GPs need to be encouraged to become gate openers rather than asked to be gate keepers
On Tuesday 4th December, C the Signs was invited to present at the Britain Against Cancer 2018 Conference, hosted by the All Party Parliamentary Group on Cancer. C the Signs outlined the challenge GPs face in primary care with rising demand and the pressure they are under as gatekeepers, the need for better straight to test pathways and why GPs aren’t the barrier to early diagnosis.
Shining a light on – BOOBS!
CoppaFeel! is an education charity on a mission to educate young people on the signs and symptoms of breast cancer, encourage them to get to know their boobs/pecs and empower them to visit their GP if they spot something abnormal.
“I have lost count of the number of times I have heard a woman say that her GP kept telling her that she was ‘too young’ to have womb cancer”
On 23rd December 2009, I was diagnosed with womb cancer. The diagnosis came out of the blue. I was being seen by a gynaecologist for fibroids when an MRI scan picked up the cancer. I had never heard of “endometrial carcinoma” and actually had to ask where exactly the cancer was. I know now that this happens to many other women.
Cases corner – 50 years old with thrombocytosis
Mr D, a 50 year old man, attends for his annual health check. He is currently fit and well and his examination is unremarkable. A urine dipstick is negative. You perform routine bloods as part of your assessment. The results of this show an abnormal platelet count of 620 x10⁹/L. His previous blood test 6 months ago, was normal. A repeat 2 weeks later is also raised at 624 x10⁹/L.
What would you do next?
- Reassure, as patient is asymptomatic, and safety net if symptoms arise to comeback
- Re-book patient for a repeat platelet count in 3 months
- Refer for a chest x-ray
- Refer under a 2-week-wait pathway to haematology for further investigation
Shining a Light on – Pancreatic Cancer Action
Pancreatic cancer is the 5th biggest cause of cancer death in the UK. However, it is set to become the 4th biggest by 2026 as other cancers’ survival rates continue to improve. The survival statistics for pancreatic cancer have not changed significantly in nearly 50 years, with less than 7% surviving 5 years. Pancreatic Cancer Action is the only UK charity that specifically focuses on early diagnosis of the disease.
"I went to the GP that morning with non-specific symptoms and I was admitted to hospital that night with a confirmed diagnosis of Chronic Myeloid Leukaemia"
On Friday 19th January 2007 I received a phone call that would change everything. I went to the GP that morning with non-specific symptoms including lack of concentration, weight loss, fatigue and I had nearly fainted twice that week. I was sent for a blood test and was told to come back next week. I was admitted to hospital that night with a confirmed diagnosis of Chronic Myeloid Leukaemia. I was 22. To say this was a very unexpected shock is an understatement!
Cases corner – 62 year old with dysuria and urinary frequency
Mrs G, is a 62 year old female, who presents to you with a two month history of urinary frequency and polydipsia. She has also noticed that her clothes feel looser. She is otherwise well in herself with no other symptoms. You perform a random plasma glucose which is 13 mmol/L. You also weigh her and she’s 7 kg lighter than last year (last recorded weight).
What would you do next?
- Confirm the diagnosis of diabetes and start treatment
- Refer the patient to endocrinologist
- Refer the patient along a 2-week-wait pathway
- Refer the patient for a CT scan of the pancreas
“Could this patient have cancer and how best should I investigate this possibility?”
C the Signs is a clinical decision support tool that makes my life as a GP so much easier. When faced with the clinical dilemma of “Could this patient have cancer and how best should I investigate this possibility?”, C the Signs offers me a tool that I can use during the consultation to check the best options available to me.
Born out of humour – Cancer on board
James was diagnosed with stage 3 cancer of the tonsil at the age of 44. The difficulties he experienced when accessing public transport for his appointments led him to start Cancer on Board. “We joked with each other that we should pretend we were pregnant, so that people would offer us seats on the tube”
Cases corner – 65 years old with haematuria
Mrs B, a 65 year old woman, presents to you with a 2 week history of visible haemturia. She denies any other symptoms. Examination is unremarkable, but the blood tests you requested show an iron deficiency anaemia. A urine sample confirms visible haemturia and a culture is negative for infection. Which cancer is Mrs B at risk of? (more than one may apply)
Shining a Light – The Brain Tumour Charity
Every day, 31 people in the UK are diagnosed with a brain, spinal or other intracranial tumour. The Brain Tumour Charity provides a variety of services online, over the phone and face-to-face to support as many people as possible.
News – C the Signs announces £1,000,000 award from SBRI Healthcare, an NHS England Initiative
We are delighted and honoured to be awarded £1m in funding from SBRI Healthcare. This funding will be transformative in how we diagnose patients with cancer, using our technology. Early diagnosis of cancer has the potential to save more lives than any cancer treatment in history. Using C the Signs technology, patients can be identified at the earliest and most curable stage of the disease. The future of cancer is survival.