1. Cancer Nurse Coordinator Taranaki District Health Board

2. About us Taranaki’s population is over 104, 000. Wide geographical area We have an aging population. TDHB is a secondary level DHB. We are a part of the Midlands region, with the exception of our Cancer services.

3. Cancer Care in Taranaki Oncology Outpatients Department. 1 full time MOSS 2.4 FTE Nursing staff 0.5 FTE Breast CNS Visiting Palmerston North Oncologists

4. Local Gaps and Issues Gap in support/service from first diagnosis to first oncology appointment. Lack of coordination, education and support. Disparities in care Lack of coordination of investigations and appointments Lack of clarity around procedural processes following diagnosis

5. Identifying the gaps Patient and staff feedback Cancer service mapping for the Taranaki region- A consultation report ( 2007) Consumer feedback at the LCN Comparison- Value stream mapping of breast cancer patient pathway and other cancer diagnosis

6. Regional Gaps Identifying key contacts Delay in response to enquires Communication is challenging

7. Care Coordination- Local To provide seamless, patient centred care. Improving support and provision of information resources Enhancing collaboration amongst health professionals Liaison with the FCT coordinator Key contact

8. Faster Cancer Treatment 1.Consultants review each referral. 2.When there is a high suspicion of cancer they will stamp the referral with the “FCT” stamp 3.The referrals that are stamped 'FCT' are then to be emailed to FasterCancerTreatment@tdhb.org.nz. FasterCancerTreatment@tdhb.org.nz 4.The Cancer Coordinator will have access to these referrals and will then be in a position to coordinate the care that patients receive.

9. Cancer Coordination- Regional Regional consistency with the job description Local cancer coordinator roles with robust regional links. Regional cancer coordinator network/support group Regional approach to professional development opportunities.