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April 2016 newsletter

Expert clinical advisory groups (ECAGs)
Supporting care delivery developments takes time , hard work and commitment and our thanks go to the following people who have recently stepped down from their ECAG Chair positions:
  • Acute Oncology Service ECAG – Dr Roshan Agarwal
  • Brain ECAG – Mr Paul Byrne
  • Breast ECAG – Prof. Samreen Ahmed
  • Radiotherapy ECAG – Dr Judy Christian

Recruitment for future replacements is currently underway with expressions of interests being requested. Further meetings will take place in the coming months. 

Multidisciplinary diagnostic centres – project update
In March, expressions of interest were submitted from across the East Midlands’ health community to pilot multidisciplinary diagnostic centres, with all being successful.

Based on a Denmark model, multidisciplinary diagnostic centres were designed to support those patients that presented with vague symptoms, which may have led to the late diagnosis of cancer. The East Midlands’ pilots will review the optimum methods to support early diagnosis of patients’ symptoms and lead to earlier care provision and better outcomes for patients, with lives being saved.

Monthly reporting of the multidisciplinary diagnostic centres developments will be made to the East Midlands Joint Diagnostic Working Group, to help all patients, not just patients with cancer.

Updates will be provided through this newsletter.

Further information can be obtained via This email address is being protected from spambots. You need JavaScript enabled to view it. and This email address is being protected from spambots. You need JavaScript enabled to view it.

ACE – East Midlands evaluation of the oesophageal-gastric straight to test pathway
The ACE programme is about accelerating and coordinating care provision whilst evaluating the outcomes of any actions taken, with the overall objective being to develop a body of evidence on different approaches to earlier diagnosis of cancer in order to inform future commissioning of cancer services. The East Midlands’ project as part of the wider programme will aim to improve pathways for those patients urgently referred for suspected oesophageal and gastric cancers in the region by evaluating the impact of the straight to test pathway, in timely diagnosis and experience for patients.

Initial evaluation has started with eight trusts engaged in the East Midlands project. Data analysis has involved reviewing data already collected by the trusts, with further key metrics developed to enhance the evaluation of the project. These data will examine, for example, the time taken from a referral being received by the hospital to a clinical diagnosis being made, a referral being received to treatment commencing, and a patient being diagnosed to when treatment commences.

In addition, evaluation will look at the outcomes for those patients not diagnosed with cancer - when they were informed of their test outcomes.

The final report is expected autumn 2016.

Further information is available from Lesley Brewer

Enhanced supportive care makes excellent cancer care possible - Dr Richard Berman
Enhanced supportive care is a new initiative aimed at addressing more fully the needs of cancer patients, in particular, preventing and managing the adverse physical and psychological effects of cancer and its treatment. Dr Richard Berman, National Clinical Lead, sets out how the initiative was developed and what it means for patients and professionals alike.

Forthcoming diary events
The following meetings are planned for May:
For further details, please contact This email address is being protected from spambots. You need JavaScript enabled to view it..