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