Developing cancer services strategy in primary care in England: Primary care trust managers' views of the primary care cancer leads initiative
Journal of Health Organization and Management
ISSN: 1477-7266
Article publication date: 1 March 2006
Abstract
Purpose
Primary care cancer lead clinicians (PCCLs) act strategically in primary care trusts (PCTs) in England to improve communication and understanding of cancer across primary and secondary care and provide a link between Cancer Networks and primary care. The aim is to evaluate the first three years of the initiative.
Design/methodology/approach
A postal questionnaire was sent to all PCT chief executives in all PCTs in England and some were passed on to other PCT managers for completion. The response rate was 61 per cent. PCT directors of public health were the largest group of respondents (29 per cent). Most (74 per cent) PCCLs were GPs and 22 per cent were nurses.
Findings
PCCLs were most likely to focus on palliative care and preventive services. Key achievements were identified as raising awareness of cancer, developing relationships and promoting primary care. The personal skills of the PCCLs were important as was support of colleagues at all levels. Lack of time was a major barrier to achievement, as was a lack of understanding of the role from others. Links with the Cancer Networks were being developed. About 85 per cent of managers wanted the role to continue.
Originality/value
The paper illustrates that PCCLs are at the forefront of improving cancer services in primary care. They are particularly important in view of the priority of reducing premature deaths and promotion of healthy lifestyles.
Keywords
Citation
Leese, B., Heywood, P., Allgar, V., Walker, R., Darr, A. and Din, I. (2006), "Developing cancer services strategy in primary care in England: Primary care trust managers' views of the primary care cancer leads initiative", Journal of Health Organization and Management, Vol. 20 No. 2, pp. 140-149. https://doi.org/10.1108/14777260610661538
Publisher
:Emerald Group Publishing Limited
Copyright © 2006, Emerald Group Publishing Limited