Thu 27 Jan 2022 09:00-15:50
Online Conference

This online conference has now taken place. Designed for NHS professionals with an up and running Rapid Diagnostic Pathway and those tasked with setting one up, this online forum shared a range of exciting tips to enable the redesign of cancer pathways. By bringing together leading Rapid Diagnostic Centres (RDC) from across the country to share best practice, case studies and their plans for the future, attendees left the day informed and ready to overcome key challenges and enable earlier cancer diagnosis. 

If you would like to attend a future event on this topic, please email our Customer Service Team or telephone 01732 897788. They will be happy to assist you.

A full list of all upcoming cancer and oncology events can also be viewed here >>

`Developing Cancer Rapid Diagnostic Pathways'
Past conference 5.5 hours

5.5 hours Continuing Professional Development

This unique online conference tackled the lack of prescriptive recommendations and guidance for Rapid Diagnostic Centres by enabling Cancer Leads from across the country to network and share experiences, with speakers focussing on:

  • The national strategic approach to earlier cancer diagnosis
  • Implementing the principles of Rapid Diagnostic Pathways in your service
  • Developing education, training and governance
  • Build a successful rapid access diagnostic clinic
  • Improving the quality of care and patient experience
  • Practicalities of achieving wide spread implementation of RDCs
  • Taking the next steps to progress your RDC
  • Evolving earlier cancer diagnosis for the future
  • Improving RDC referrals
  • Gaining buy-in from primary care

Packed with examples of best practice, novel ideas and expert advice, plus attendees benefited from:

  • Meeting each other – turning on videos and microphones in the breakout rooms
  • Listening and watching presentations and speakers’ Q&A – in the main conference room with the chair
  • Taking part in facilitated interactive sessions – enabled by moderators in the breakout rooms
  • Feeding back and engaging – using the chat box and moderators sharing content in the main conference room
9:30
Introduction, instructions and chair’s opening remarks
Jo Johnson, RDC Strategy and Operations Manager and Nurse Consultant, Barking, Havering and Redbridge University Hospitals NHS Trust
National updates
9:40
Exploring the national strategic approach to faster cancer diagnosis
  • Evidenced outcomes: improving diagnostic services for patients with non-specific symptoms of cancer
  • National Implementation Specification on faster diagnosis
  • A look to the future: how services will continue to evolve across the country
Elizabeth Maclean, Programme Manager, NHS Cancer Programme, Faster Diagnosis, NHS England
Understanding different models
10:10
Discovering the principles of Rapid Diagnostic Pathways and how to implement them in your service
  • An overview of the different models of rapid diagnostics: what your service needs to know
  • The RDC pathway: how it works in practice
  • Understanding the referral criteria from primary care into RDCs
Dr Rob Turner, Consultant Clinical Oncologist, Leeds Cancer Centre, Leeds Teaching Hospitals NHS Trust
10:40
Questions and answers with your speakers
10:50
Panel discussion: Developing education, training and governance for RDC teams
  • How should teams be supporting ANPs working outside their realm of practice?
  • How can the ANP role be developed within RDCs?
  • How are teams implementing education and training to improve safety and sustainability of RCDs?
11:10
Interactive discussion: How have Rapid Diagnostic Centres been set up in your area?
  • What is your experience of Rapid Diagnostic pathways?
  • How have you been involved in referrals of patients from RDCs
  • What have you learnt so far this morning that will be helpful in your role
11:20
Screen break
11:30
Interactive discussion feedback: How have Rapid Diagnostic Centres been set up in your area?
Developing your service
11:40
Building, establishing and driving forward an effective rapid access diagnostic clinic
  • Practicalities and lessons learnt: operationally setting up and delivering an RDC
  • Insights into obtaining buy-in and building strong relationships with Primary Care and community diagnostic hubs
  • A look to the future: how will the service continue to develop and modify?
Jo Johnson, RDC Strategy and Operations Manager, Barking, Havering and Redbridge University Hospitals NHS Trust
Achieving patient centred care
12:10
Improving the quality of care and patient experience in your Rapid Diagnostic Service
  • How to deliver holistic approaches to patient care and a seamless diagnosis
  • RDC principle and RDC referral criteria and pathways
  • Identifying a pattern of challenges in patients during diagnosis: what to look out for
  • Case study: exploring how the RDC support patients on their diagnostic journey
Dr Luigi De Michele, RDC Consultant, Barking, Havering and Redbridge University Hospitals NHS Trust
12:40
Questions, answers and discussion with your speakers
12:50
Lunch break
1:20
Practicalities of achieving wide spread implementation of Rapid Diagnostic Services
  • Delivering a variety of models of local Rapid Diagnostic Services: lessons learnt from the pilots
  • How a Rapid Diagnostic Service fits with the 2 Week Wait (2WW) to achieve faster diagnosis
  • Measuring the success and effectiveness of the different models of Rapid Diagnostic Services
Belinda Hill, Rapid Diagnostic Services Project Manager, South West Cancer Alliances (SWAG) and NHS England South (South West)
Determining the patient pathway
1:50
Case study: Achieving a successful RDC and taking the next steps to progress
  • From GP to test and diagnosis within 7 days: overcoming implementation challenges and measuring the outcome
  • Working with existing pathways to improve the accuracy and effectiveness of diagnosis
  • How to expand RDCs for the future: what are the next steps?
Dr Roger Prudham, Clinical Director, Northern Care Alliance Rapid Diagnostic Centre
2:20
Questions and answers with your speakers
2:30
Interactive discussion: How to develop and evolve Rapid Diagnostic Pathways for the future
  • How will you evolve your existing pathway or your plans for a new pathway in line with what you have learnt so far from today?
  • What can you do differently to improve your referrals process and buy-in from primary care?
  • How can rapid diagnostic services continue to develop to improve the patient experience of a cancer diagnosis?
2:50
Screen break
3:00
Interactive discussion feedback: How to develop and evolve Rapid Diagnostic Pathways for the future
3:10
Improving your RDC referrals and gaining buy-in from primary care
  • Developing your referral processes and pathway to streamline patient care
  • Managing inappropriate referrals effectively
  • Engaging and gaining buy-in from GPs to improve referrals into your Rapid Diagnostic Pathway
Dr Andrew Millar, North Central London Cancer Alliance, RDC Clinical Lead, North Middlesex University Hospital London
3:40
Questions and answers with your speaker
3:50
Chair’s closing remarks and close of day

