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Living With & Beyond Cancer Programme Summary of The Recovery Package The ‘Recovery Package’ is a combination of different interventions, which when delivered together, will greatly improve the outcomes and coordination of care for people living with and beyond cancer. These are: Holistic Needs Assessments and Care Plan: Should be carried out at two key points in the care pathway and if health and social needs change. The HNA should be conducted using a standard assessment tool and process within the care pathway. The assessment identifies the individual needs of the person affected by cancer and contributes to a consultation. The consultation can then be focused on the needs identified, a care plan can be developed and an appropriate referral can be made to services that support patients, such as lymphoedema, psychological and services dealing with the consequences of treatment. This ensures that care is proactive and support services are planned and accessed appropriately. The assessment can be used to inform the treatment summary. The patient receives a copy of the care plan to enable selfmanagement; further copies are stored in the medical records and can be sent to the GP. A Treatment Summary: The treatment summary is developed by the multidisciplinary team to inform the patient and the GP of the care and treatment received. The summary includes possible treatment toxicities and /or late effects, alert symptoms that require referral back to a specialist team, an ongoing management plan, and a summary of information given to the patient about their cancer and future progress and any required GP actions to support the patient. The Treatment Summary informs the GP database and can also be used to inform the Cancer Care Review. The patient receives a copy to share with other family members and health care providers. Further copies are stored in the medical records and inform emergency/unplanned admissions. A GP Cancer Care Review: A Cancer Care Review is carried out by the GP practice six months following a diagnosis of cancer covers post-treatment support, financial impact of cancer, patient awareness of prescription exemptions, possible late effects of cancer and cancer treatment and the information needs to enable self-management. A Health and Wellbeing Clinic: Health and Wellbeing Clinics are education events to give the person affected by cancer all the information they need to enable rehabilitation and self-management. This may include the opportunity for advice about work or finance, physical activity and local services that offer help and support for people living with a long term condition. Page 1 of 1