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Suspected cancer [QS124]

Measuring the use of this guidance

Statement: 1

GPs have direct access to diagnostic endoscopy, ultrasound, MRI, X-ray and CT for people with suspected cancer.

Quality standard measure: Evidence of local arrangements to give GPs direct access to diagnostic endoscopy, ultrasound, MRI, X-ray and CT for people with suspected cancer.
What was measured: Proportion of english GPs with direct access to ultrasound for cancer investigation.
Data collection end: July 2015
98%
Number that met the criteria: 501 / 511
Area covered: UK
Source: Nicholson B D, Oke J L, Rose P W, and Mant D. (2016). Variation in direct access to tests to investigate cancer: A survey of english general practitioners. PLoS ONE, 11(7), pp.e0159725.

Quality standard measure: Evidence of local arrangements to give GPs direct access to diagnostic endoscopy, ultrasound, MRI, X-ray and CT for people with suspected cancer.
What was measured: Proportion of english GPs with direct access to MRI for cancer investigation.
Data collection end: July 2015
63%
Number that met the criteria: 302 / 511
Area covered: UK
Source: Nicholson B D, Oke J L, Rose P W, and Mant D. (2016). Variation in direct access to tests to investigate cancer: A survey of english general practitioners. PLoS ONE, 11(7), pp.e0159725.

Quality standard measure: Evidence of local arrangements to give GPs direct access to diagnostic endoscopy, ultrasound, MRI, X-ray and CT for people with suspected cancer.
What was measured: Proportion of english GPs with direct access to x-ray for cancer investigation.
Data collection end: July 2015
100%
Number that met the criteria: 511 / 511
Area covered: UK
Source: Nicholson B D, Oke J L, Rose P W, and Mant D. (2016). Variation in direct access to tests to investigate cancer: A survey of english general practitioners. PLoS ONE, 11(7), pp.e0159725.

Quality standard measure: Evidence of local arrangements to give GPs direct access to diagnostic endoscopy, ultrasound, MRI, X-ray and CT for people with suspected cancer.
What was measured: Proportion of english GPs with direct access to CT for cancer investigation.
Data collection end: July 2015
54%
Number that met the criteria: 277 / 511
Area covered: UK
Source: Nicholson B D, Oke J L, Rose P W, and Mant D. (2016). Variation in direct access to tests to investigate cancer: A survey of english general practitioners. PLoS ONE, 11(7), pp.e0159725.


Statement: 2

People presenting in primary care with symptoms that suggest oesophageal or stomach cancer have an urgent direct access upper gastrointestinal endoscopy.

Quality standard measure: Evidence of local direct access pathways to ensure that people presenting in primary care with symptoms that suggest oesophageal or stomach cancer have an urgent direct access upper gastrointestinal endoscopy.
What was measured: Proportion of english GPs with direct access to gastroscopy for cancer investigation.
Data collection end: July 2015
72%
Number that met the criteria: 376 / 511
Area covered: UK
Source: Nicholson B D, Oke J L, Rose P W, and Mant D. (2016). Variation in direct access to tests to investigate cancer: A survey of english general practitioners. PLoS ONE, 11(7), pp.e0159725.


Statement: 3

Adults presenting in primary care with symptoms that suggest colorectal cancer, who do not meet the referral pathway criteria, have a test for blood in their faeces.

Quality standard measure: Evidence of local arrangements and written clinical protocols to ensure that adults presenting in primary care with symptoms that suggest colorectal cancer who do not meet the referral pathway criteria, have a test for blood in faeces.
What was measured: Proportion of english GPs with direct access to faecal occult blood test for cancer investigation.
Data collection end: July 2015
54%
Number that met the criteria: 270 / 511
Area covered: UK
Source: Nicholson B D, Oke J L, Rose P W, and Mant D. (2016). Variation in direct access to tests to investigate cancer: A survey of english general practitioners. PLoS ONE, 11(7), pp.e0159725.



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