Framework for Effective Cancer Management (FECM)
1. What was the issue/problem identified?
NHS D&G recognised that awareness of the cancer tracking team’s role was limited, and understanding of the 62- and 31-day standards varied widely across staff groups. This created risks in maintaining pathway compliance and timely escalation.
2. What did you do?
To address this, multidisciplinary awareness sessions were introduced, led by the Oncology Nurse and Cancer Services Manager, with support from the Cancer Waiting Times Manager and Cancer Improvement Manager. The sessions explained cancer performance targets and their importance, the purpose and processes of tracking, and the different cancer pathways with their referral challenges. They also included a wider overview of cancer prevalence, survival, and the role of Cancer Services, as well as updates on local improvement projects and QPIs. The programme reached a broad audience, including Patient Focused Booking and Patient Access staff, medical secretaries, CNS/SPOC teams, Radiology and Pathology staff, and senior managers from the Acute and Diagnostic directorate.
3. What was the outcome?
Feedback was very positive, with participants reporting improved understanding of roles, standards, and timelines. Refresher sessions are planned for 2025, and staff have been encouraged to reflect on the training and share practical ideas for improving cancer tracking and waiting time’s performance via their line managers.
Contact
Christine McDowall, Cancer Performance Manager, christine.mcdowall@nhs.scot