C the Signs in South West London
C the Signs is proud to have supported GPs and practices in South West London for the last three years. From starting as a stand-alone tool, C the Signs has developed into a fully integrated platform, meeting the needs of GPs and patients facing a diagnosis of cancer.
Please see a short summary below of C the Signs, delivery of the DES and QOF targets for cancer and a video demo illustrating how C the Signs can support practices with this.
If you would like to arrange a call to discuss the on-going provision of C the Signs in your practice or PCN, please complete the following form. For any other queries please contact firstname.lastname@example.org.
Comprehensive cancer care
C the Signs is a comprehensive system for cancer management in primary care. C the Signs has been recommended by NHS England and NHS Improvement in the national policy papers for the QOF Quality Improvement Domain and the Network Contract DES for early cancer diagnosis, and supports the requirements for 2021/22.
Future proof your practice and PCN
The PCN DES targets and QOF QI Module for Early Cancer Diagnosis will continue in their current format into the financial year 2021/22. Given the NHS Long Term Plan ambition for 75% of cancer to be diagnosed at stage 1 or 2 by 2028, early cancer diagnosis is likely to be a core part of commissioning going forward.
Use C the Signs to achieve PCN DES, QOF, and QI module cancer targets
The table below outlines the PCN DES and QOF requirements and, where C the Signs delivers on these targets.
|PCN DES Requirements||C the Signs|
|Compliant with NICE NG12 guidelines||
|Improve quality of cancer referrals||
|Use of Rapid Diagnostic Pathways||
|Use a clinical decision support tool||
|All patients are signposted to or receive information on their referral||
|Safety-netting in line with NICE NG12 Guidelines with a consistent approach to monitor patients who have been referred urgently with suspected cancer||
|Safety-netting in line with NICE NG12 Guidelines with a consistent approach to monitor patients who have been referred for further investigations to exclude the possibility of cancer||
|Practice-level data to explore local patterns in presentation and diagnosis of cancer||
|Conduct peer to peer learning events that look at data and trends in diagnosis across the PCN, including cases where patients presented repeatedly before referral and late diagnoses||
|QOF Indicator Requirements||C the Signs|
|Demonstrate improvements in cancer activity for early cancer diagnosis||
|Demonstrate continuous quality improvement activity focused upon early cancer diagnosis||
|Establishes and maintains a register of all cancer patients||
|Participation in network activity to regularly share and discuss learning from quality improvement focused on early cancer diagnosis||
|The percentage of patients with cancer who have had a patient Cancer Care Review within 12 months of diagnosis||
Cost-effectiveness of C the Signs
The table below shows the cost of C the Signs and the income received from PCN and QOF remunerations:
|C the Signs Pricing||PCN Core Funding Income||QOF Cancer Income Remuneration if all achieved (excluding screening, and for an average sized practice of 8799 patients)|
*Figures calculated per patient/year using 2020/2021 data
Estimate of C the Signs cost for a small, medium and large PCN
|PCN Size||Cost of C the Signs (16p/patient/year)|
C the Signs will pay for itself, in addition to drawing in additional income for the practice from the QI module and core QOF requirements for cancer.