Allied Health Professionals in cancer care Presentation written by Sally Hall Lead Allied Health Professional Kent Community Health NHS Foundation Trust Presented by Penny Bolton Head of Service (Adult Therapies/AHP’s & Rehabilitation)

12 Allied Health Professions Physiotherapists – 48,863 • Occupational therapists – 33,789 • Therapeutic and diagnostic radiographers – 29,052 • Paramedics – 19,955 • Speech and language therapists – 13,942 • Chiropodists/podiatrists – 13,060 • Dietitians – 8,340 • Drama, art and music therapists – 3,429 • Orthoptists – 1,312 • Prosthetists and orthotists - 944

4 million contacts per week And nationally… 172 000 AHPs 12 professional groups 4 million contacts per week

NHS Five Year Forward View The NHS Five Year Forward View was published on 23 October 2014 A shared vision for the future of the NHS across six national NHS bodies 3 areas where there is a significant funding gap between demand and resources: health and wellbeing care and quality funding and efficiency NHS Five Year Forward View 4

So where does cancer care fit in? 2.5 million people are living with cancer in the UK 1000 people are diagnosed with cancer in the UK everyday 1.2 million cancer related admissions into hospital in 2012 / 13 1 in 2 people with cancer have co-morbidities 57% of people with cancer are surviving 10 years or more compared to just 1 year in 1970

Rehabilitation Cancer rehabilitation aims to maximise physical function, promote independence and help people adapt to their condition; empowering patients living with and beyond cancer with supported self-management. A range of AHPs provide rehabilitation services and, through developing self-management skills, patients can take an active role in adjusting to life with and after cancer. macmillian.org.uk

Stages of rehabilitation Prevention Support and restore Palliative Care Stages of rehabilitation Question: What is your role within the different stages of rehabilitation?

Preventing lymphoedema Preventing hospital admissions Delivery of radiotherapy Respiratory difficulties Managing pain Getting back to work Nutrition and hydration advice Helping with fatigue and energy Communication difficulties Improving independence and function Improving strength and balance Supporting discharge from hospital Supporting anxiety and distress Improving quality of life

Recommendation 70: NHS England and Health Education England should support a national review of the cancer rehabilitation workforce and promote the role of AHPs in multi-disciplinary teams

The cancer strategy 2015 - 2020 “Rehabilitation is not yet embedded across the cancer pathway. There are variations in access to AHPs who deliver rehabilitation services. AHPs are commonly part of multi-disciplinary palliative care teams, but not always part of multi-disciplinary teams before the palliative stage”

What are our challenges? What is our priority? What are our services commissioned to deliver currently? Can we influence this? Can we define the AHP role in cancer care – across 12 professions? Knowledge and skill in cancer care - are we competent? Outcomes – are we effective? Can we demonstrate? VISABILITY & IMPACT