20 | Cancer Commissioning Strategy Framework Cancer Commissioning Strategy Framework | 21 Developing a Methodological Framework to Facilitate a Strategic Review of Fragile Cancer Services North Central London Cancer Conference 19 November 2024 Introduction and Objective Using the framework to undertake an annual strategic review of cancer services across the cancer healthcare system aims to identify, assess and address areas of fragility within cancer services to ensure high-quality, equitable and sustainable care across NCL. By evaluating service disparities, resource gaps and patient outcomes, we strive to enhance cancer care delivery. Methodology Overview 1. Defined fragility criteria using key indicators (e.g., patient wait times, staffing levels). Conduct a comprehensive review of best practices, National guidance and existing research. 2. Data sourced from healthcare trusts, national databases and patient outcomes. Data gaps addressed through cross-validation. 3. Workshops with clinicians, ICB and Cancer Alliance representatives. Consensus building on criteria and data interpretation. 4. Weighted criteria based on impact using multiple prioritisation frameworks. Transparent exercise undertaken to rank fragility level of services. 5. Develop actionable strategies for resource allocation, policy changes and feed these into the annual commissioning cycle and review of the cancer commissioning programme. 6. Pilot programs and ongoing evaluation using quantitative and qualitative metrics. Appendix 2 - Developing a Methodological Framework to Facilitate a Strategic Review of Fragile Cancer Services Outputs and Next Steps • Two-Tier Approach: High-level assessment to identify areas of risk or opportunity; followed by a detailed review of concerns highlighted to inform long-term strategic changes. • Fragile Services Framework: Focus on service capacity, quality and safety, workforce stability, financial sustainability, accessibility, integration, and innovation. • Annual Commissioning Cycle: Framework outputs inform an ongoing commissioning cycle. • Stakeholder Collaboration: Engage partners and stakeholders to identify and implement/ resource plans for risk/opportunity areas. Conclusion The methodological framework and an annual strategic review provides a systematic process to identify and address cancer service fragility and provide actionable insights; fostering a systemwide culture of strategic commissioning to deliver sustainable, high-performing cancer care services. Appendix 2 - Developing a Methodological Framework to Facilitate a Strategic Review of Fragile Cancer Services PHASE PHASE PHASE PHASE PHASE Undertake an Assessment of Services, Using the Fragile Services Criteria
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