1. Colorectal Cancer and Rehabilitation
Report to Colorectal NSSG
Sally Donaghey
Macmillan AHP Lead, Ang CN

2. Issues and Initiatives
Cancer rehabilitation nationally is poorly developed, evidenced and under recognised/utilised.
Publication of National Cancer Rehabilitation pathways and evidence guide.
Development of tumour specific local rehabilitation pathways
Need for pathways to be integrated into main care pathway and practice.

3. Workforce Mapping

4. Workforce Mapping cont..

5. Workforce Mapping cont..

6. Findings
Relatively low numbers of AHP’s for population against national average
Unmet need or
Need provided by generalist workforce?
Variablity in specialist service provision between localities
Consider referral pathways
51%:49% Acute: Non-Acute setting figures indicate slightly higher then national average cancer rehab services in community
Care closer to home?

7. Workforce Modelling – Colorectal ANG CN Incidence 2008 = 2052

8. Rehabilitation Triggers

9. Rehabilitation Triggers ..
Physiotherapy – Difficulties with function, movement and symptom control
OT – Difficulties with ADL, leisure and work
Dietietics – Nutrition, weight loss/gain, anxiety, nausea, diarrhoea
SLT - (Risk of) Impaired speech, language, voice, swallowing
Lymphoedema – Nodal excision/ radiotherapy, oedema

10. Barriers Do AHP’s attend MDT/colorectal clinics?
Better links with CNS’s
Awareness of rehabilitation needs
Lack of resources

11. What Can the NSSG Do? NSSG Workplan
Colorectal Care pathway – specific reference to rehab
Locality/clinician engagement
Audit of referrals/interventions/patient surveys

12. Useful Links
National Colorectal Rehabilitation Pathway:
Local Colorectal Rehabilitation Pathway:
NCAT. Supporting and Improving Commissioning of Cancer Rehabilitation Services Guidelines:
NCAT. Cancer Rehabilitation Services Evidence Review: