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Job Description Job Title: Cancer Patient Pathway Co-ordinator Grade: Band 4 Based: Hinchingbrooke Hospital Reports to: Lead Cancer Services Manager Responsible to: Associate Director for Emergency Services Key contacts: Consultants, Clinical nurse specialists and other members of the Local and Specialist Multi-disciplinary team (S/LMDT) Medical Secretaries Appointment booking staff in Out Patients, Imaging and Endoscopy Relevant staff in pathology department General Practitioners Cross Network Data collectors / MDT Co-ordinators/patient trackers Cancer service improvement facilitators Tertiary hospitals, including Addenbrookes, Papworth and other relevant tertiary centres Job Summary The post holder has three key areas of responsibility Patient Navigating: Prospective and proactive management of the inter-trust cancer pathway, monitoring, reporting and tracking cancer patients, ensuring that the patient’s journey is processed in a timely and efficient manner, in line with the SSG agreed pathway and with the Cancer Waiting Times Targets. Resolving delays in the pathway at the earliest opportunity and where this is not possible escalating issues in accordance with Trust and network procedures S/LMDT: Co-ordinating and providing administrative support to the cancer S/LMDT(s), ensuring that all relevant paperwork and clinical information is available including case notes, imaging and pathology as necessary. To attend S/MDT’S keeping comprehensive records of attendance, outcomes as discussed. Ensuring the timely and efficient transfer of patients and information between trusts involved in the patient pathway, adhering to network SSG agreed communication pathways and protocols Data collection and analysis: Ensuring data collection is undertaken in a prospective manner, assuring accuracy at all times. Using both local and national datasets, including Open Exeter and the Somerset Cancer Registry data base. Analysing target breaches and report to Cancer Manager and Lead S/LMDT clinician. Main Duties and Responsibilities Patient Navigating 1. To navigate patients through their care pathway, from point of referral to treatment, in accordance with the pathway steps and timescales agreed by the SSG. Using hospital IT systems of reporting including PAS, E-camis, endoscopy reporting systems, radiology reporting systems and histology. 2. To proactively pre-book appointments in accordance with the SSG agreed pathway ensuring that wherever possible patients reach each step in accordance with SSG agreed pathway timescales. 3. To escalate diagnostic appointments for target patients, (if booked outside the appropriate timescale). 4. To proactively identify and resolve delays at all stages in the patient pathway. Where this is not possible, to follow the escalation procedure and network policy for inter-trust transfers, highlighting any relevant issues to line Management. 5. To ensure that patients who require transfer to a tertiary centre are transferred in accordance with the network and SSG agreed timescales, using the appropriate SMDT referral proforma. Making sure that the SMDT referral proforma is complete and sent to the centre within 24hours of the clinical decision to refer the patient and that that all the clinical information as specified by the SSG is transferred within agreed timescales. 6. To highlight any bottlenecks within the process, communicating regularly with line management, and where possible suggesting and implementing solutions. 7. To liaise with other Trusts both within the Network and outside, in order to achieve continuous monitoring of the patients pathway. 8. To identify and advise clinical teams on when waiting times adjustments can be made to the patient journey, ensuring these are accurately documented. L/SMDT Co-ordination 9. To ensure that the room is booked and prepared prior to the S/LMDT, schedule future dates for S/LMDT meetings and ensure a suitable venue is booked on an annual basis. 10. To assist in the preparation of patients lists for S/LMDT, collating information provided by Lead Clinicians, Cancer Nurse Specialists and Medical Secretaries. To ensure that all members are advised of meetings and any change of date, venue, etc. 11. To oversee that all clinical information is available including patients notes, images and histology results, in order to support and ensure a smooth running S/LMDT and to facilitate timely clinical decision making. 12. To attend allocated S/LMDT meetings, keeping comprehensive records of attendance and outcomes. To provide reports as requested, including Peer Review. To maintain up-to-date membership lists. 13. To manage systems to inform GP’S of patient diagnosis and treatment decision taken at S/LMDT. 14. To ensure that any investigations, treatments and any other actions from the S/LMDT are booked in a timely manner, avoiding any delay in the process. 15. See previous section for SMDT proforma completion and sending of the clinical referral 16. At the S/LMDT meeting ensuring that Consultants and S/LMDT members are aware of patient target treatment dates in relation to the Cancer Waiting Times 31 and 62 day targets. Also advising them of actual or potential delays in progress, or breaches to key milestones including inter-trust referral timelines and decision to treat dates. Data Collection and analysis 17. To ensure that the compulsory cancer data sets are completed 18. To liaise with the relevant clinical teams to ensure quality of data collected 19. To attend the S/LMDT(s) and complete appropriate data collection at the meeting and after, in particular ensuring accurate recording of clinical decisions 20. To request patients notes to gain further accurate information when completing outcomes 21. To maintain the national Audit datasets for the S/LMDT 22. To respond to new reporting requirements as required 23. To collect additional cancer dataset items as and when they become either mandatory or required by Cancer Service Manager, Lead Clinicians and Trust Management. 24. Analyse patient journeys for all patients who breach the 62 or 31 day cancer targets, including patients treated at another Trust, reporting findings to the Cancer Manager and S/LMDT lead clinicians 25. As an ongoing process consider opportunities for improvements in the co-ordination of the pathway and in the efficient transfer of patients and information between Trusts Additional duties 26. To support the Cancer Services Peer Review, Cancer Service Improvement Partnership and other quality improvement processes within Cancer Services. 27. To provide cover for absent colleagues to ensure a smooth running service. 28. To undertake related training as required. 29. To develop a good working knowledge of anatomy, terminology, treatment types, medical coding and pathology relating to cancer. (To attend relevant courses as required) 30. To assist in Cancer Services related projects within the Trust and to raise awareness of the Cancer waiting Times targets. 31. To undertake additional information requests and associated duties as and when required. Other 32. To comply with the roles and responsibilities as defined in the Trust’s Health & Safety Policy and the KSF outline for this post. 33. Ensure all data collection and processing undertaken is consistently accurate and timely and complies with The Trust Data Quality Policy and local procedures. 34. Undertake any other similar duties in line with the key purpose of the job. Review This job description is intended to be a fair and representative summary of the main duties and responsibilities of the role. As such it is not exhaustive. It will be subject to regular review between the post holder and manager and may be amended to reflect the needs of the service, in line with the reasonable requirements of the job profile/grade and KSF outline for the post, in consultation with the post holder. Person Specification Job Title: Directorate: Reports To: Cancer Patient Pathway Co-ordinator Emergency Services Directorate Cancer Services Lead Manager Essential or Desirable Criteria Criteria Education and Qualifications GCSE grade A-C or equivalent in English & Maths NVQ 3 in administration or related subject or equivalent knowledge and experience Commitment to personal and professional development Recognised qualification in word processing / typing to OCR II or equivalent skills European Computer Driving License (ECDL) Experience Recent NHS experience Experience of dealing with patients and carers over the telephone and face-to-face Good time management Recent experience of establishing and maintaining office systems, data collection and analysis Experience of Patient Administration System (PAS) & E-CaMIS Knowledge Accurate keyboard skills and working knowledge of Microsoft Office (Word, Access, Excel) Good understanding of multidisciplinary team working Knowledge of cancer waiting times targets & Health Service Circular (HSC) on cancer performance targets Knowledge of security and confidentiality principles Understanding of health & safety at work Knowledge of medical terminology Key Skills Excellent communication / interpersonal skills Ability to work effectively under pressure to meet deadlines Ability to effectively prioritise and co-ordinate own work A team player able to work well with others and demonstrate commitment to team objectives Other Respect for the rights and needs of patients and colleagues Good previous attendance record Professional appearance and behaviour Assessment Method A E E E E D T E E D E E E E E D E E E E Assessment Criteria: A = Application, I = Interview, T = Test, R = References E E D R E E I