First-hand speaker experiences

An expert panel of speakers who shared their insights:


Job Title:
RDC Strategy and Operations Manager and Nurse Consultant
Organisation
Barking, Havering and Redbridge University Hospitals NHS Trust
Biography

Jo is a Registered Nurse and Senior Manager with 32 years’ experience in varied settings throughout the healthcare sector. Her specialist fields include neurosciences and oncology, and she has undertaken undergraduate and postgraduate degrees in Advanced Cancer Nursing Practice. She also has extensive experience in transformational and commercial development. 

Jo has worked as a clinical nurse specialist, nurse consultant, divisional director of nursing, clinical director, commercial director, and an independent management consultant. She has designed and set up multiple services nationally both within the NHS and the private sector. Jo has undertaken extensive research and won the Nursing Standard Nurse of the Year Award, with a colleague, in recognition of their development of an oral chemotherapy diary, which is now used internationally to empower patients to manage their symptoms and side effects. She presented this research at international conferences and published this work in several healthcare journals. 

Jo remains actively committed to enhancing and promoting best practice and improving patient experience. She currently works at BHRUT as the RDC Strategy and Operations Manager. She has been responsible for setting up the service from inception, developing a dedicated team, interprofessional networks and integrating clinical effectiveness. She is closely supported by the Clinical Leads and Trust Management, which has allowed her to embed new ways of working and develop new initiatives. She has a clinical element to her role and works as a nurse consultant within the RDC, providing clinical insight and operational awareness to drive strategic change. 

The service has now been operational since June 2021 and continues to grow. The pathway is now well established within the sector and provides holistic management of patients with complex, non-specific symptoms with a suspected cancer diagnosis.


Job Title:
Consultant Clinical Oncologist
Organisation
Leeds Cancer Centre, Leeds Teaching Hospitals Trust
Biography

Dr Rob Turner has been a Consultant Clinical Oncologist in Leeds since 2004. He has treated lung, urological malignancy, sarcoma and carcinoma unknown primary across a number of geographies in West Yorkshire, including Leeds itself - a DGH with a catchment population of 750K. 

