Quality standard
Quality statement 7: Discharge to primary care
Quality statement 7: Discharge to primary care
Quality statement
Adults who have had low‑risk non‑muscle‑invasive bladder cancer and who have no recurrence of the bladder cancer within 12 months of their initial transurethral resection of bladder tumour (TURBT) are discharged to primary care.
Rationale
Discharging adults who have had low‑risk non‑muscle‑invasive bladder cancer and who have no recurrence of the bladder cancer within 12 months to primary care reduces the need for follow-up cystoscopies in secondary care. It is important that the discharge is discussed with the patient beforehand, and that written information about the patient's care is sent to the GP who will be taking over their care when they are discharged.
Quality measures
The following measures can be used to assess the quality of care or service provision specified in the statement. They are examples of how the statement can be measured, and can be adapted and used flexibly.
Structure
Evidence of local arrangements for adults who have had low‑risk non‑muscle‑invasive bladder cancer and who have no recurrence of the bladder cancer within 12 months of their initial TURBT to be discharged to primary care.
Data source: Local data collection.
Process
Proportion of adults who have had low‑risk non‑muscle‑invasive bladder cancer and who have no recurrence of the bladder cancer within 12 months of their initial TURBT who are discharged to primary care.
Numerator – the number in the denominator who are discharged to primary care.
Denominator – the number of adults who have had low‑risk non‑muscle‑invasive bladder cancer who have no recurrence of the bladder cancer within 12 months of their initial TURBT.
Data source: Local data collection.
What the quality statement means for different audiences
Service providers (secondary care services) ensure that systems are in place for adults who have had low‑risk non‑muscle‑invasive bladder cancer and who have no recurrence of the bladder cancer within 12 months of their initial TURBT to be discharged to primary care.
Healthcare professionals discharge to primary care adults who have had low‑risk non‑muscle‑invasive bladder cancer and who have no recurrence of the bladder cancer within 12 months of their initial TURBT.
Commissioners ensure that they commission services that discharge to primary care adults who have had low‑risk non‑muscle‑invasive bladder cancer and who have no recurrence of the bladder cancer within 12 months of their initial TURBT. Commissioners work with providers in primary and secondary care to ensure that there is good communication between primary care, secondary care and the person who is being discharged.
Adults who have had bladder cancer removed in an operation called transurethral resection of bladder tumour, or TURBT for short, are discharged back to their GP after 1 year if there are no further signs of cancer, the cancer had not spread into the muscle wall of the bladder, and it was a type of cancer with a low risk of spreading or coming back in the future.
Source guidance
Bladder cancer. NICE guideline NG2 (2015), recommendation 1.4.5