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

2. Pancreatic Cancer and Rehabilitation
Dietetic representation at SMDT
Incidence of nutritional related management issues
Fatigue
Mobilisation
Activities of daily living
Anticipatory nature of cancer rehabilitation

3. Issues and Initiatives in Rehabilitation
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.

4. Workforce Mapping

5. Workforce Mapping cont..

6. Workforce Mapping cont..

7. 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
Setting - 53% Acute figures indicate slightly higher then national average cancer rehab services in community
Care closer to home?

8. Workforce Modelling – Pancreas ANG CN Incidence 2004-8 = 343 (Ecric)

9. Rehabilitation Triggers

10. Rehabilitation Triggers ..
Dietietics – Weight loss, appetite, nausea, fatigue, cachexia
Physiotherapy – Difficulties with function, mobilisation, chest clearance, fatigue, exercise advice and information.
OT – Difficulties with ADL, leisure and work, functional assessment, equipment needs, energy, discomfort in seating, anxiety/stress

11. Barriers AHP attendance at MDT/clinics
Awareness of rehabilitation needs
Co-ordination of rehabilitation needs
Lack of resources
Not just palliative.

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