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This revised Manual for Cancer Services is an integral part of the NHS Cancer Plan and
modernisation of cancer services. It will support quality assurance of cancer services and
enable quality improvement.
The Manual provides a ready mechanism by which cancer services will be able to
demonstrate that they are meeting the Standards for Better Health, in particular, in the
domains of safety, clinical and cost effectiveness, governance and patient focus, the latter
being concerned with the design of health care around decisions which respect the diverse
needs, preferences and choices of patients, their carers and relatives.
The process of cancer peer review is concerned not only with the review of an organisation’s
compliance against a set of detailed measures, but also with the qualitative assessment of a
broad set of objectives for the delivery of services which will encompass the whole system of
patient care and the patient and carer experience. Cancer peer review will, therefore, provide
a mechanism to enable the overall quality of cancer services to rise.
Development of this Manual for Cancer Services 2004 and the continuation of peer review
visits has been supported by the service and agreed by Strategic Health Authorities following
the positive evaluation of the 2001 cancer peer review visits. The Manual has not been centrally imposed.
The online tool for the quality improvement of cancer care through self assessment and peer review has been developed.
CQuINS
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