1. Our Service in 10 Mins Claire Ikwan-McCabe Acute Oncology Nurse Friday, 19th April 2013

2. Introduction New to post - Jan 2013 Back up to full complement with two full-time oncology nurses covering 2 acute sites. Acute Oncology Lead Clinician within the trust with access to daily visiting Consultant Oncologists.

3. NEUTROPENIC SEPSIS Audit ongoing - Current audit cycle due to close end of this month and we await the report from which an ongoing action plan will be developed. Most recent audit showing a continued improvement with 59% of patients treated within 60 minutes door to needle. Ongoing challenges: Continuing education (Patients, Staff - Medics/Nursing re: Neutropenic patients). Readdress local policy (Awaiting approval) Introducing PGD’s (Awaiting approval) Re Audit (6 monthly)

4. Metastatic Spinal Cord Compression MSCC Ongoing development of local management guidelines (Draft 3). MSCC leaflet finally received local approval for use this week. MSCC Audit Completed: data has been collected (the time period audited: 1st February 2012 – 31st December 2012) currently in the process of drafting a comparison of cycle 1 and 2 results, this should show any improvements or deterioration to practice. Will be presented at medical clinical learning event and provide the basis of an action plan moving forward.

5. Cancer of Unknown Primary CUP Local CUP MDT to commence 30/04/13. Incorporated within upper GI MDT (6 month trial). Ongoing development of referral guidelines.

6. Education Reviewing, updating and disseminating guidelines across both sites utilising Share Point as a central point of access for all. Ongoing focus on developing local guidelines: Neutropenic sepsis (Reviewing & Updating) MSCC (Management Guidelines Draft 3 ongoing) CUP (Referral Guidelines) Training ongoing but aim to focus on MSCC guidelines (once approved) and CUP referral guidelines over next 6 months.

7. Peer Review Positive feedback for trust. Work in progress generally with the focus on achieving CUP measures.

8. ANY QUESTIONS?