Pan Alliances Breast Group - Systemic Anti-Cancer Services Best Practice & Innovation: Sharing and Learning
23rd February 2024
De Vere Grand Connaught Rooms 61-65 Great Queen Street, London, WC2B 5DA
Chair: Professor Carlo Palmieri, Consultant Medical Oncologist, The Clatterbridge NHS Foundation Trust
Cancer services, particularly breast cancer oncology, are under significant strain across the NHS. Ongoing workforce shortages, rising demand, and the wider availability of new and more complex cancer treatments have all contributed to a ‘capacity crisis’.
This is particularly relevant to the delivery of systemic anti-cancer therapies (SACT), where demand is increasing by 6-8% per year, and it is now recognised widely that urgent action is required to ensure that cancer patients are not put at risk of suboptimal outcomes due to delayed or ineffective care.
The Pan Alliances Breast Cancer Group came together in September 2022 and discussions soon focused on how to raise the profile of the mounting pressures and exhausted clinical teams working in breast oncology. The Pan Alliances group gained momentum, supported by Breast Cancer Now and with members representative of the majority of the 21 Cancer Alliances, the UKBCG and the Royal Colleges of Radiologists, this group has continued to meet regularly and co-produced a report that ultimately led to this event offering an opportunity to bring together colleagues to share new ways of working in breast cancer service delivery across the country.
All 21 Cancer Alliances were represented at this event.
We were hugely appreciative of the support at this meeting from the national leads.
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Dr Nicky Thorp – Medical Director, Professional Practice for Clinical Oncology
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David Fitzgerald - Programme Director, NHS Cancer Programme, NHSE
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Professor Peter Johnson - National Clinical Director for Cancer
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Dr Emma Kipps - NCRAS National Clinical Lead for SACT.
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Dr Anne Rigg - NHS England Chair of the Chemotherapy Clinical Reference Group
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And of course, Breast Cancer Now - Baroness Delyth Morgan, CEO & Holly Heath, Head of Policy.
We would however like to say a huge thank you to all the presenters who gave up their time to join the day and share their work.
Please use links below to access the Agenda and Evaluation from the day:
Pan Alliances Breast Cancer Group - Agenda (23 February 2024)
Pan Alliances Breast Group - SACT Away Day Evaluation (23 February 2024)
Professor Carlo Palmieri, Consultant Medical Oncologist, The Clatterbridge Foundation Trust, sets the scene for the Breast Cancer Pan Alliances Systemic Anti-Cancer Services Best Practice and Innovation Sharing and Learning day.
Video link: Scene Setting - Professor Carlo Palmieri
Link to Presentation Slides - Professor Carlo Palmieri
Dr Emma Kipps, Consultant Medical Oncologist, Royal Marsden Hospital & NCRAS National Clinical Lead for SACT presents the national statistics and forecasting data for breast cancer.
Video Link: Statistics and Forecasting in Breast Cancer - Dr Emma Kipps
Link to Presentation Slides: Statistics and Forecasting in Breast Cancer - Dr Emma Kipps
Dr Anne Rigg, Consultant Medical Oncologist, Guys & St Thomas's and NHS England Chair of the Chemotherapy Clinical Reference Group presents on the role of the National SACT implementation Group.
Video Link: The Role of the National SACT Implementation Group - Dr Anne Rigg
Link to Presentation Slides: The Role of the National SACT Implementation Group - Dr Anne Rigg
Claire Marsh, Senior Programme Manager, Treatments and Personalised Care, Wessex Cancer presentations in respect of demand and capacity modelling for SACT.
Video Link: Demand and Capacity Modelling - Claire Marsh (23 February 2024)
Link to Presentation Slides: Demand and Capacity Modelling - Claire Marsh
Video Link: Demonstration: SACT Demand and Capacity Tool
Links to poster and reports:
Wessex Cancer Alliance UKONS Poster
Client Summary Model
Deferrals Model Report
Horizon Scanning Report
MSD Tool Baseline Inputs Summary
Dr Vikash Dodhia, Head of Pharmacy, Mount Vernon Cancer Centre, presents on patient self-administration of sub-cutaneous anticancer treatments.
Video Link: Self Administration of Subcutaneous SACT - Dr Vikash Dodhia
Link to Presentation Slides: Self Administration of Subcutaneous SACT - Dr Vikash Dodhia
Trust Policy: Self administration of Subcutaneous SACT in the Community
Gabriella Langton, Advanced Breast Pharmacist, Non-Medical Prescriber, The Clatterbridge Cancer Centre NHS Foundation Trust, presents on thr role of the pharmacist in patient SACT reviews.
Video Link: The Pharmacist's Role in Patient SACT Reviews - Gabriella Langton
Link to Presentation Slides: The Pharmacist's Role in Patient SACT Reviews - Gabriella Langton
Advanced Pharmacist (B8a) - SACT Hub Job Specification
Lisa Barrott, Nurse Consultant and President of UKONS, and Fleur Harvey, Head of Clinical Services, Royal Marsden Hospital present on patient self administration in the community: COVID and Beyond.
Video Link: Subcutaneous Self-Administration: COVID and Beyond - Lisa Barrott and Fleur Harvey
Link to Presentation Slides: Subcutaneous Self-Administration: COVID and Beyond - Lisa Barrott and Fleur Harvey
Andrea Cliff, Lead Nurse for Hunts Community Cancer Network (HCCN) presents on supporting of SACT services with a community cancer nursing mode.
Video Link: Community Cancer Services - Andrea Cliff
Link to Presentation Slides: Community Cancer Services - Andrea Cliff
Links to business case and commissioning documents:
Business Case Executive Summary
Business Case and Commissioning Intentions
Dr Russell Burcombe and Dr Jennifer Glendenning, Consultants in Clinical Oncology, Kent Oncology Centre, Maidstone and Tunbridge Well NHS Trust presentation Breast RadiotheErApy Streamlining.
Links to presentation slides and supporting documents:
Breast RadiothErApy STreamlining – a multiprofessional clinic. Dr Russell Burcombe & Dr Jennifer Glendenning
Introduction to e-PROMS (electronic Patient Reported Outcome Measures)
Professor Galina Velikova, Consultant in Medical Oncology, Leeds Teaching Hospital
Link to Presentation Slides: Introduction to e-PROMs - Professor Galina Velikova
e-PROMs - 2 year's experience using 'Noona'
Nicola Akar, Lead SACT Nurse, Barking, Havering and Redbridge UHT
Link to Presentation Slides: e-PROMs 2 year's experience using Noona - Nicola Akar
Link to Resources
Noona Helps Unify Cancer Care and Symptom Management for Patients | Varian
Dr Anne Armstrong, Consultant Medical Oncologist, The Christie NHS Foundation Trust. Breast Oncology Clinical Lead, Greater Manchester Cancer Alliance & Claire Goldrick Breast Pathway Manager, Greater Manchester Cancer Alliance
Greater Manchester’s Bite Size Tips
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ETIP (Endocrine Therapy Improvement Programme)
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CDK4/6 Inhibitor adjuvant service
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Pathway Navigators for breast oncology
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GPERs (GPs with Extended Role in Breast Oncology)
Link to Presentation Slides: GM Bite Size Tips - Dr Anne Armstrong and Claire Goldrick
ETIP resources - Risk Reducing Endocrine Therapy Toolkit & HRT Leaflet
Pharma partnerships pages that include posters & information on projects that have supported capacity & quality initiatives:
Partnerships | Novartis United Kingdom
Partnerships | Who We Are | Lilly UK
Home | MSDEngage.
Partnerships | Pfizer UK