Cancer Survivorship: Transforming how we deliver cancer care Catherine Neck Macmillan Cancer Rehabilitation/ Recovery Package Project Lead

My Role Funded by Macmillan to assist clinical teams to process map and redesign pathways of care across ASW region Involves the introduction of the ‘Recovery Package’ into the pathway Supports teams to adjust to new ways of working that are better for the patient and result in increased clinical capacity Reduces unnecessary waste in the system

Cancer Pathway Redesign Most cancer patients are followed up for years post treatment Most recurrences are detected outside of follow- up clinics If we redesign the pathways we can improve patient experience, allow patients to play an active role in their care and improve clinic capacity Improved clinic capacity allows more time to see NP’s and provide appropriate support for complex patients

The Recovery Package

Stratification of patients for follow-up Holistic Needs Assessments Health & Wellbeing advice Treatment summaries Remote Surveillance Cancer Care reviews

Improve Information and Support at the outset Prehabilitation – encourage patients to take an active role in improving their outcomes at the start Provide a clear pathway of care from the outset. Manage patient expectations Provide early health & wellbeing advice around consequences of treatment, physical activity, nutrition, work & finance support, emotional support

End of Treatment Holistic Needs Assessment including Care Plan Provide clear and comprehensive information to the patient and GP – Treatment Summary Support the patient to self-manage by being able to identify signs and symptoms of recurrence and providing timely open access support Identify and act on early negative consequences of treatment/ late effects

NBT BCC Pathway Issues: Long NP waiting times for diagnosis High proportion of benign lesions operated on (approx 35%) New pathway: Accurate diagnosis in skin clinic Pt informed of likely BCC surgery invite to Education Event D/C to open access Saved over 400 O/P appointments between Jan & Sept 14 High patient satisfaction with new system Not all consultants using pathway yet therefore scope for further capacity improvements

Contact Details If you and your team want support to process map and look at pathway redesign please contact me on: Phone: