SACT Newsletter

Click  here to access the latest edition of the SACT newsletter

SACT newsletter - Latest edition

 


New SACT portal - Launched June 2018

 Click here to access the new portal   SACT PORTAL

 


SACT Guidance

pdf SACTv3 revised dataset launch and ongoing monitoring

SACTv3: Confirmation of readiness to start uploading

Latest Regimen List available through TRUD

Click here to access further guidance and training

pdf SACT escalation guide for non-compliance


Updates

pdf SACT CancerStats reports and update schedule


New data standard Resources

Excel SACT_Dataset_v3.0_Final

pdf DCB1533 SACT - User Guide

pdf DCB1533 SACT - Technical Guide


 

Help Desk

Email: sact@phe.gov.uk

New Helpdesk Telephone:

01865 458350

SACT data reports

There are a range of reports available and we are looking to expand and improve the information available from the SACT dataset.

If you have any queries about the reports available please contact the SACT team at sact@phe.gov.uk.

30-day post-systemic anti-cancer therapy (SACT) mortality analysis

Case-mix adjusted 30-day mortality post-SACT analysis: CMAR workbook (2020 releases)

As a follow-up to our 2016 and 2018 30-day mortality post-SACT releases (information below), we have now published two workbooks containing case-mix adjusted 30-day post-SACT mortality rates for a range of cancer sites, using data reported by NHS trusts in England through their monthly routine SACT data uploads. We plan to release similar workbooks covering a range of cancer sites.

The latest CMAR workbook reviews patients diagnosed between 2010 and 2018 being treated for bowel, breast myeloma and ovarian cancer in 2018-2019 (depending on site).

The first workbook reviewed patients diagnosed between 2010 and 2017 being treated for lung, gastric, pancreatic cancer, and cancer of unknown primary (CUP) in 2017-2018 (depending on the site).

In advance of both publications, we sent the workbook to the NHS Trusts for review, giving them the opportunity to provide a statement to accompany their data. We have included a copy of these statements in the companion brief for each workbook (page 17). We have also included a table to present the trusts identified as outliers, those with no data, and those we excluded due to low data completeness (page 13).

30-day mortality rates post-SACT for each cancer site are displayed on funnel plots in the workbooks; data is also provided in tables. Each diamond on the funnel plot represents an NHS trust; those shown above the upper dotted line (+3 standard deviations) are identified as outliers. The companion briefs provide further information on how to review the funnel plot.

Previous publications

National study of 30-day mortality following SACT treatment (2016 release)

In 2016 Public Health England (PHE) published a study on 30–day mortality after systemic anti-cancer therapy for breast and lung cancer in England for 2014 using SACT data. The study was published in the Lancet Oncology and was produced in collaboration with Cancer Research UK. We also published a companion report that provided trust level analyses of the data. Please use the links below to access the publications and workbook.

 30 day mortality post-systemic anti-cancer therapy (SACT) workbook (2018 release)

As a follow up to this publication, we worked with our clinical advisors to develop a workbook documenting 30 day mortality rates post-SACT.  The workbook contains:

  • Annual rates of 30 day mortality post-SACT, 2015 and 2016. 
  • A broader range of cancers than the original publication
  • Crude mortality rates (not risk adjusted)

It is designed as a pilot for a future, routine feed of 30 day mortality rates post-SACT and aims to support clinical practice at NHS trusts.

This work is based on routine data submitted by hospitals to the SACT dataset. Please note that factors such as differences in patient case mix (which we have not adjusted for), random variation, data ascertainment and quality will all impact on the results. These factors mean that we cannot be certain that a high mortality rate reflects an issue with clinical care. The workbook is not a quality indicator and has been designed to support clinical practice.

As a result we have conducted a “trust notification process” rather than a formal “outlier process” for this report. In the notification process, all trusts received the workbook and were encouraged to review their data.  Any results which were above the expected level of variation were highlighted to the appropriate trusts.  Trust comments following the notification process are published in the companion briefing.

Excel 30 day mortality post SACT 2015-16 workbook

pdf FAQs: 30 day mortality post SACT 2015-16 workbook

pdf Companion brief: 30 day mortality post SACT 2015-16 workbook

pdf Evaluation report: 30 day mortality post SACT 2015-16 workbook 

 

Public Health England’s CancerStats portal

The new CancerStats reporting portal gives registered users access to interactive SACT reports.

The portal does not provide identifiable data but it does have detailed local data. To ensure this data is secure it is only available through the NHS N3 network. Users must register on the homepage and have a suitable justification for accessing the data.

The following document provides an overview of all SACT data reports currently on CancerStats and the schedule for data release. This document will be updated with any new developments, please refer to the following link for the latest version.

pdf SACT CancerStats reports and update schedule

We are working to expand the reports available on CancerStats to help providers review and compare their use of SACT and the patients receiving treatment. If you have any suggestions for reports which would be value for the future, please email sact@phe.gov.uk.

 

Other SACT reports

Cumulative SACT data completeness report

The cumulative data completeness report provides an indication of the completeness of SACT data across a 12 month period. This report provides a simple estimate of the quality and completeness of SACT data nationally and by trust and region. In future these data will be captured by the data completeness report on CancerStats. We will continue to make this report publically available once a year for the most recent 12 month period.

The figures in this report hide certain data quality issues and include treatments that are submitted by trusts alongside SACT data that are outside of the scope of the SACT dataset.

Excel Data Completeness Report: April 2018 – March 2019

Excel Data Completeness Report: April 2017 – March 2018

Chemotherapy, radiotherapy and tumour resection in England

This report introduces new data on the percentage of tumours diagnosed in England in 2013 - 2014 recorded as receiving radiotherapy, chemotherapy or tumour resection. It examines differences by cancer site and stage at diagnosis. The report and accompanying data are available from the main National Cancer Registration and Analysis Service website.

 

Data Resource Profile

Data Resource Profile: The Systemic Anti-Cancer Therapy (SACT) Dataset

This recent publication in the International Journal of Epidemiology gives a detailed insight into the scope and potential of the SACT dataset.  It discusses the dataset structure, data items collected, strengths and weaknesses of the dataset and describes how to access the data.

 

Outlier Management

The SACT teams approach to the handling of outliers mirrors NCRAS Guidance on Handling Outlier Institutions and has been developed from Department of Health and Healthcare Quality Improvement Partnership guidance and experience in dealing with these issues. The approach  recognises that flexibility is required to account for different circumstances and therefore provides a set of principles to be followed rather than a detailed procedure to cover every eventuality.

NCRAS co-ordinating team can advise on planning for the handling of outliers and may be able to assist with the management of the process. To access the guidance please visit the NCRAS website.