| IND1a |
Reported one year relative survival estimate for lung cancer, 2004-2008 |
One year relative survival for lung cancer |
Preventing People from Dying Prematurely |
Lung Cancer Survival |
Proportion of GP patients in the local area who survive one year or more following an initial diagnosis of lung cancer |
Being diagnosed sooner means treatment is likely to be more effective. Most people diagnosed with cancer will be seen first by their doctor (GP) In an average year, a GP can expect to see one case of each of the four common cancers: breast, lung, colorectal and prostate. The reasons for late diagnosis appear to be a combination of factors: patients coming forward later, diagnosis being undetected or masked and GPs having limited access to diagnostic tests. Since April 2011 GPs in England have been given speedier access to diagnostic tests to help them identify less clear-cut cases of cancer. |
This indicator shows the estimated proportion of people diagnosed with lung cancer, who are still alive one year after diagnosis. This data is based on people diagnosed with cancer between 2004 and 2008. Numbers of patients with this cancer are too small at individual GP practice level to give a reliable measure, so results are based upon people diagnosed in a Primary Care Trust (PCT) area. PCTs in London almost all share the same boundaries as London boroughs. At present PCTs buy services from GP practices for the NHS. In future this standard will be about patients with a GP in a particular Clinical Commission Group (CCG). Data limitations: The data has not been standardised to account for differences in local populations, for example by age, sex or deprivation. These underlying differences may influence survival rates to be higher or lower than average. The profile of the local population should therefore be taken into account when considering these results. Data not available means that a value could not be calculated for this organisation. There could be a number of reasons for this. For example, the indicator might not applicable to this organisation; the organisation might be new; or data might not been submitted or was of low quality. |
National Cancer Intelligence Network (NCIN) |
Percentage |
higher values are better |
annual |
| IND1b |
Reported one year relative survival estimate for breast cancer, 2004-2008 |
One year relative survival for breast cancer |
Preventing People from Dying Prematurely |
Breast Cancer Survival |
Proportion of GP patients in the local area who survive one year or more following an initial diagnosis of breast cancer |
Being diagnosed sooner means treatment is likely to be more effective. Most people diagnosed with cancer will be seen first by their doctor (GP). In an average year, a GP can expect to see one case of each of the four common cancers: breast, lung, colorectal and prostate. The reasons for late diagnosis appear to be a combination of factors: patients coming forward later, diagnosis being undetected or masked and GPs having limited access to diagnostic tests. Since April 2011 GPs in England have been given speedier access to diagnostic tests to help them identify less clear-cut cases of cancer. |
This indicator shows the estimated proportion of people diagnosed with breast cancer, who are still alive one year after diagnosis. This data is based on people diagnosed with cancer between 2004 and 2008. Numbers of patients with this cancer are too small at individual GP practice level to give a reliable measure, so results are based upon people diagnosed in a Primary Care Trust (PCT) area. PCTs in London almost all share the same boundaries as London boroughs. At present PCTs buy services from GP practices for the NHS. In future this standard will be about patients with a GP in a particular Clinical Commission Group (CCG). Data limitations: The data has not been standardised to account for differences in local populations, for example by age, sex or deprivation. These underlying differences may influence survival rates to be higher or lower than average. The profile of the local population should therefore be taken into account when considering these results. Data not available means that a value could not be calculated for this organisation. There could be a number of reasons for this. For example, the indicator might not applicable to this organisation; the organisation might be new; or data might not been submitted or was of low quality. |
National Cancer Intelligence Network (NCIN) |
Percentage |
higher values are better |
annual |
| IND2 |
Ratio of reported versus expected prevalence for cancer |
Identifying the prevalence of cancer |
Preventing People from Dying Prematurely |
Cancer |
How effectively GP services in your local area are able to identify patients who have cancer |
Being diagnosed correctly and early means that the treatment and management of cancer is likely to be more effective. The number of people living with cancer is increasing each year. It is important that cancer is diagnosed as early as possible so that patients have the best chance of survival. Cancer is usually detected when patients visit their doctor (GP). It is important that all GPs are actively identifying all patients who are developing cancer so that the right care can be provided. |
This indicator compares the reported number of patients in a group of GP practices who have cancer with an estimate of what it should be. The estimate is called 'expected'. It takes into account underlying differences which can increase the chance of developing a condition, such as the age and sex of GP practice patients. The 'expected' prevalence of patients with cancer in any group of GP surgeries is standardised as the value '1'. Standardising allows different patient populations to be compared more reliably. An indicator value less than 1 means the number of people reported by GP practices as having cancer are less than expected. A value more than 1 means the number of people reported as having cancer are more than expected. Numbers are too small at individual GP practice level to give a reliable result, so results are grouped by all GPs in a Primary Care Trust area. PCTs in London almost all share the same boundaries as London boroughs. At present PCTs buy services from GP practices for the NHS. In future this standard will be applied to patients covered by Clinical Commission Groups (CCGs). Data limitations: There may be underlying reasons why the results are either higher or lower than expected levels, which are difficult to tell from the data alone. For example practices may be better at helping to prevent the risk of developing a condition, or may serve a group of patients more likely to develop a condition. The results should therefore be considered alongside the local context for any patient population. In addition, NHS Comparators have stated that this indicator is "included as a crude benchmark only. Model used underestimates prevalence with national reported rate exceeding expected rate by 68%." Data not available means that a value could not be calculated for this organisation. There could be a number of reasons for this. For example, the indicator might not applicable to this organisation; the organisation might be new; or data might not been submitted or was of low quality. |
NHS Comparators. Copyright © 2011, re-used with the permission of The Health and Social Care Information Centre. All rights reserved. |
ratio |
towards an expected value of 1 |
annual |
| IND3 |
The percentage of women aged from 25 to 64 whose notes record that a cervical smear has been performed in the past five years. |
Cervical Screening |
Preventing People from Dying Prematurely |
Smear tests |
Percentage of women aged 25-64 years old in this GP practice who have been screened for cervical cancer in the past 5 years |
Screening women for cervical cancer can help identify early warning signs which can be treated to prevent it developing. Cervical cancer is the second most common cause of death by cancer in young women aged 15-44. Cervical cancer is one of the few that can be prevented, because pre-cancerous cells can be picked up by tests before they have a chance to develop. Currently, all GP practices in London provide cervical smears, usually done by practice nurses. A doctor (GP) should know a patient is due a cervical smear or if they have failed to attend an appointment, so that reminders can be sent to patients. |
Data limitations: This is the first time that data has been made widely available at GP practice level, and due to data quality and collection issues data from approximately 75% of practices in London are currently included. Work will be undertaken to greatly improve data coverage in the future. For this reason the London quartile position of GP practices have not yet been generated, and PCT and London values are not available. Data not available means that a value could not be calculated for this organisation. There could be a number of reasons for this. For example, the indicator might not applicable to this organisation; the organisation might be new; or data might not been submitted or was of low quality. |
Primary Care Trust open Exeter databases |
percentage |
higher values are better |
quarterly |
