South West SCN Survivorship Implementation Plan Jonathan Miller, Network Manager, South West Strategic Clinical Networks May 2014

Network Survivorship Work Plan Baseline Assessment Holistic Needs Assessment & Care Plan Treatment Summaries Health & Wellbeing Clinics Survivorship in Primary Care Cancer care review Role of Practice Nurse in Survivorship Stratified Pathways of Care Remote Monitoring 2 The Recovery Package

Definitions Exactly who needs Exactly what Exactly when NHS | Presentation to [XXXX Company] | [Type Date]3

It is not that one size fits all But everyone needs measuring and fitting

Tariff – The NHS Price List 5 Outpatient Follow Up – about £80 Non-face to face appointment - £23 GP Cancer Care review - £68 Health & Wellbeing clinic – no tariff – costs £3 to £843 per patient

Network Implementation Plan Holistic Needs Assessment, Care Plan & Treatment Summaries Remote Monitoring Access to Service after Primary Treatment Health & Wellbeing Advice Stratified Pathways of Care Survivorship in Primary Care 6 Commission as a bundle

Proposed Tariff £100 for the first treatment summary (replaces discharge letters) £25 per patient for Health & Wellbeing Clinic. Funding from a reduction in routine follow-up 7

Other Key Elements Remote monitoring Access to service after primary treatment Re-accessing service in 2 weeks 8

Issues this has raised Why holistic needs assessment in secondary care? Why £100 or £25? Health & Wellbeing – when, all tumours, how often, how many, how long – why just for cancer patients? Links to non-cancer heath & wellbeing in community? How to specify Primary Care Cancer Review quality (above that in nationally defined)? 9