Awareness & Early Diagnosis Clinical Advisory Group (CAG) FINAL MEETING Output from Workshop Discussions on Implementing the Cancer Strategy.

1. Surrey and Sussex Cancer Alliance
Update on Surrey & Sussex
Cancer Alliance
Awareness & Early Diagnosis Clinical Advisory Group
12 July 2017

2. Surrey and Sussex Cancer Alliance
• NHS Surrey Heath
• NHS North East Hampshire
and Farnham
• NHS Coastal West Sussex
• NHS Brighton and Hove
• NHS Crawley
• NHS East Surrey
• NHS Horsham and Mid
Sussex
• NHS Hastings and Rother
• NHS Eastbourne, Hailsham
and Seaford
• NHS High Weald Lewes
Havens
• NHS North West Surrey
• NHS Surrey Downs
• NHS Guildford and
Waverley
• Ashford and St Peter’s Foundation
NHS Trust
• Surrey and Sussex Healthcare NHS
Trust
• Queen Victoria Hospitals NHS Trust
• Sussex Community Foundation NHS
Trust
• Sussex Partnership Foundation NHS
Trust
• South East Coast Ambulance Service
Foundation NHS Trust
• Surrey and Borders Partnership
Foundation Trust
• Western Sussex Hospitals NHS
Foundation trust
• Brighton and Sussex University
Hospitals NHS Trust
• East Sussex Healthcare NHS Trust
• Frimley Health NHS Foundation
Trust
• Royal Surrey County Hospital NHS
Foundation Trust
• South Central Ambulance Service
NHS Foundation Trust
• Epsom and St Helier University
Hospitals NHS Trust
Surrey Heartlands
STP
Frimley Health STP
Sussex and East
Surrey STP
Cancer Alliance and STP Footprint
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3. Surrey and Sussex Cancer Alliance
Our vision for the Alliance
• Building on the ambitions set out by the Cancer Taskforce, the Cancer Alliance will
work across an integrated cancer care system to:
• Reduce variations and inequalities in delivery cancer services
• Improve accessibility and affordability for cancer services
• Redesign and improve diagnostic services so that earlier identification of
cancer can be made
• Support improvements in outcomes through prevention and earlier diagnosis
• Support patients and carers on their cancer journey, listening and responding
to their needs
“Working in collaboration, our aim is to drive change across an integrated
cancer system - delivering on shared ambitions to provide sustainable, safe
and high quality care to patients in Surrey and Sussex”
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4. Surrey and Sussex Cancer Alliance
Our 4 work-streams
• The Cancer Alliance has identified 4 pathway work-streams to drive delivery of the
programme
• Each work-steam will be clinically led
• Our work-streams will be co-ordinated by a Programme Management Office
• Working as ‘task and finish groups’, each work-stream will report to the Surrey and
Sussex Cancer Alliance Board as part of our governance structure
• Membership of the 4 work-steams will include the correct blend of representation
across both Surrey and Sussex
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Prevention Earlier diagnosis
Treatment and
care
Living with and
beyond cancer

5. Surrey and Sussex Cancer Alliance
Earlier diagnosis
• The Alliance is currently seeking Expressions of Interest from suitable clinicians or
senior healthcare leaders to take up a Clinical Workstream Lead role for Earlier
Diagnosis
• This workstream will also be supported by a mini-PMO structure (Project Managers,
Project Co-ordination and Informatics Support)
• Once a Clinical Workstream Lead is appointed, the Alliance must rapidly set out key
aims and objectives for the Earlier Diagnosis workstream
• The Alliance must build on the successful work already developed and delivered,
without losing momentum
• Engage with clinicians and leaders to define the Earlier Diagnosis work programme
• Excellent, early support from the 3 STP SROs for Earlier Diagnosis (and Prevention)
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Prevention Earlier diagnosis
Treatment and
care
Living with and
beyond cancer

6. Surrey and Sussex Cancer Alliance
Challenges for the Surrey & Sussex Cancer Alliance
• NG12 (Suspected cancer: Recognition & Referral) – implications for primary care and
providers
• Variation in screening uptake across the 3 STPs
• Late diagnosis and more advanced stage at diagnosis in some STPs
• CWT performance across the Alliance
• Variation in incidence: smoking, obesity and alcohol
• Outcomes for lung cancer
• Survival rates
• Patient satisfaction with service
• Reflection of previous investment priorities and challenged secondary care providers
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7. Surrey and Sussex Cancer Alliance
Early priorities (1)
• Programme Director in Post by end of May 2017, currently out to recruit Clinical
Workstream Leads, Programme Managers and Project Managers
• Review, refresh and implement the Delivery Plan
• Adapt and recruit to the Surrey and Sussex Cancer Alliance structure (establishing
governance and accountability)
• Prepare 62 day performance monitoring approach, identify gaps and develop a
response to the national team/STPs to secure funds to invest to improve performance
• Prepare a Living With and Beyond (LWAB) bid working with the National Cancer Team
and local clinicians for submission in September
• Prepare to deploy funds secured for LWAB by October. Link with the Shared Care
Record and existing Patient Portal Programmes
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8. Surrey and Sussex Cancer Alliance
Early priorities (2)
• Earlier Diagnosis – Create a specification for work on Demand and Capacity analysis for
next 5 years working with STPs
• Establish Programme structure and interim arrangements establishing PIDs for key
pieces of work – launch the High Priority Pathways in Breast, Lung, Upper GI, Lower GI
and Prostate
• Establish Surrey and Sussex disease specific groups
• Support the Alliance Board and other working groups
• Link with the three STP Cancer leads and the NHSE South East Coast Clinical Networks
team
• Develop a Stakeholder Engagement Plan and plan and deliver a second Stakeholder
Event
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9. Surrey and Sussex Cancer Alliance
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Surrey and Sussex Cancer Alliance
Royal Surrey County Hospital NHS Foundation Trust
Egerton Road
Guildford
Surrey
GU2 7XX
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