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Establishment of a Managed Service Network for Children's Cancer Annie Ingram 8th December 2009 What are we trying to achieve? • Tiered and integrated model of cancer services specialist centres with shared patterns of care NIHCE • ‘…delivered as a network across four sites in Scotland…’ Cabinet Secretary, 2008 • Uniformity of care, as close to home as possible. • Support the continued development of the MCN…& pilot the creation of a Managed Service Network; • Full range of specialist services in Edinburgh & Glasgow, including BMT; • Effective shared care. NDP,2009 • Improve outcomes for Children and Young People The Proposed Model Principal Treatment Centre Shared Care Shared Care Principal Treatment Centre Shared Care Shared Care What have we done so far… • • • • Self assessment – NICHE National discussion on approach CATSCAN Investment in local services What’s different? MSN Neurosurgery Proposed MSN Children's cancer • Improve services • Continue to provide services locally • Uniform standards • Clear referral pathways • Identify sub-specialist centres • Improve services • Operate as MDT – all patients • Invest in PTC • Invest in shared care • Uniform standards • Clear referral pathways • Sub-specialisation Emerging model Managed Service Network MDT Operational Management Group CATSCAN Clinical Governance & Quality Next steps • Establish Project Board - towards National MSN • Memorandum of Understanding - context for Project Board • Project Board - learning from the Neurosurgery MSN • Project Board - Independent Chair • Links - adult cancer groups