Rob was Lead Cancer Clinician at Leeds Cancer Centre between 2017 and 2020 and previously oversaw the implementation of the 2015 NG12 suspected cancer referral guidelines and latterly the introduction of the Faster Diagnosis Standard (FDS). He led the Leeds ACE Vague Symptoms Pilot from its inception and remained part of the MDC (part of the Leeds RDC) until 2020. 

Rob chairs the SarcomaUK Early Diagnosis Group. His current clinical practice includes sarcoma, palliative urological malignancy and carcinoma unknown primary.


Job Title:
RDC Consultant
Organisation
Barking, Havering and Redbridge University Hospitals NHS Trust
Biography

Dr Luigi De Michele specialist in internal medicine in Italy University of Rome la Sapienza 2002,

Medical degree July 2017 University of Rome la Sapienza.

Consultant Role in Emergency Department in main University Hospital from 2002 to 2009 in Rome.

Senior Role in different UK Hospital in Emergency department, Elderly care, cardiology and stroke medicine from 2010 to 2015.

Consultant role in UK since 2015 in elderly care.

Consultant and Clinical Lead in RDC Guy’s Hospital since November 2016

Consultant RDC BHRUT since May 2021.

One year of volunteer work in Tsumeb district Hospital in Namibia as Internist 2011

One year of volunteer work in FAME Hospital Karatu in Tanzania as Internist in 2014

Medical attachment 2 months in Internal Medicine University of Peradeniya, Kandy, Sri Lanka 2012


Job Title:
Rapid Diagnostic Services Project Manager
Organisation
South West Cancer Alliances (SWAG) and NHS England South (South West)
Biography

Belinda is the Project Manager for Rapid Diagnostic Services in the SWAG Cancer Alliance. Prior to moving to the Cancer Alliance and the NHS, her background was Project Managing Business Process improvements within a Manufacturing Company. Transferring these skills while learning the complexities of both the NHS and Cancer Services has been her primary goal, and she is passionate about increasing efficiencies while also improving patient experience.


Job Title:
Clinical Director
Organisation
Northern Care Alliance Rapid Diagnostic Centre
Biography

Dr Prudham qualified from St Bartholomew’s Hospital in 1992 he then returned North to train in the North West, predominantly in Salford and North Manchester.  He gained specialist accreditation in gastroenterology in 2000 and the commenced his first consultant post.

He has been a consultant gastroenterologist in Fairfield since 2001. Dr Prudham has also held a variety of senior leadership appointments including Clinical Director, Deputy Medical Director and Lead Cancer Clinician. He is currently the Chair of the Greater Manchester Combined Authority Information Board, Caldicott Guardian, Lead Clinician for the Northern Care Alliance Rapid Diagnostic Centre and Lead Cancer clinician for the Northern Care Alliance group of hospitals.

Dr Prudham is an expert colonoscopist and his main clinical interest is advanced colonoscopy, bowel cancer screening and complex polypectomy.  He has led the local screening programme since its inception in 2007.  He also provides other expert upper GI endoscopy services both diagnostic and therapeutic such as balloon dilatation and PEG insertion.

Dr Prudham's work in helping establish one of the first Rapid Diagnostic Centres in the country has provided him with specific expertise in the rapid assessment of non-specific symptoms suggestive of cancer, a new and vital service.


Job Title:
North Central London Cancer Alliance, RDC Clinical Lead
Organisation
North Middlesex University Hospital London
Biography

Dr Andrew Millar is a Consultant Gastroenterologist and Hepatologist at the North Middlesex University Hospital where he is also the Lead Clinician for Upper Gastrointestinal Cancer and the Viral Hepatitis Services. 

He has a passion for ensuring patients are given a rapid and effective diagnosis so that treatment can start early. Dr Millar leads the development of the Multidisciplinary Diagnostic Centres, which is key project of the UCLH Cancer Collaborative. This work began when he was the London Cancer Hepato-biliary and Pancreatic Pathway Director and he now focuses on leading this growing project which is jointly funded by NHS England and Cancer Research UK. 

The Multidisciplinary Diagnostic Centres aim to improve access to care for patients with concerning cancer symptoms in North Central and East London who do not meet the criteria for existing rapid referral or are to unwell to wait for a conventional appointment. 

