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Cancer Survivorship: Transforming how we deliver cancer care Catherine Neck Macmillan Cancer Rehabilitation/ Recovery Package Project Lead My Role • Funded by Macmillan to assist clinical teams to process map and redesign pathways of care across ASW region • Involves the introduction of the ‘Recovery Package’ into the pathway • Supports teams to adjust to new ways of working that are better for the patient and result in increased clinical capacity • Reduces unnecessary waste in the system Cancer Pathway Redesign • Most cancer patients are followed up for years post treatment • Most recurrences are detected outside of followup clinics • If we redesign the pathways we can improve patient experience, allow patients to play an active role in their care and improve clinic capacity • Improved clinic capacity allows more time to see NP’s and provide appropriate support for complex patients The Recovery Package The Recovery Package • • • • • • Stratification of patients for follow-up Holistic Needs Assessments Health & Wellbeing advice Treatment summaries Remote Surveillance Cancer Care reviews Improve Information and Support at the outset • Prehabilitation – encourage patients to take an active role in improving their outcomes at the start • Provide a clear pathway of care from the outset. Manage patient expectations • Provide early health & wellbeing advice around consequences of treatment, physical activity, nutrition, work & finance support, emotional support End of Treatment • Holistic Needs Assessment including Care Plan • Provide clear and comprehensive information to the patient and GP – Treatment Summary • Support the patient to self-manage by being able to identify signs and symptoms of recurrence and providing timely open access support • Identify and act on early negative consequences of treatment/ late effects UHB Gynae-Oncology • Introduction of the Recovery Package - Health & Wellbeing events - eHNA - Treatment Summaries • Mapping of ovarian pathway • Introduction of ‘Prehab’ to ovarian patients • Gynae pathway changes proposed UHB Gynae-Oncology • The FACT data sets thresholds for clinicians • Initially this will be introduced alongside current follow-up • The questionnaire responses will hopefully be used to move towards reduced face to face follow-up and increased use of telephone contact Any Questions??? Contact Details: Email: [email protected] Phone: 07730 286356