Stratified Follow-Up Pathways & Living With & Beyond Cancer Catherine Neck Macmillan Cancer Rehabilitation/ Recovery Package Project Lead 12th September 2017

Recovery Package & Stratified Pathway Recommendations: ‘Cancer Taskforce is working with Macmillan to roll out the ‘Recovery Package’… a set of actions that ensure the individual needs of all people going through cancer treatment are met by tailored support and services’ ‘We know that risk stratified pathways …..can not only improve care for patients after treatment, but create more efficient pathways that can reduce unnecessary hospital appointments’

By March 2017, NHS England, through Cancer Alliances, will drive the spread of risk-stratified pathways, including supported self-management, for breast cancer, including assessing the role of commissioning incentives to encourage implementation In subsequent years we will focus energy of rolling out this approach to other cancer sites

SWAG Cancer Alliance Living With & Beyond Cancer (LWBC) working group Aiming to deliver Taskforce recommendations on a local level Sub-groups focussing on content and quality of Recovery Package delivery across Alliance (HNA, TS and H&WB events) Stratified Pathway review – aim to standardise approaches to follow-up across the Alliance

Review of Current Pathways Call for examples of current pathways including evidence of any stratification across both SWAG and Peninsula Cancer Alliances Review of pathways to improve follow-up care for patients – implementation of the Recovery Package New ways of working especially for low risk, stable disease patients Free up outpatient capacity for NP/ complex patients

Head & Neck Pathways Thyroid cancer pathways – review of previous work Identify other groups of patients where follow-up changes are possible Use of surveillance testing Nurse-led, telephone follow-up, supported self-management with Recovery Package implementation

Treatment Summary Templates Focus group working to produce best practice TS templates for each cancer site Macmillan GP part of group reviewing content Will help teams get started with TS Will help with quality surveillance Standardise information given to GP’s i.e. treatment effects; alert symptoms; GP actions; secondary care management

Request? Clinical expertise to help to develop follow-up stratified pathways and to work on developing Treatment Summary templates AIM: To develop SWAG Head & Neck stratified follow-up pathway guidelines which incorporates how the Recovery Package works in practice