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Cancer Nurse Coordinator
Initiative (CNCI)
CNCI - objectives
The objective of this service is to appoint nurses in cancer nurse
coordinator roles that will:
• improve the experience for patients, including their family and
whānau, with cancer or suspected cancer
• improve overall access and timeliness of access to diagnostic and
treatment services for patients with cancer
9.4FTE across the region – minimum of 1FTE per DHB
CNCI - distribution
DHB
Capital & Coast
Hutt Valley
Wairarapa
MidCentral
Whanganui
Hawke’s Bay
Taranaki
Cancer Nurse Coordinator
Katie Whytock
CNS FCT Care Coordination - Sarcoma
Specialty area
Sarcoma
Rowena Price (Interim)
CNS FCT Care Coordination - Colorectal
Colorectal
Ginny Youmans –
CNS FCT Care Coordination - Lung
Monica O’Reilly
CNS Cancer Care Coordinator
Hours of work
0.7 FTE
0.6FTE
0.8FTE
Lung
General
0.9 FTE
Lisa Simmons
CNS Cancer Care Coordinator
Jacinta Buchanan
Cancer Care Coordinator/CNS
Lynley Gulasekharam
CNC - CNS Lung Cancer
General
0.9 FTE
General
fulltime
Lung
Fulltime
Gillian Forsyth
CNC - CNS Gynae Cancer
Andrea Dempsey-Thornton
Gynae
0.8
General
0.8FTE
General, Lung & Skin
0.9FTE
General &Lymphoma
General
0.6FTE
fulltime
Dianne Keip
CNS – Cancer Coordination
Anita Wootton
CNS – Cancer Coordination
Monique Bastin
Cancer Nurse Coordinator
CNCI - developments to date
• DHB Cancer Manager / DONs Steering
Group
• Positions appointed / orientated
• Regional orientation forum – May
• National CNC Forum – June
• Learning needs matrix
• Patient tracking tools
Hawkes Bay
• Population of 156,500
• 890 cancer registrations
per year
Cancer registrations
1000
Number of registrations
900
800
700
600
500
400
300
200
100
0
1
2
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Year
9
10
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14
15
Activities
We are heavily involved with:
• Data entry
• Data analysis
But we’re also fast becoming experts in:
• Tracking
• Liaising
• Supporting
Challenges
• 1.5 FTE – 10 tumour streams
• Data
• What do we do with complaints?
What about if
the patient isn’t around to complain?
• How do we maintain visibility to the
organisation / sector? e.g. Consumer Council,
Clinical Council, hospital staff, primary care, kaitakawaenga, ED,
other CNS’s
Strengths
• Finding people
• Having the data prove that the gaps
are where we thought they were
• Connecting people
• Allied team members
CCDHB Current Activities
• 2.2 FTE : split into tumour streams : lung, colorectal, sarcoma
• Attending MDM’s, establishment of a clinical lead
• Patient pathway mapping 10 patients in each tumour stream
retrospectively
• Report on gaps in service and how patients are travelling
through what services, illustrated from mapping and in
alignment with draft tumour standards
• Developing relationships with key stakeholders
• Regional and National involvement to support collaboration,
consistency and using tools
•Visibility, relationship building with CNC’s from other DHB
• Developing clear clinical pathways where they don’t currently
exist
•Psychosocial needs assessment tool for early involvement it
referring patient to appropriate services
• Working on IT solutions for a patient tracking tool to
anticipate and respond to impending delays
• Introduction of service to concerned parties
• Establishing service vision to fit with CCDHB service
improvement directives and MoH patient involvement
expectations
Key issues
• Fitting FTE to capacity – equity,
complexity (including co-morbidities)
• Active patient tracking
• Service improvement
• Whole of system change
2013/14 Activities
• DHB’s ensure development plans in place for all CNCs
• On-going fortnightly meetings to share information
about service improvement activities and education
opportunities
• National CNC forum in June 2014
• Regional CNC forum as appropriate to progress service
development
• CCN to work with CNCs t identify service access criteria
and tools
• CNCs provided with access to cultural supervision and
support for Maori and other ethnic groups