Colorectal Cancer and Rehabilitation

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Presentation transcript:

Colorectal Cancer and Rehabilitation Report to Colorectal NSSG Sally Donaghey Macmillan AHP Lead, Ang CN sally.donaghey@suffolkpct.nhs.uk/Tel: 01638 608218

Issues and Initiatives Cancer rehabilitation nationally is poorly developed, evidenced and under recognised/utilised. Publication of National Cancer Rehabilitation pathways and evidence guide. Development of tumour specific local rehabilitation pathways Need for pathways to be integrated into main care pathway and practice.

Workforce Mapping

Workforce Mapping cont..

Workforce Mapping cont..

Findings Relatively low numbers of AHP’s for population against national average Unmet need or Need provided by generalist workforce? Variablity in specialist service provision between localities Consider referral pathways 51%:49% Acute: Non-Acute setting. 2009 figures indicate slightly higher then national average cancer rehab services in community Care closer to home?

Workforce Modelling – Colorectal ANG CN Incidence 2008 = 2052

Rehabilitation Triggers

Rehabilitation Triggers .. Physiotherapy – Difficulties with function, movement and symptom control OT – Difficulties with ADL, leisure and work Dietietics – Nutrition, weight loss/gain, anxiety, nausea, diarrhoea SLT - (Risk of) Impaired speech, language, voice, swallowing Lymphoedema – Nodal excision/ radiotherapy, oedema

Barriers Do AHP’s attend MDT/colorectal clinics? Better links with CNS’s Awareness of rehabilitation needs Lack of resources

What Can the NSSG Do? NSSG Workplan Colorectal Care pathway – specific reference to rehab Locality/clinician engagement Audit of referrals/interventions/patient surveys

Useful Links National Colorectal Rehabilitation Pathway: http://ncat.nhs.uk/sites/default/files/NCAT_Rehab_Colorectal.pdf Local Colorectal Rehabilitation Pathway: http://www.angliacancernetwork.nhs.uk/documents/AngCN-CCG-PS22_v2.pdf NCAT. Supporting and Improving Commissioning of Cancer Rehabilitation Services Guidelines: http://ncat.nhs.uk/sites/default/files/NCAT_Rehab_Commissioning.pdf NCAT. Cancer Rehabilitation Services Evidence Review: http://ncat.nhs.uk/sites/default/files/NCAT_Rehab_EvidenceReview.pdf