Clinical Quality Groups

The Clinical Quality Groups (CQGs) are the source of expert clinical and professional advice on a wide range of cancer services issues.

CQGs adopt an evidence- based approach, incorporating national best-practice guidance into local practice to ensure common standards and pathways for cancer patients.

In Cheshire & Merseyside Clinical Quality Groups are established for tumour-specific pathways and cross cutting themes such as diagnostics, chemotherapy, radiotherapy and acute oncology.

The role of the CQG is to ensure co-ordination of the cancer pathway and consistency of clinical practice irrespective of where treatment is provided. Areas that the CQGs focus on include:

  • Identifying and raising awareness of population needs
  • Service monitoring including clinical performance and patient outcomes
  • Workforce development
  • Increasing research capacity
  • Implementation of clinical guidelines
  • Development of local pathways and service specifications
  • Responding to concerns or inequalities raised through monitoring processes
  • Advising on matters relating to service reconfiguration

Each CQG has a nominated lead/chair who works with the Cancer Alliance Medical Director to ensure the development and delivery of work plans for each group.

Please direct any enquiries to:

For details of the CQG meeting dates and times click here

CQG Terms of Reference

All CQG documents are currently being updated.  For urgent enquiries, please contact the Alliance directly by email:  

Brain & Central Nervous System

Chair - Mr Andrew Brodbelt, Consultant Neurosurgeon


Date of Next Meetings:



Documents & Pathways

Acromegaly Pathways January 2019

CNFPAs Pathway January 2019

Cushings Disease Pathways January 2019

Prolactinomas Pathways January 2019


Joint Chair:  Geraldine Mitchell & Carlo Palmieri

Date of Next Meeting: TBC

Breast Pathway Early,Locally advanced and Metastatic



Chair - Mr Chris Barben


Date of Next Meeting:

Tuesday 1st December 2020


Colorectal Optimal Pathway v0.9 Feb 20

GIST Pathway update June 2020

Head & Neck

Chair- Dr Caroline Brammer, Oncology  Consultant

Date of Next Meeting:

Tues 10th November 2020





Chair- TBC

Date of Next Meeting:


Current Trials Pathways - Updated February 2020


Stem Cell transplantation and cellular therapy



Agreed Pathways and Guidelines - Updated October 2019

Acute Leukaemia

Autograft Haemopoietic Stem Cell Transplant Referral Proforma

Allograft Haemopoietic Stem Cell Transplant Referral Proforma

BSBMT Indications Table Updated October 2019

Burkitt Lymphoma 2019 SIG

CAR T Application form ALL

CAR T Lymphoma Application Form

Cheshire & Merseyside Haematology MDT Structure

CLL 2019 SIG

CM Lymphoma June 2019

CML Pathway

Definitions for Disease Status and Response Lymphoma CLL

Definitions for Disease Status and Response - CLL

EBMT Response Criteria for Myeloma

Diffuse Large B Cell Lymphoma SIG

Disease Status at SCT - Lymphoma

Gastric MALToma 2019 SIG

Hairy Cell Leukaemia


Lymphoma June 2019

Referral into Acute Leukaemia Service

MPN June 2019

MDS Pathway July 2019

Myelofibrosis Pathway

Myeloma Pathway June 2019

Patient Transplant Referral Pathway

Agreed Pathways and Guidelines - Updated February 2020

Hodgkins Lympoma III IV SIGv2

Hogkins Lymphoma less Fit SIG

Mantle Cell Lymphoma SIG

Haematology CQG Agenda's & Notes

Haematology CQG Notes and Action Log 25 04 2019

Haematology CQG AGENDA 09 10 2019

Haematology CQG Notes and Action Log 09 10 2019

Appendices from Notes and Action Log 09 10 2019



Action Log


NHSE Dashboard

Trial Data

Trial Data

Special Interest Groups




Chair- Dr Nick Stern, Consultant Hepatologist

Date of Next Meeting:

Monday 9th December 2020


Documents and Pathways

Liver, Pancreas and Bile Duct Referral Pathway

Pancreas Dataset

Guidelines for the Management of Gastroenteropancreatic Neuroendocrine Tumours

IPMN Management v9.

Liver Transplantation Guidelines



Chair- Andrew Wight Consultant Respiratory Physician


Date of Next Meeting:

Wednesday 11th November



Chair - Dr Iftikhar Khan, Consultant Surgeon

05/11/19 OG CQG Meeting minutes/actions


Date of Next Meeting:




Chair - Prof. Tim Helliwell, Consultant Histopathologist


Date of Next Meeting:



Chair - Dr Dominic Bray, Consultant Clinical Health Psychologist

Chair - Clare Byrne, Lead Cancer Nurse

Date of Next Meeting:

Mon 30th November



Chair - Dr Jonathan Wide, Consultant Radiologist


Date of Next Meeting: TBC




Chair- Liz West


Skin CQG 10.10.19 Notes/Action log


Date of Next Meeting: TBC



Skin Cancer Guidelines

Skin Cancer in Children pathway Jan 2021


Teenage & Young Adult

Chair- Shared between the following;

Dr Farida Alam, Consultant Clinical Oncologist

Dr Nasim Ali, Consultant Medical Onocologist

Dr Nagesh Kalakonda, Consultant Haematoncologist

Date of Next Meeting:

Tues 1st December 2020


Pathways & Guidelines

Clinical Referral/Notification to the Teenage and Young Adults Cancer MDT


Chair - Mr Mahmoud Elfar, Consultant Urological Surgeon

Date of Next Meeting: TBC