South Island Colorectal Cancer Fast Track Working Group
A new working group has been established to define a South Island wide, time-efficient and clinically safe pathway from first diagnosis of colorectal cancer to definitive and adjunctive therapy.
All patients who are medically fit for treatment should receive first definitive treatment within 31 days of histological diagnosis of colon and rectal cancer, and commence appropriate adjuvant therapy within 28 days of surgery.
1. Develop a framework for reporting of key times;
- identify current methods and ideal methods,
- standardise definitions;
2. Identify current "retrospective" measurement methods, and propose "prospective" management methods;
3. Identify constraints on process steps (e.g. administrative, wait times for radiology) and constraints on decision steps (e.g. feeder patterns for MDTs from regional DHBs to centres);
4. Identify regional versus centre model for colorectal cancer (if these are different);
5. Identify resource required to facilitate identification of barriers to implementation, and solutions and opportunities for data collection and health services research summary and recommendations;
6. Track and report on key data points in the patient journey;
7. Work with DHB Planning and Funding teams at a regional level to allow appropriate referral and management plans to be implemented for both urban and provincial patients;
8. To develop an overview of a regional colorectal cancer fast track plan
Dr Chris Jackson
Medical Oncologist, SDHB (Chair)
Dr Adrian Balasingam