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 The recovery package consists of 4 key elements:
Holistic Needs Assessment
Treatment Summary to patient AND a GP / Cancer Care Review by GPs
An education event such as Health and Wellbeing event that includes physical activity and lifestyle information

5. The Recovery Package 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. Contact Details
If you and your team want support to process map and look at pathway redesign please contact me on: Phone: