Retrospective audit of Fast Cancer Treatment pathway for post-menopausal bleeding at Waikato hospital. — YRD
  1. Schedule
  2. Session 2
  3. Retrospective audit of Fast Cancer Treatment pathway for post-menopausal bleeding at Waikato hospital.

Retrospective audit of Fast Cancer Treatment pathway for post-menopausal bleeding at Waikato hospital. (2567)

Michael J Burling 1 2 , Anthony Stock 3
  1. Women's Health, Auckland City Hospital, Auckland, New Zealand
  2. Auckland Hospital, Wattledowns, AUCKLAND, New Zealand
  3. Obstetrics and Gynaecology, Waikato Hospital, Hamilton, New Zealand

On 1st of October 2014 the New Zealand Government released Faster Cancer Treatment Program targets. Standards included 85 percent of patients have a first specialist appointment (FSA) within 14days of referral and receive their first cancer treatment (or other management) within 62 days of being referred with a high suspicion of cancer by July 2016 [1]. A retrospective audit was done between 1st October 2014 and March 31 2015 of all women referred with postmenopausal bleeding (1 of 7 high suspicion of cancer definition [2]) to Waikato DHB. 35 patients indentified, only 31% of patients were seen within 14days and of those who had cancer (n=9) NONE were treated within the 62days target . Analysis to identify where delays in the process identified (incorrect referral, triaging, clerical processes, delay from FSA to hysteroscopy, investigations for MDM and treatment), and helped the department to obtain funding in addressing these issues.

  1. 1.National Gynaecological Cancer Tumour Standards Working Group. (2013). Standards of Service Provision for Gynaecological Cancer Patients in New Zealand. Wellington, New Zealand: Ministry of Health.
  2. 2.Faster Cancer Treatment: High suspicion of cancer definitions. September 2015. Wellington, New Zealand: Ministry of Health.