Information for Professionals about Cancer Care Reviews (CCRs)

Here you can find information for professionals that will help you to conduct efficient Cancer Care Reviews (CCRs) whilst meeting the needs of your patients after their cancer diagnosis.

CCRs are relatively new in primary care but when implemented with good structure and protocol can provide an efficient way of helping your patients to manage their recovery.

The newest resource that is available is the Macmillan Cancer Care Review Implementation Guide. The information in this will help you as a professional to conduct holistic and comprehensive CCRs based upon your patient’s concerns.

More locally, we have a Standard Operating Protocol, which provides structure to your CCRs and well as safetynetting and has been informed by work within the locality. The document has been ratified by the Macmillan GPs for Swindon and Wiltshire, BSW ICB, TVCA and Macmillan at the Personalised Care and Support Steering Group.

There is also a number of support materials you may wish to adopt to help promote CCRs within your surgery below.

Collecting patient experiences of CCRs is important as it enables services to react to feedback and change practise. You can request feedback from your patients by using a CCR Evaluation Tool. This could be as simple as setting up up your Practice MS Forms link and sending this out using AccuRX or text.

Preparing for your patients CCR

After diagnosis and treatment your patient may have received an End Of Treatment Summary (EOTS) and/or a Holistic Needs Assessment (HNA). The EOTS details the treatment that the patient has received and has a unique snomed code when entered into S1. A sample EOTS can be viewed here EOT 190923. These codes for your summarisers are below:

Secondary Care
Holistic Needs Assessment Holistic needs assessment (procedure)
SCTID: 787261000000106
Secondary Care
End of Treatment Summary Cancer End of Treatment Summary
Plan (record artifact)
SCTID: 1324891000000103

Did you know that not addressing your patients concerns at their CCR may result in repeat GP contacts?

Between 3-5 contacts per year for up to ten years after diagnosis may be seen in primary care for people who have unmet concerns after diagnosis (Khan et al., 2011).