PRACTICE NURSE ROLE IN CANCER CARE Helen Davies-Smith + Maggie Pugh Practice Nurse Facilitators Gloucestershire CCG 25th January 2017

WELCOME Helen Davies-Smith Maggie Pugh Practice Nurse Facilitator North and South Cotswolds Maggie Pugh Forest of Dean and Tewksbury Joint working between Gloucestershire CCG and Macmillan to help enable delivery of Best Practice in Cancer Care

The Background The need for an ‘Introduction to Cancer’ education and awareness day for Practice nurses. An overview of the patient cancer journey with a broader content involving the multidisciplinary team.

Cancer Care In Primary Care Many people in the community living with and beyond cancer The numbers will increase due to longevity of life and treatment options available Primary Care health care professionals best placed to discuss/communicate/ react We often see patients regularly and have relationships with them We are trusted professionals Brief Interventions Diet, Exercise, alcohol, smoking cessation advice

Keep register up to date WHAT WE CURRENTLY DO Monitor Other Long Term Conditions effectively Multi Skilled Keep register up to date We give advice on health lifestyles Promote Best Practice We give Prostap/Zoladex/Denosumab Good Communication Skills

WHAT ARE OUR CONCERNS Communication, how, when, what. Having to be an expert. Getting something wrong. Not knowing the answer to the question. Not having enough time. When the clinics will be. Who to ask. Clarity of instruction/format/questions

TODAY Anything new causes apprehension and concern throughout the day. We hope the UNIQUE role of the Practice Nurse within Cancer Care becomes clearer and less of an unknown. WE will work together with secondary care and the extended multidisciplinary team to achieve this. Today will be an overview of the patient journey. The exact format for the CANCER CARE REVIEW has not been finalised therefore, please use this as an opportunity to voice your thoughts.