1. Cancer Nurse Coordinator Initiative (CNCI)

2. CNCI - objectives
The objective of this service is to appoint nurses in cancer nurse coordinator roles that will:
improve the experience for patients, including their family and whānau, with cancer or suspected cancer
improve overall access and timeliness of access to diagnostic and treatment services for patients with cancer
9.4FTE across the region – minimum of 1FTE per DHB

3. CNCI - distribution

4. CNCI - developments to date
DHB Cancer Manager / DONs Steering Group
Positions appointed / orientated
Regional orientation forum – May
National CNC Forum – June
Learning needs matrix
Patient tracking tools

5. Hawkes Bay
Population of 156,500
890 cancer registrations per year

6. Activities We are heavily involved with: Data entry Data analysis
But we’re also fast becoming experts in:
Tracking
Liaising
Supporting

7. Challenges
1.5 FTE – 10 tumour streams
Data
What do we do with complaints? What about if the patient isn’t around to complain?
How do we maintain visibility to the organisation / sector? e.g. Consumer Council, Clinical Council, hospital staff, primary care, kaitakawaenga, ED, other CNS’s

8. Strengths Finding people
Having the data prove that the gaps are where we thought they were
Connecting people
Allied team members

9. CCDHB Current Activities
2.2 FTE : split into tumour streams : lung, colorectal, sarcoma
Attending MDM’s, establishment of a clinical lead
Patient pathway mapping 10 patients in each tumour stream
retrospectively
Report on gaps in service and how patients are travelling through what services, illustrated from mapping and in alignment with draft tumour standards
Developing relationships with key stakeholders
Regional and National involvement to support collaboration, consistency and using tools

10. Visibility, relationship building with CNC’s from other DHB
Developing clear clinical pathways where they don’t currently exist
Psychosocial needs assessment tool for early involvement it referring patient to appropriate services
Working on IT solutions for a patient tracking tool to anticipate and respond to impending delays
Introduction of service to concerned parties
Establishing service vision to fit with CCDHB service improvement directives and MoH patient involvement expectations

11. Key issues
Fitting FTE to capacity – equity, complexity (including co-morbidities)
Active patient tracking
Service improvement
Whole of system change

12. 2013/14 Activities
DHB’s ensure development plans in place for all CNCs
On-going fortnightly meetings to share information about service improvement activities and education opportunities
National CNC forum in June 2014
Regional CNC forum as appropriate to progress service development
CCN to work with CNCs t identify service access criteria and tools
CNCs provided with access to cultural supervision and support for Maori and other ethnic groups