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

2. 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

3. 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

4. The Recovery Package

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

6. 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

7. 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

8. UHB Gynae-Oncology Introduction of the Recovery Package - Health & Wellbeing events - eHNA - Treatment Summaries Mapping of ovarian pathway Introduction of ‘Prehab’ to ovarian patients Gynae pathway changes proposed

10. UHB Gynae-Oncology The FACT data sets thresholds for clinicians Initially this will be introduced alongside current follow-up The questionnaire responses will hopefully be used to move towards reduced face to face follow-up and increased use of telephone contact

11. Any Questions??? Contact Details: Email: Catherine.neck@nbt.nhs.ukCatherine.neck@nbt.nhs.uk Phone:07730 286356