Nurse and a patient reviewing scan imagesThe ambition set by NHS England is that 75% of cancers should be diagnosed in stages 1&2 by 2028. Currently, around 50% of cancers are diagnosed early.

The early diagnosis programme in south east London aims to increase the number of patients diagnosed with cancer at an earlier stage, a key priority in NHS England’s Long Term Plan by working with system partners across South East London to implement screening and early diagnosis initiatives and interventions.

The Early Diagnosis Programme also runs an extensive education programme for primary care and previous recordings of educational webinars and support documents can be found under the training and development section of the website.

If you would like to find out further information about the screening and early diagnosis initiatives and interventions planned for this year, please contact the Early Diagnosis Lead in the Cancer Alliance via our contact form

We are working with a number of partners across South East London to improve uptake in cancer screening programmes and to reduce inequalities across the three screening programmes:

  • Bowel
  • Breast
  • Cervical

We are carrying out a number of projects to support recovery and increase uptake in the screening programmes. If you would like to know what you can do in your local practice or area, then please contact us.  

The Cancer Alliance is working with primary care cancer leads across South East London to ensure that Primary Care Networks (PCNS) and GPs within these are kept up to date with changes and updates to pathways by:

  • Developing primary care referral algorithms of changes to tumour specific pathways;  
  • Developing an educational plan to support PCNs in delivering the early diagnosis elements of NHS England’s Direct Enhanced Scheme, a support guide (click here for guide) has been; developed and a series of webinars have taken place to support primary care;
  • Piloting C the Signs in Bexley; 
  • Producing a dedicated primary care lung cancer work programme due to the impact COVID-19 has had on lung cancer referrals;  
  • Work with the charity Live Through This to improve the awareness of cancer risk and management in the LGBTQ+ population across Primary Care.

King’s College Hospital at Denmark Hill has launched a new pilot to speed up lung cancer diagnosis. The implementation of direct to CT access can achieve a quicker diagnosis for people that have had a normal chest X-ray but still present with symptoms in line with NICE 12 guidelines. This will not only provide reassurance to the person but to the referring clinician also.

GPs can now refer patients aged over 40 years of age who meet the following criteria:

  • eGFR in last 3-months.
  • Normal recent chest X-ray undertaken that does not demonstrate lung cancer within last 3 months.
  • Respiratory symptoms and GP suspicion for Lung Cancer.

This guide explains how General Practitioners, administrative staff, radiologists, radiologists, and chest clinic physicians can refer high risk, symptomatic patients.

SELCA is encouraging GPs in Primary Care within south east London to undertake opportunistic PSA testing on patients with a prostate who are a) aged 45 and over, and b) have either/both:
• A clear family history of prostate cancer
• Black / Caribbean ethnicity

Find out more here.

If you’d like to find out further information about the screening and early diagnosis work programme, then please contact us.

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