KEY AREAS DELIVERABLES Timeliness of services across the cancer pathway (FCT) 1 Support DHBs to deliver the extended FCT target of ‘At least 90% of patients receive their first treatment within 62 days of being referred with a high suspicion of cancer and a need to be seen within 2 weeks by July 2017’ 2 Support DHBs with undertaking and delivering the FCT Round 2 Funded Projects 3 Undertake a focused review to understand the ‘Route to Service Access/Diagnosis’ for all South Island cancer patients, with a focus on first presentation through ED Q2 4 Continue to support the maintenance or improvement of the 31 day Indicator: proportion of patients with a confirmed diagnosis of cancer who receive their first cancer treatment within 31 days (85% target for PP30 31 day indicator) 5 Development of comparable timely, cancer pathways for the SI 6 Undertake an annual assessment of the Cancer Clinical Priorities, through the South Island/SCN Cancer Clinical Leads Group Q1 7 Supporting DHBs in preparation for the introduction of a national screening programme - focus on services to support the delivery of additional cancer cases 8 Support DHBs with the implementation of the Early Lung Cancer Guidance (to be published shortly) Service coordination and quality improvement 9 Multi-disciplinary meetings: Complete the rollout of the regionally agreed MDT recommendations and service improvement initiatives started in 2015-16 10 Multi-disciplinary meetings: Review South Island MDM System against national specification 11 Multi-disciplinary meetings: Focused work to support findings from MDT meeting review e.g. meeting etiquette, training - MDT Coordinators, Chairs, referral requirements/timelines for radiology/pathology review, MDM resourcing 12 Multi-disciplinary meetings: prioritisation of cases for discussion at MDMs 13 Survivorship: Rollout of (national) Supportive Care Framework across the South Island 14 Survivorship: TBA 15 Support implementation of the National Radiation Oncology Plan Reducing inequalities 16 Improved collection of ethnicity data across the whole health spectrum Q1,2 17 Support the rollout of the Maori Cancer Pathways Project across the South Island Q1,2 Q1,2, 3,4
Six-weekly co-coordination korero/meetings continued with Te Herenga Hauora / South Island DHB Maori Health Managers. CHALLENGES Health in all policies KEY AREAS DELIVERABLES Organisation of Stroke services 1a People with stroke admitted to hospital are treated in a stroke unit and/or in the setting of an organised stroke service (see PP20 for definitions of a stroke unit and organised stroke services). Support interventions which seek to minimise disparities between Maori and non-Maori 1b Ensure that existing stroke pathway information that is available to primary care is consistent across the South Island. Q4 Thrombolysis 2a All people with stroke have access to a quality assured thrombolysis service (24/7) 2b Island regional centres collaborate with local ambulance services to ensure pre-notification to hospital services Q2,4 2c A telestroke service for SI DHBs will be scoped for embedding in the South Island within available resources Q2,4 Regional clot retrieval service 3 A regional Intra-arterial clot retrieval service based in CDHB to be scoped for the South Island Q2,4 Rehabilitation and community stroke services 4a All eligible people with stroke receive early active rehabilitation services and equitable access to community stroke services (as defined by the National Stroke Network), supported by an interdisciplinary stroke team 4b Work collaboratively with Stroke Foundation and Ministry of Health in order to Integrate Primary care at every opportunity including: Education identifying prevention Review Workstream membership and include primary care professionals Workforce 5a Develop a regional workforce plan that supports the delivery and achievement of high quality stroke care provision Q2,4 5b CDHB and SIAPO will provide standardised thrombolysis education across the South Island regional centres via videoconference using a hub and spoke model Q2,4 5c All members of the interdisciplinary stroke team participate in ongoing education, training (a minimum of 8 hours stroke specific education per year (minimum standard) and service improvement programmes. Q2,4