Dr Sinead Clarke, Macmillan GP Advisor, Clinical Director for Performance, IT, Finance, Cancer and End of Life, South Cheshire and Vale Royal CCGs, Medical Lead for Cheshire end of Life Partnership Dr Jackie Dominey, GP and Macmillan GP Advisor, Clinical Lead End of Life, Solihull CCG

1. Primary Care & AOS
Dr Sinead Clarke & Dr Jackie Dominey

2. Workshop Plan
Context
Some Cases
Outcomes Top Tips for GPs and AO Teams
to help ‘bridge the gap’

3. CASE 1
• Patient on Chemotherapy presents to GP
surgery with diarrhoea.

4. True or False?
- Oncology experience is a training requirement
for all doctors.
- Most GPs will deal with at least one oncology
emergency every year
- GPs usually know an Acute Oncology Service
exists

5. Primary Care Context
Changing work patterns and roles
Oncology = Hospital
Blood tests often no longer done at
surgeries
Communication delays ..both ends

6. Support
UKONS primary care tool
‘Live’ Treatment Summaries?
On line access to shared records.
Outward-facing responsive AOS
Educational initiatives & Increased Awareness

7. 2 CASES – 2 GROUPS
• 1 Case went ‘well’ and one not so well.
• Think about what we can learn from each case
to help our top tips

8. Output---Please!
5/10 Top Tips for GPs in managing Oncology
emergencies
5/10 Top Tips for AOS about Primary Care
What do you need GPs to know about AOS?
What do AOS need to know about Primary Care?