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Cancer Nurse Coordinator Taranaki District Health Board About us • Taranaki’s population is over 104, 000. • Wide geographical area • We have an aging population. • TDHB is a secondary level DHB. • We are a part of the Midlands region, with the exception of our Cancer services. Cancer Care in Taranaki • Oncology Outpatients Department. • 1 full time MOSS • 2.4 FTE Nursing staff • 0.5 FTE Breast CNS • Visiting Palmerston North Oncologists Local Gaps and Issues • Gap in support/service from first diagnosis to first oncology appointment. • Lack of coordination, education and support . • Disparities in care • Lack of coordination of investigations and appointments • Lack of clarity around procedural processes following diagnosis Identifying the gaps • Patient and staff feedback • Cancer service mapping for the Taranaki region- A consultation report ( 2007) • Consumer feedback at the LCN • Comparison- Value stream mapping of breast cancer patient pathway and other cancer diagnosis Regional Gaps • Identifying key contacts • Delay in response to enquires • Communication is challenging Care Coordination- Local • To provide seamless, patient centred care. • Improving support and provision of information resources • Enhancing collaboration amongst health professionals • Liaison with the FCT coordinator • Key contact Faster Cancer Treatment 1. 2. 3. 4. Consultants review each referral. When there is a high suspicion of cancer they will stamp the referral with the “FCT” stamp The referrals that are stamped 'FCT' are then to be emailed to [email protected]. The Cancer Coordinator will have access to these referrals and will then be in a position to coordinate the care that patients receive. Cancer Coordination- Regional • Regional consistency with the job description • Local cancer coordinator roles with robust regional links. • Regional cancer coordinator network/support group • Regional approach to professional development opportunities.