1. National Cancer Patient Experience Survey 2014 Uro-onc Clinical Nurse Specialist Action Plan - Jan 2015 SSG meeting Feb 2015

2.  CNS now in clinic 5 days a week 8am till 6pm  Designated nurse to cover one stop clinics  Sub teams to work with named consultant teams  OPD clinic space review for further CNS room. Access to CNS

3.  Many patients given cancer diagnosis by CNS (to aim for all new patients)  All patients seen by CNS team given information, resources & signposting  Clinic letters to patients still to be improved (bring a friend)  Lack of information in other languages Diagnosis & Treatment Decisions

4.  Meet with CNS – discussion, assessment, information and signposting  Open access to CNS team  Survivorship events – LWD, Courses, Prehab  NGS Mac Well Being Centre  Health Needs Assessment & Treatment Summaries Support For People With Cancer

5.  Need to develop closer liaison with cancer trials team  Trails team nurses attend weekly MDT  BHOC - access to clinical trials Research and Trials

6.  Closer ward and AO liaison planned new staff i  Plan to attend more ward rounds and board rounds  Look at options for CERNER / Lorenzo to flag patients  Improve support for in patients from tertiary centres & BHOC In Patient Issues

7.  Improved support for patients – one stop access to CNS  Developing new ways of working  Ongoing & developing survivorship activities  Priority - agree pathways for follow up for all 5 cancer sites Summary