He is passionate that diagnosis must start with a careful record of symptoms and patient’s concern, supported by relevant investigations. He is also helping to develop technology to obtain clinical information from patients to enhance clinical care and provide key data for the development of new clinical decision support tools (CDSTs).


Job Title:
Senior Programme Manager (Faster Diagnosis)
Organisation
NHS England and NHS Improvement
Biography

As Senior Programme Manager in the NHS Cancer Programme, Faster Diagnosis Team, Elizabeth has been working towards the delivery of Rapid Diagnostic Centres across the country. She has previously worked on value-based healthcare and standardised health outcome measurement globally and was Research Coordinator for the International Centre for Migration, Health and Development where she focused on forced migration, reproductive health and gender-based violence.

Past attendee feedback

Held as an interactive online forum, here is some feedback on the excellent content from the professionals who attended:


Some stand out presentations- Dr Rob Turner, Roger Prudham and Andrew Millar – so much content’ 
North West Anglia FT


Excellent day and well organised and very informative’ 
The Royal Wolverhampton Trust


‘It was brilliant, really informative and i've left feeling positive and motivated to take new ideas back to the team’
United Lincolnshire Hospital Trust


‘Positive, informative and engaging… the staff organisation was excellent’ 
York and Scarborough Teaching Hospitals


‘Thank you for bringing together an interesting mix of people for a very informative meeting’ 
Powys Teaching Health Board


‘Really useful information It was nice to share with other colleges and learn from their experiences’ 
Barnsley Hospital


‘Excellent day offering support with the challenges faced and advice going forward. Really useful’ 
Somerset FT

View further comments on SBK Healthcare events on Trust Pilot.

Who came?

The following is an insight into the jobtitles and organisations who came to the Developing Cancer Rapid Diagnostic Pathways conference when it was held on Thursday 27th January 2022:

Jobtitles:
Programme Manager
Clinical Lead
Non-Specific Symptom Rapid Diagnostic Service CNS
Lead Rapid Diagnostic Centre Nurse
Advanced Practitioner
MacMillan GP Facilitator for Malignancy of Unknown Origin
Rapid Diagnostics
Health System Partner
FSS Staff Nurse
Patient Navigator
Cancer Outreach & Cancer of Unknown Primary CNS
Cancer Service Improvement Facilitator
Rapid Diagnostic Centre Lead Advanced Specialist Nurse
Service Manager
ANP
Gynae-Oncology CNS
RDC Advanced Specialist Nurse
Advanced Nurse Practitioner
Cancer Outreach & Cancer of Unknown Primary CNS
Advanced Nurse Practitioner
Senior Medical Secretary
Acute Oncology/Lung Clinical Nurse
Faster Diagnosis Project Manage
Rapid Diagnosis Clinical Nurse Specialist
Clinical Lead for Cancer, Powys Teaching Health Board
GP Cancer Lead
Colorectal Pathway Navigator
Consultant Gastroenterologist and Hepatologist and RDC Clinical Lead
Rapid Diagnostic Services Project Manager
Programme Manager, NHS Cancer Programme, Faster Diagnosis
RDC Strategy and Operations Manager
RDC Consultant
Consultant Oncologist
Clinical Director
Organisations:
South West Cancer Alliances (SWAG)
Barking Havering and Redbridge University Hospitals NHS Trust
Barking, Havering and Redbridge University Hospitals NHS Trust
Barnsley Hospital
Betsi Cadwaladr University Health Board
Blackpool Teaching Hospitals NHS Foundation Trust
Guys and St Thomas Hospital
Health Education and Improvement Wales
Hywel Dda University Health Board
Leeds Teaching Hospitals NHS Trust
NHS England
North Middlesex University Hospital NHS Trust
North West Anglia NHS Foundation Trust
Northern Care Alliance Rapid Diagnostic Centre
Roche Products Ltd
Royal Devon & Exeter NHS Foundation Trust
Somerset Foundation Trust
South West Cancer Alliances (SWAG) and NHS England South (South West)
Taunton and Somerset NHS Foundation Trust
The Royal Wolverhampton Trust
United Lincolnshire Hospitals NHS Trust
University Hospital Bristol & Weston Foundation Trust
West Suffolk Hospital NHS Trust
York and Scarborough Teaching Hospitals NHS Foundation  Trust