This protocol will:
- Searches for common symptoms known to lead to cancer.
- Flags repeated occurrences over 12 months.
- Prompts clinicians to "think cancer" for timely diagnosis.
What does it actually do?
On saving the patient record, the protocol will interrogate the codes added today and look at if there have been multiple instances of the same code in the last 12 months. The codes the protocol checks for includes:
- Shoulder pain
- Thoracic pain
- Thoracic back pain
- Abdominal pain
- Acid Reflux/GORD
- Loss of Appetite
- Weight loss – when coded as a problem (only unintentional or abnormal weight loss codes)
What does it look like?
Supporting CQC key areas
Safe
Medicines management
- S2 How are risks to people who use services assessed, and their safety monitored and maintained?
- S4 Do staff have all the information they need to deliver safe care and treatment to people who use services?
Effective
Assessing needs and delivering evidence-based treatment
Staff skills and knowledge
- E1 Are people’s needs assessed and care and treatment delivered in line with current legislation, standards and evidence-based guidance to achieve effective outcomes?
- E3 Do all staff have the skills, knowledge and experience to deliver effective care and treatment?
- E4 How well do staff, teams and services within and across organisations work together to deliver effective care and treatment?
- E5 How are people supported to live healthier lives and how does the service improve the health of its population?
Responsive
Person-centred care
Taking account of the needs of different people
Timely access to care and treatment
- R1 Are services delivered to meet people’s needs?
- R2 Do services take account of the needs of different people, including those in vulnerable circumstances?
- R3 Can people access care and treatment in a timely way?
- R4 How are people’s concerns and complaints listened and responded to and used to improve the quality of care?
- R5 Is consent to care and treatment always sought in line with legislation and guidance?
Well-led
- W1 Is there the leadership capacity and capability to deliver high-quality, sustainable care?
- W2 Is there a clear vision and credible strategy to deliver high-quality sustainable care to people who use services, and robust plans to deliver?
- W3 Is there a culture of high-quality, sustainable care?
- W4 Are there clear responsibilities, roles and systems of accountability to support good governance and management?
- W5 Are there clear and effective processes for managing risks, issues and performance?
- W6 Is robust and appropriate information being effectively processed and challenged?
- W7 Are the people who use services, the public, staff and external partners engaged and involved to support high-quality sustainable services?
- W8 Are there robust systems and processes for learning, continuous improvement and innovation?
System Dependencies:
Relies on using the clinical system to record appropriate codes to reflect the symptoms the patient is experiencing.
System Trigger
System Trigger: Save consultation
Run mode: Always run
Enable trigger for: All clinical prescribers
Fitting your practice
Users need to know that this alert may prompt them to review the case as the codes identified are commonly implicated in a later cancer diagnosis