1. Author: Caroline Belchamber: April 2006 Evaluation of the oncology physiotherapy service In part fulfilment of the BTEC level 3 certificate in management

2. Author: Caroline Belchamber: April 2006 Introduction World Health Organisation (WHO) 1987 Calman Hine Report (DOH) 1995 NHS Cancer Plan (DOH) 2000 Supportive and Palliative care guideline (NICE) 2004

3. Author: Caroline Belchamber: April 2006 Background In-patient ward (41 beds) Dedicated oncology physiotherapy post 2003 Macmillan physiotherapy post 2005

4. Author: Caroline Belchamber: April 2006 Current oncology physiotherapy service Implementation of rehabilitation onto the wards Number of oncology patients referred exceeds physiotherapy time available Other areas of work Macmillan objectives

5. Author: Caroline Belchamber: April 2006 Aim To evaluate the number of oncology patients currently being referred and treated against the number of hours of current dedicated physiotherapy in-put available on the oncology in-patient wards

6. Author: Caroline Belchamber: April 2006 Objectives To investigate whether the prioritisation standards are being met To investigate whether referrals are being seen within the standard of two working days To investigate whether there are still gaps in the oncology service provision and what is required to meet these gaps

7. Author: Caroline Belchamber: April 2006 Literature review Models of palliative care and curative care Evidence that people with cancer would benefit from rehabilitation Financial burdens Operational problems Knowledge base

8. Author: Caroline Belchamber: April 2006 Method Data collection Coding system Excel spreadsheet Colour coding Macro Verification Standards Charts

9. Author: Caroline Belchamber: April 2006 Findings Total number of patients peaked in Mid December 2005 and January 2006 Number of hours of treatment time peaked at nine and a half ‘ Deficiencies ’ rose dramatically with reduced physiotherapy service

10. Author: Caroline Belchamber: April 2006 Results ‘Deficiencies’ correlate with patient total Prioritisation standards not met Frequency of three ‘deficiencies’ daily Referral standards being met Gaps in oncology physiotherapy service delivery remain

11. Author: Caroline Belchamber: April 2006 Discussion Different underpinning philosophies of MDT Rehabilitation vision Effective interagency working Patient-centred goal setting Appropriate funding Lack of support at strategic level Dorset cancer network rehabilitation plan (2005)

12. Author: Caroline Belchamber: April 2006 Conclusion Increased level of rehabilitation Provision of a more comprehensive and streamlined rehabilitation programme for SCC patients Development of the oncology physiotherapy service Provision of education on oncology rehabilitation Opportunity to assess community services Opportunity to attend the Dorset cancer network AHP rehabilitation sub-group meeting