CAN005 - Cancer support discussion
The information contained within this article is from version 49 of the Business Rules for Quality and Outcomes Framework (QOF).
This indicator is protected in the contract year 2024/25 and will be paid at 2023/24 performance levels
Indicator definition
Indicator ID | Description |
CAN005 | The percentage of patients with cancer, diagnosed within the preceding 12 months, who have had the opportunity for a discussion and informed of the support available from primary care, within 3 months of diagnosis. |
What do the business rules mean?
What makes a patient eligible?
Patients are eligible for the CAN005 denominator if:
- they have been diagnosed with cancer during the current contract year
or
- they were diagnosed in the last 3 months of the previous contract year (ie: January-March) but did not have a discussion about support within 3 months following diagnosis
How to achieve the indicator
Have a discussion with the patient about the support available from primary care within 3 months following diagnosis
What will remove patients from eligibility?
- Patients for whom cancer care quality indicator care was unsuitable in the contract year
- Patients who chose not to receive cancer care in the contact year
- Patients who have not responded to at least two cancer care review invitations (at least 7 days apart) in the contract year
- Patients who were diagnosed with cancer within the last 3 months of the contract year (they will also appear in next year's denominator)
- Patients who were newly registered with the practice within the last 3 months of the contract year
If a patient achieves the
indicator at any point during the year, any exclusions that have also been
added are ignored.
SNOMED codes used in this indicator
The codes referenced in this article are taken from the NHS Technology Reference Update Distribution (TRUD). Not all of these may be present or selectable in all clinical systems.
Codes for provision of information about cancer support services available in primary care (CANPCSUPP_COD)
SNOMED code | SNOMED code description |
1239881000000109 | Provision of information about cancer support services available in primary care |
Codes for cancer quality indicator care unsuitable for patient (CANPCAPU_COD)
SNOMED code | SNOMED code description |
| 716511000000108 | Excepted from cancer quality indicators - patient unsuitable |
Codes indicating the patient has chosen not to receive cancer quality indicator care (CANPCADEC_COD)
SNOMED code | SNOMED code description |
| 717601000000107 | Excepted from cancer quality indicators - informed dissent |
Invite for cancer care review codes (CANINVITE_COD
SNOMED code | SNOMED code description |
1110871000000109 | Quality and Outcomes Framework cancer quality indicator-related care invitation |
| 143351000000108 | Quality and Outcomes Framework cancer quality indicator-related care invitation using preferred method of communication |
| 248331000000109 | Cancer monitoring telephone invitation |
| 413738001 | Cancer monitoring first letter |
| 413739009 | Cancer monitoring invitation |
| 413740006 | Cancer monitoring second letter |
| 413741005 | Cancer monitoring third letter |
| 417084004 | Cancer monitoring verbal invitation |
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