Record a patient’s diagnosis on SCR as soon as their diagnosis is confirmed
Correctly record when a patient has a primary cancer with metastatic disease, a new recurrence or a progression of their disease
Record full staging, including group staging, when confirmed
This includes the ‘Mets at diagnosis’ tab where appropriate
Record treatment intent accurately for all treatments added to SCR.
What does stage 4 mean for your tumour site?
If a patient has metastases anywhere in the body, this automatically means that they should be recorded on SCR as M1, and the ‘Mets at diagnosis’ tab completed with the relevant information.
However, for some tumour sites where a patient has lymph node involvement, this is considered to be stage 4 disease and should also be recorded as stage 4 in the group staging section.
When you are completing the staging for each patient, the date of staging needs to be completed from radiology/pathology/MDT discussion.
This confirmation of diagnosis may be documented in MDT, a clinic letter or CNS contact.
Not all patients listed for active anti-cancer treatment have a curative intent, and these patients who are being treated palliatively will fall into the project cohort.
When adding a treatment to SCR it is essential that we are recording the correct treatment intent – usually documented in MDT or on clinic letters.
Each modality has a slightly different set of treatment intent options:
Surgery options:
Chemotherapy options:
Radiotherapy options:
Where possible we should avoid using ‘other’, ‘not known’ or ‘uncertain treatment’ intent – most patients treatment intent will be documented somewhere.