Cancer Nurse Coordinator Initiative (CNCI)

CNCI - objectives The objective of this service is to appoint nurses in cancer nurse coordinator roles that will: improve the experience for patients, including their family and whānau, with cancer or suspected cancer improve overall access and timeliness of access to diagnostic and treatment services for patients with cancer 9.4FTE across the region – minimum of 1FTE per DHB

CNCI - distribution

CNCI - developments to date DHB Cancer Manager / DONs Steering Group Positions appointed / orientated Regional orientation forum – May National CNC Forum – June Learning needs matrix Patient tracking tools

Hawkes Bay Population of 156,500 890 cancer registrations per year

Activities We are heavily involved with: Data entry Data analysis But we’re also fast becoming experts in: Tracking Liaising Supporting

Challenges 1.5 FTE – 10 tumour streams Data What do we do with complaints? What about if the patient isn’t around to complain? How do we maintain visibility to the organisation / sector? e.g. Consumer Council, Clinical Council, hospital staff, primary care, kaitakawaenga, ED, other CNS’s

Strengths Finding people Having the data prove that the gaps are where we thought they were Connecting people Allied team members

CCDHB Current Activities 2.2 FTE : split into tumour streams : lung, colorectal, sarcoma Attending MDM’s, establishment of a clinical lead Patient pathway mapping 10 patients in each tumour stream retrospectively Report on gaps in service and how patients are travelling through what services, illustrated from mapping and in alignment with draft tumour standards Developing relationships with key stakeholders Regional and National involvement to support collaboration, consistency and using tools

Visibility, relationship building with CNC’s from other DHB Developing clear clinical pathways where they don’t currently exist Psychosocial needs assessment tool for early involvement it referring patient to appropriate services Working on IT solutions for a patient tracking tool to anticipate and respond to impending delays Introduction of service to concerned parties Establishing service vision to fit with CCDHB service improvement directives and MoH patient involvement expectations

Key issues Fitting FTE to capacity – equity, complexity (including co-morbidities) Active patient tracking Service improvement Whole of system change

2013/14 Activities DHB’s ensure development plans in place for all CNCs On-going fortnightly meetings to share information about service improvement activities and education opportunities National CNC forum in June 2014 Regional CNC forum as appropriate to progress service development CCN to work with CNCs t identify service access criteria and tools CNCs provided with access to cultural supervision and support for Maori and other ethnic groups