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From suspected cancer detection to confirmation of diagnosis
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| Clinical discussion of guidelines in multidisciplinary groups of both levels of care |
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| Generation and dissemination of information |
High degree of compliance with clinical guidelines |
| Review and updating of inclusion criteria |
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| Unification of hospital-access gateways |
Effective referral to diagnosis between care levels |
| Direct electronic access to outpatient appointment or a single clear pro-forma |
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| Discussion of referral track by clinicians and data-processing staff of both levels (to prevent lags as a result of administrative errors) |
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From confirmation of diagnosis to first treatment
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| Protocolisation of diagnostic tests |
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| Establishment of a ‘triple priority’, that is, rapid diagnosis of high, low probability and ordinary list |
Improving the queuing mechanisms for accessing services |
| Slots in schedules for diagnostic tests and rechanelling to the ordinary list in the event of cancellation |
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| Operating-theatre slottings |
Preventing operating theatre bottle–necks |
| Extension of knowledge of referral guidelines and referral track to all possible origins of suspicions at the hospital |
Effective referral to diagnosis between clinical departments |
| Case management (notification of referrals, patient counselling, coordination of appointment schedule and tumour committee role) |
Improving coordination and speed of processes |
