Cancer Services Collaborative Chemotherapy Project

1. Cancer Services Collaborative Chemotherapy Project Marie Jean Hewison

2. Where did it start? • Cancer Standards • Peer review • Professionals • CSC via tumuor projects

3. Project Overview • All 34 networks given opportunity to bid early 2002 • 12 pilots each allocated 5K each • Geographically spread across the country • All set their own locally defined targets and measured themselves against these targets • These included: • Patient information • Centralisation of chemotherapy services • Nurse led pre assessment • Hand held records • Development of toxicity assessment tools/protocols

4. Common Themes • Scheduling • Access booking and choice • Waiting times • Patient issues • End of treatment • Out of hours support • Privacy during treatment • Delivery close to home • Capacity • Staff • Space

5. Possible Solutions • Role redesign • Chemotherapy co ordinator • Move out into primary care • Clinics/administration of chemotherapy • Outreach services • NHS Direct • Information • Out of hours • Development of protocols for nurse led services

6. Milestones • Engagement of Pharmacists • BOPA • Network Pharmacy forum • Appointment of Clinical Leads • Professor David Kerr • Professor Roger James • Service Improvement Guide/Good Practice Guide • Opportunity to work on Chemotherapy Standards • High Priority in Network Delivery Plans • 54 projects covering approx. 70 Trusts • Over arching National Strategy for Chemotherapy • Led by Dr Pat Blain Policy Team DOH

7. Three Key changes that make a difference • Protocols • Regimens • Nurse/pharmacy led services • Patient Group Directives • Care of patients/delivery in the most appropriate place ,by most appropriate staff • Scheduling • Geoff Hiscox 3 Counties network has written a “How t “ booklet

8. The Future • Horizon Scanning • Work with • the Networks teams • DOH • Cancer Action Team • Haematology • Clinical staff • Use Peer review • Explore possibilities in Primary Care • Keep all the strands together !!!!

9. Primary Care • Why is it important ? • Shared care • Lots of interest • Patients • GPS • Chemotherapy teams • Issues • Staffing • Medical Cover • Information • Education • Standards • Resourcing

10. And Finally---- • Experience to date has been of enthusiastic,committed and knowledgeable teams • Well done and keep it up!!!!

11. Future Events • Workshop early October • Network Pharmacists meeting early October • Nurse Consultant /Chemo Practitioner conference calls • Network Chemo Leads meeting September /October