Ardens has created a variety of cancer resources to assist with identifying patients who may have a potential cancer diagnosis, and to support their ongoing management once diagnosed.
Identifying Patients with a Potential Cancer Diagnosis
The Ardens resources includes Clinical Safety Alerts to flag in real-time important MHRA drug safety and NICE guidance information that maybe missed. The alerts are triggered on certain activity in the patient record e.g. entering a particular code or prescribing specific drugs. The Cancer alerts will flag potential diagnosis.
The New Diabetes alert will be displayed if you are adding a new diagnosis of diabetes to a patients record and they are over the age of 60, advising the user to consider the possibility of pancreatic cancer:
The Smoking Fatigue alert is triggered when a fatigue code is entered in the patient record, if the patient has previously been coded as a smoker or ex smoker. This alert will remind you of NICE Cancer guidance to consider a chest x-ray.
The Possible Ovarian Cancer alert will display in the pink QOF alert box if a female patient over the age of 50 has a new diagnosis of IBS recorded within the last 3m, but do not have a recording of a Ca125 within the last 6 months. This alert is triggered either on load or update patient record.
Identifying Incorrect Coding Errors and Missing National Requirements
The Ardens resources includes Data Quality Alerts to alert practice staff in real time of incorrect coding or missing QOF requirements. These will ensure that you are entering accurate data to include your Cancer patients on the QOF register, whilst also flagging potential diagnosis:
The following QOF alerts will display when you add a consultation or add a malignant neoplastic disease code, to remind you that the patient needs a review:
Fast Track Safety Netting Resources
The Ardens Fast Track Safety Netting system enables tracking of 2WW referrals, urgent diagnostics and symptom safety-netting. It consists of a clinical template to help record data, alerts for practice staff to track those patients on the safety netting system and searches to monitor patients not seen in a specific time frame.
For further information on how the system works, please see the following support article.
Recording Information on the Management of Cancer Patients
The Ardens Cancer clinical template has been designed to standardise consultations, ensuring clinicians are following the latest national guidelines and recording accurate coding of data. Its helpful for recording the latest QOF requirements and completing a structed Cancer Care Review.
For clinician requiring to complete a full review, the Cancer Care Review page includes areas to record the Cancer care review has been completed, as well as enabling a follow up date to be added to the patients diary.
The template contains many helpful links and information including links to NICE guidance within the Management Guidance page and leaflets for your patients within the Patient Resources page.
Please note – for patients presenting with multiple long term conditions, you may wish to use the Ardens Multi-Morbidity templates.
Ardens Cancer Searches
There are various searches that might be useful to support practices with the care of cancer patients. The Ardens searches can be used to identify outstanding cancer screening work for the Network DES, identifying patients 'missing' from cancer registers, and identifying patients who have previously presented with symptoms that suggest cancer that have not been referred.
The searches can be accessed via the Population Reporting module > Ardens Searches folder.
The 2.2 Ardens Time sensitive QOF searches folder includes searches to identify patients who are eligible for a 3 month discussion or 12 month cancer care review and further break it down by who has had the review and those that it is still outstanding:
The 5.6 Cancer Searches folder includes searches to help practices understand the uptake of national screening services among their patient population and searches to support practices with the identification of possible cancer patients. It also contains useful cancer searches to support the management of QOF QI.
For more information on the Cancer screening searches, please see our dedicated Support Article.
For more information on the Possible Cancer searches, please see our dedicated Support Article.
The 5.0 Ardens Case Finder Searches contains a suite of searches to support practices to improve data quality and ensure QOF payments are correctly calculated for your Cancer patients.
The searches are reporting on patients that fulfil certain criteria which indicates the patient probably should be included in the Cancer QOF register, but are not recorded with the correct diagnostic code.
For more information please see our dedicated Support Article.
The 5.3 Ardens National Cntct Reports folder includes searches to monitor Network DES achievements and to identify outstanding work. It covers all elements of network requirements and further information on the Ardens resources to help manage this can be found here.
Recording Care Planning Information for Palliative Care Patients
To support practices in managing palliative care patients, we have designed the Future Planning clinical template to record the appropriate information. The template has been produced in association with the Future Care Planning Project, with information recorded to be available of the patient's Summary Care Record, providing additional consent has been obtained.
In addition to the clinical template, if the clinician wants to produce a printed version of care plan for the patient or carer, the Ardens Future Care Plan document template can be launched within the patient record including the merged information.
For more information please see our dedicated Support Article.
Other Supporting Document Templates
Ardens includes a large number of auto-populating standardised document templates for practices. Some document templates that may be useful for your Cancer patients includes:
- 2ww and fast track leaflets in different languages
- DS1500 Doctor’s Report and Claiming fee document
- Future Care Plan document
- Cremation Form Part 4 and 5
- DNACPR form
To access the Document Templates:
- Within a consultation, select the Documents > Create letter option.
- Outside of a consultation, select the Add > Document > Create letter option.
If you require any further assistance on the process above, please contact Ardens support on: firstname.lastname@example.org