National Cancer Strategy Government of the Republic of Trinidad and Tobago Ministry of Health Caribbean Medical Providers Practicing Aboard (CMPPA) Annual.

National Cancer StrategyGovernment of the Republic of Trinidad and TobagoMinistry of Health

Caribbean Medical Providers Practicing Aboard (CMPPA) Annual Medical Conference Cancers in the Caribbean

Stewart SmithSenior Health Systems Advisor

June 13, 2015

Premise

“Strengthening the health system’s response to cancer in the Caribbean is critical to winning the battle against cancer and reducing the burden of this disease on the health system of the English Speaking Caribbean”

To ensure access to: Health Education, Early Detection and Screening, Accurate Diagnosis, Timely Treatment, Patient-centred Care and Complementary Support

National Cancer Strategy for the Caribbean

• Toward this end, the Government of Trinidad and Tobago has taken a leadership role in developing a formal National Cancer Plan and National Cancer Strategy that has informed the design and construction of a state-of-the-science ambulatory cancer treatment facility, the National Oncology Centre (NOC) at the Eric Williams Medical Sciences Complex (EWMSC) that would serve as the centre of excellence and beacon of hope for cancer care in the Caribbean”

Presentation Objectives

1. Describe the National Cancer Strategy – its Philosophy Principles Priorities Pillars

2. Present the framework and structure of the National Cancer Plan

3. Provide and overview of the services to be provided at the National Oncology Centre (NOC)

4. Explain the regional leadership role of the NOC as the centre of excellence for oncology care in the English Speaking Caribbean

National Cancer StrategyPhilosophy

Hope . Healing . Care

Strategy

• The conceptual framework to inform the direction, tactics and actions to achieve the objectives, goals and mission of the organization.

• It is the thought-leadership that translates ideas to action, actions to service and service to impact

Objectives of national cancer strategy

1. Provide the framework for the development and implementation of the National Cancer Plan and programs

2. Define the philosophy for care3. Inform the clinical evidence and technology 4. Promote people development, skill retention and

talent management5. Drive the regulatory framework, quality standards,

customer experience and monitoring and evaluation processes

Care philosophy

Healing

Service

Hope

Principles: National Cancer Strategy

1. ‘Hub and spoke’ design of decentralized care2. Comprehensive, coordinated continuum of seamless care from

prevention to diagnosis to treatment to palliation3. Standardized clinical algorithms of care 4. National antineoplastic drug formulary5. Single patient registration with a comprehensive EMR6. Specialist driven care with team clinical management7. Primary care provider8. Collaboration - partnering with private and NGO sectors9. Leadership from the Ministry of Health10. International best-practice through partnership

Strategic Priorities: National Cancer Strategy

1. Implementation of the National Cancer Plan2. Construction of the National Oncology Centre3. Establishment of a Diagnostic Imaging Unit at the NOC4. Establishment of a Regional PET CT Centre with Cyclotron and

Radiopharmaceutical Lab at the NOC5. Development of Nuclear Policy and Law for ionizing radiation protection and

regulatory framework for licensing and monitoring of RT tx facilities, radiation sources and exposure

6. Strengthening national cancer surveillance and the National Cancer Registry with a central Lab Information System (LIS)

7. Development of Clinical Centres of Excellence (CCE) 8. Development and retention of human resource talent 9. International partnering with recognized experts10. Research – Evidenced-Based Medical practice

Seven Pillars National Cancer Plan

• Governance and Structure – Coordination of Cancer Control

• Cancer education for patients and public• Cancer prevention• Early detection and improved diagnosis• Efficient and effective cancer services• Access to cancer services• Professional education, data collection and research

Taken from the WHO Framework

Hub and spoke…

National Oncology

Centre

National Radiotherapy

Centre

Scarborough General Hospital

Palliative Support Services

San Fernando General Hospital

Couva General Hospital

Sangre Grande Hospital

EWMSC Hospitals

General Hospital POS

Primary Care

Service Elements National Cancer Plan

• Prevention, early detection and screening• Treatment and Cure: Surgery; Chemotherapy; Radiation

Therapy; Hormonal Therapy• Patient-centric coordinated care - EMR• Complementary Care• Palliation and Support• Quality Assurance• Professional development and education• Technology development• Research

National Oncology Centre Coordinating Role

Comprehensive Patient Care

Palliative Supportive Care

Radiation and Chemotherapy

Treatment

Diagnosis and Treatment Planning

Continuum of Care

National Oncology Centre

Prevention

Early Detection and Screening

Treatment and Care

Specialist Care

Palliation and Support

Research

Centres of Excellence

National Oncology Centre

Breast /Women's Centre NRC

Lung Centre EWMSC

Pediatric Cancer EWMSC

Uro-Oncology SFGH

Neuro-Oncology GHPOS

Rehabilitation Penal

Referral pathways

Primary Care

provider

National Oncology

Centre

Specialist Oncology

Care

National Oncology Centre

National and Regional Services

National and Regional Clinical Services

• Radiation Therapy• Stereotactic Radiosurgery (SRS)• HDR Brachytherapy • Superficial Skin Treatment External Beam Radiation

Therapy• Chemotherapy• Hormonal Therapy• Surgery• Complementary Care• Supportive Care• Palliative Care

National and Regional Clinical Services

• Outpatient Clinic Services• Laboratory Services• Pharmacy Services • Same-Day Surgery Services• CT Simulation• CT Scans• MRI Scans• PET CT Scans

Images of the National Oncology Centre Architectural Renderings

National Oncology Centre, Port-of-Spain, Trinidad and Tobago

National Oncology Centre

Entrances

National Oncology Centre, Port-of-Spain, Trinidad and Tobago

Linear Accelerator Treatment Bunkers With Full Stereotactic Radiosurgery (SRS)

IMRT, IGRT, Respiratory Gating

Similar Cancer Treatment Rooms to the Designs for the National Oncology Centre

Similar Cancer Treatment Rooms to the Designs for the National Oncology Centre

Diagnostic Imaging Unit Courtesy

Phoenix Park Gas Processors Limited (PPGPL)

TT$60 Million

Cyclotron and Radiopharmaceutical Laboratory

GE 3-Tesla MRI

GE PET/CT

Conclusion

In short a world-class, first-class state-of-the science cancer treatment facility with comprehensives services in service of the people of the Caribbean

Commissioning date November 2016

THANK YOU