Cancer is one of six national Programmes of Care (NPoCs) overseeing the commissioning of specialised and highly specialised services.
The role of the NPoC is to provide leadership and oversight of the development and delivery of a comprehensive work programme that achieves demonstrable improvements in the quality, equity, value and outcomes of commissioned specialised services.
The Cancer NPoC consists of an NPoC Board and five Clinical Reference Groups (CRGs) as follows:
- Radiotherapy (B01)
- Chemotherapy (B02)
- Specialised Cancer Surgery (B03)
- Children and Young Adult Cancer Services (B05)
CRGs provide clinical advice and leadership on the specialised services in Cancer. These groups of clinicians, commissioners, public health experts, patients and carers use their specific knowledge and expertise to advise NHS England on the best ways that specialised services should be provided.
CRGs lead on the development of clinical commissioning policies, service specifications and quality standards. They also provide advice on innovation, horizon scanning, service reviews and guide work to reduce variation and deliver increased value. CRGs, through their Patient and Public Voice (PPV) members, also help ensure that any changes to the commissioning of specialised services involve patients and the public.
Chair and membership of the Cancer NPoC Board
Chair: Cathy Edwards
Cathy is the Operational Delivery Director in the specialised commissioning national support centre of NHS England. Cathy joined the NHS in 1973 and moved in to the world of commissioning after 20 years of working in acute providers. Cathy has a long history of working in specialised commissioning and has been actively involved in the development of cancer services through cancer networks and commissioning cancer services, initially in Yorkshire and Humber and more recently at a national level. Cathy has a Masters in Public Health from Nottingham University. Cathy’s national portfolio includes responsibility for: the commissioning of highly specialised services, aspects of commissioning specialised mental health services as well as the planning and delivery of the national QIPP programme.
Clinical Co-Chair: Rory Harvey
Rory is a consultant physician specialising in gastroenterology and Divisional Medical Director for Integrated Medicine in Bedford Hospital. Rory was clinical lead for the Bedfordshire bowel cancer screening program from its inception in 2008 until 2015, and continues to be an endoscopist in the program. Rory has been actively involved in cancer commissioning since 2008 as the Medical Director of the Anglia cancer network, subsequently from 2012 as the Cancer Clinical Director for the East of England Strategic Clinical Network and has led several cancer service reconfigurations.
Other members of the NPoC Board:
- Nicola Mcculloch, National Senior Programme of Care Manager – Cancer, NHS England
- Anthony Prudhoe, National Senior Programme of Care Manager – Women and Children, NHS England
- Kim Fell, Regional Cancer and Blood Programme of Care Manager (Midlands and East), NHS England
- Nigel Andrews, Regional Cancer and Blood Programme of Care Manager (South), NHS England
- Justine Stalker-Booth, National Specialised Commissioning Assistant Director of Finance, NHS England
- Tracey Williams, Pharmacy Lead – Specialised Commissioning, NHS England
- Judith Bell, Public Health Advisor Clinical Effectiveness, Public Health England
- Matt Day, Consultant in Public Health Specialised Commissioning, Public Health England
- Teresa Fenech, Director of Nursing – Specialised Services, NHS England
- Chris Harrison, National Clinical Director for Cancer, NHS England
- Sian Hallewell, Programme of Care PPV member
- Colin Roberts, Programme of Care PPV member
- Robotic assisted lung resection for primary lung cancer
- Gastroelectrical stimulation for gastroparesis
- Robotic assisted surgery for oesophago-gastric cancers
- Stereotactic Radiosurgery (SRS) for adults with Parkinson’s tremor and Familial Essential Tremor
- Robotic Assisted Surgery for bladder cancer
- Robotic assisted trans-oral surgery for throat and voice box cancers
- Ureothroplasty for benign urethral strictures in adult men
- Surgical sperm retrieval for male infertility
- Penile prosthesis surgery for end stage erectile dysfunction
- Positron Emission Tomography- Computed Tomography (PET-CT) Guidelines (all ages)
- Positron Emission Tomography – Computed Tomography (PET CT) Scanning (all ages)
Reviewing cancer services for children and young adults
The Cancer Taskforce report highlighted several areas for improvement in the provision of services for children and young people with cancer to ensure a step-change in clinical outcomes and patient experience.
NHS England, through its Children and Young Adult Cancer Services Clinical Reference Group (CYA CRG), has now begun work on a national service review which aims to deliver the recommendations set out within the Cancer Taskforce report and drive improvements in clinical outcomes and service experience for patients. The review will include a significant focus on the designation of, and relationship between, Primary Treatment Centres (PTCs) and Shared Care Teams, as was recommended within the Cancer Taskforce report.
We will be keeping people updated as the review progresses, including opportunities for getting involved. To receive regular updates you can sign up as a registered stakeholder for the CRG for Cancer Services for Children and Young Adults.
PET-CT Phase II design of procurement – engagement report
NHS England conducted a 30 day period of engagement in 2016 to test the proposed design of the Phase II procurement. Having listened to the feedback received through the engagement exercise and having undertaken significant further work on the proposed design of Phase II, NHS England is now publishing an engagement report which summarises the feedback received from the engagement process and how NHS England has listened to patients, the public and other stakeholders in the way it will carry out the procurement.