Manager
Service Improvement Lead
Commissioning Lead
Jane Mulreany
Carol O’Leary
John Parker
Sharon Paradine
Dr Mala Rao
Dr Anne Robinson
Stephanie Spencer
Dr Graeme Tosh
Dr Colin Trask
Vi Wagner
Bernard Yung
Final: 23 February 2004
Lead Nurse
Director of Public Health
Network
Lead Clinician Cancer
Research Network
Specialist Commissioning
Consultant in Palliative Care
Lead Cancer Clinician
Chief Executive
Lead Clinician
C & R Primary Care Trust
Southend Primary Care
Trust
CHC Southend
Basildon Hospital
Southend Primary Care
Trust
Basildon Hospital
Southend Hospital
Essex Health Authority
Macmillan Cancer Relief
Public Health Network,
Cervical & Breast Cancer
Quality Assurance
Castle Point and Rochford
Primary Care Trust
CHC Basildon
Cancer Network
Cancer Network
Thurrock Primary Care
Trust
Cancer Network
Southend Hospital
Southend Primary Care
Trust
Southend Hospital
Cancer Network
Thurrock Primary Care
Trust
Basildon Hospital
23
Appendix 4
Feedback questionnaire
Centralising specialist surgery in South Essex
For gynaecological, urological and gastro-oesophageal cancers
Thank you for taking the time to share your views with us. Please submit your
comments using the following questionnaire. You do not have to answer all of
the questions, and can write to us separately if you prefer.
To return this form by post, please send to:
South Essex Cancer Network Team
NHS Britannia House
Comet Way
Southend on Sea
Essex SS2 6GE
Tel. 01702 – 508210
Fax: 01702 – 421592
Deadline for response: 20th February 2004.
We want to be sure we understand the views of individuals, organisations and local
communities on the proposed service changes. It would therefore be helpful to have
some information about you and the views you represent.
Please circle the category that best fits your position:














Local resident
Patient (currently using NHS services)
Carer
Community or patient representative
Voluntary sector
Local Authority Member
Social Services or public sector staff
Primary/community care staff
GP
Hospital staff
Professional representative
Union representative
NHS organisation
Other (please specify) ………………………………………………..
Final: 23 February 2004
24
The proposal is that Southend Hospital should be developed to be the
specialist gynaecological and urological cancer surgery centre and
Basildon Hospital should be the specialist gastric (stomach) and
oesophageal (gullet) cancer surgery centre for the people living in South
East and South West Essex.
About the proposed service changes
Question 1
In your opinion, do you agree there would be benefits in centralising
complex gynaecological and urological cancer surgery on the Southend
Hospital site and centralising complex oesophageal and gastric cancer
surgery on the Basildon Hospital site?
Question 2
In your opinion, do you feel there would be potential disadvantages in
centralising complex gynaecological and urological cancer surgery on
the Southend Hospital site and centralising complex oesophageal and
gastric cancer surgery on the Basildon Hospital site?
Question 3
Do you have any particular views on the proposed service changes?
Please feel free to comment on any aspect, e.g. providing better services,
access, environment, minimising disruption etc.
Final: 23 February 2004
25
Question 4
Do you have any particular concern regarding a specific cancer type i.e.
gynaecological, urology and oesophageal/gastric, please specify.
Question 5
We are keen to improve cancer services for local people and to handle
any changes as smoothly as possible. Do you have any ideas, views on
improvement that would benefit people using cancer services?
Question 6
Would you like to be more involved in these service changes and if so,
how?
E.g. you may like to be directly involved in developing
implementation plans, for example, by joining a working group as
someone who has used the service or a carer?
Question 7
How best can we keep you informed?
If by post or e-mail, please add your details below.
Final: 23 February 2004
26
Please feel free to add any other views you may have on the proposals in this
Consultation document.
Thank you for taking the time to share your views with us.
Name (optional):
Job/organisation
(if relevant):
Address
(optional):
E-Mail
(if applicable)
Final: 23 February 2004
27