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 training@cthesigns.co.uk.

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.

Current C the Signs features:

  • Risk assessments are 100% compliant with NICE NG12 guidelines
  • Standardised referrals
  • Digital 2 week-wait forms, automatically populated and up-to-date
  • Digital patient information leaflets can be texted or printed
  • All clinical information saved and coded to the consultation
  • All patients are automatically safety-netted – both urgent cancer referrals, and tests or investigations that aim to exclude cancer
  • Track all suspected cancer patients in real-time – no codes or recalls needed.
  • Monitor all new cancer diagnoses and ensure 100% of cancer care reviews are completed within 6 months
  • Real-time cancer performance – see all cancer activity in your practice and PCN
  • Notes section to monitor performance and quality improvement across practice and PCN

New features due for release later this year:

  • Pre-population of the safety-netting practice dashboard
  • Cervical Screening Dashboard
  • PSA Stratified Follow Up Dashboard

C the Signs will continue to add new features to the tool (with no additional charge to existing users).

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)
£0.16* £1.50* £1.11*

*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)
30,000 £4,800
50,000 £8,000
80,000 £12,800

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.

Contact us

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 training@cthesigns.co.uk.