Following the evaluation of the C the Signs (CTS) pilot, the decision has been made to not commission the tool by the clinical leads and Cancer Boards and therefore C the Signs will no longer be funded centrally. The contract will come to an end on 31 August 2022. The decision is based on the following rationale:
- Inconclusive evidence that CTS leads to improved early diagnosis of cancer, though the tool has useful functionality
- Variation in uptake and usage across GP Practices
- Value for money
The North East London ICS digital programme is currently standardising digital tools across all primary care GP practices to allow all practices to have access to the same tools. They are reviewing current options and are supporting the evaluation of modules from Ardens and CEG, amongst others, that are currently possible to scale up to all practices to support the PCN DES requirements.
We appreciate that you may be concerned about losing C the Signs, and may consider funding this yourself but before you commit, we would like to make you aware of that as North East London moves away from C the signs there will be no dedicated administrative and IT support ensuring that the system remains up to date with the latest local referral forms and local pathways such as direct access diagnostics (TCST will continue to ensure pan London forms are accessible).
If you would like to discuss this further, please contact your local GP Cancer Clinical Lead.
Newham GP Cancer Lead Dr Helen Stedeford – firstname.lastname@example.org
Waltham Forest GP Cancer Lead Dr Shaz Kang – email@example.com
Barking and Dagenham GP Cancer Lead Dr Kanika Rai - Kanika.firstname.lastname@example.org
Havering GP Cancer Lead Dr Maurice Sanomi - email@example.com
Redbridge GP Cancer Lead Dr Jyoti Sood - firstname.lastname@example.org
In place of C the Signs please see below a range of cancer support tools for managing cancer referrals:
- Clinical decision-making tools produced by Gateway C cancer maps and Cancer Research UK
- Up to date urgent suspected cancer referral forms
- For EMIS practices, CEG have developed a shortcut key for practices to access the most up-to-date suspected cancer referral forms. Find out how to install and use the shortcut key in this short video: https://www.youtube.com/watch?v=1G3P56jgrPc
- For practices with Resource Publisher, the most up-to-date suspected cancer referral forms are on the RP Platform
- For all practices, the most up-to-date suspected cancer referral forms can be found on the healthy London Partnership website
- Safety Netting applications:
- How to use the electronic safety netting tool kit in EMIS web?
- Safety netting for Systm One practices
- Direct Access Pathways
- GP Matrix - Local direct access diagnostics pathways
- For EMIS practices, there are EMIS Direct Access Recall Templates
C the Signs will contact you in due course to discuss the exit plan and we look forward to supporting practices during this process.
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