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Cancer Rehabilitation – Raising the Bar

Cancer Rehabilitation – Raising the Bar. L&SCCN May 2011. Introduction. The challenges of cancer rehabilitation The vision National Cancer Rehabilitation Advisory Board Care pathways Workforce model Education, training and workforce development New work. Is there a need for change?.

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Cancer Rehabilitation – Raising the Bar

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  1. Cancer Rehabilitation – Raising the Bar L&SCCN May 2011

  2. Introduction • The challenges of cancer rehabilitation • The vision • National Cancer Rehabilitation Advisory Board • Care pathways • Workforce model • Education, training and workforce development • New work

  3. Is there a need for change? • 2 million living with and beyond cancer in UK • 1.6 m completed therapy • Prevalence increases by 3.2% p.a. • 4 million in 20 years • 20 million (1:3) people are living with a long term condition

  4. Click to add title “Today, talking about cancer is no longer taboo and, thanks to brilliant research and amazing clinical advances, we are likely to know more people living with cancer than dying from it” Professor Steve Field, Chair RCGP (HSJ)

  5. The Challenges of Cancer Rehabilitation • Rehabilitation is not understood by many people especially in relation to cancer – patients, commissioners, GPs, other AHPs • Rehabilitation isn’t an integral part of cancer strategies • Cancer care pathways do not often explicitly reflect cancer rehabilitation as part of the process • There is currently not a strong evidence base for the effectiveness of rehabilitation interventions • Patients with complex treatments will require support from local teams. How do we train generalists? • Specialist rehabilitation v generalist rehabilitation? • Lack of robust data

  6. ........where is your evidence?

  7. The vision • An indication of the workforce needed to provide a service for patients with cancer • Rehabilitation integrated into Improving Outcomes Guidance • A description of what cancer rehabilitation has to offer and at what stage • Clarification and coordination of the evidence base – What’s is proven? What are the gaps? • A comprehensive ‘whole pathway’ A better patient experience

  8. 2006 - Where is your evidence? Evidence review Workshops Care Pathways Commissioning Guidance Workforce Model

  9. National Cancer Rehabilitation Advisory Board • Work commenced 2007 • Representation from across UK • Primary aim was to provide workforce data • Published: • Review of Evidence for cancer and palliative care rehabilitation • Care Pathways – 9 cancer site/10 symptom • Commissioning Guidelines • Workforce model

  10. NCRAB work streams • Application of Care Pathways • Engagement and ownership • Synergies of working • Research • Workforce, education, training and competencies • Commissioning

  11. Workforce, Education,Training & Competency • Actual specialist numbers v model indicative numbers • Current IOG descriptors • Fit with academic and competency frameworks, national occupational standards etc • Future developments & link with delivering the NHS workforce

  12. National Cancer Incidence Office for National Stats April 10 Statistical Bulletin 2008/09 Data

  13. Workforce Model Indicative National Requirement

  14. Indicative v commissioned workforce

  15. Workforce Tool Indicative Total Numbers All Levels v Actual Specialist Numbers (2009)

  16. 5 Objectives for Developing the NHS Workforce

  17. How secure is your service? • Is your service adaptable to changing needs? • Do you provide value for money? • How can you prove it?

  18. New work 2011-2012 • Three new care pathways – sarcoma, haematology & skin • Patient version of care pathways • New clinical version care pathways • Cost-effectiveness study • Metrics & sound bites

  19. Success • Rehabilitation is an integral part of the cancer strategy • Staff are delivering evidence based practice • More practice is evidenced • More focus on early rehabilitation intervention • Staff are appropriately trained and posts sustainable • Patient care is transferred well between acute and community

  20. Further Information www.ncat.nhs.uk/living with and beyond cancer/rehabilitation Site specific and symptom pathways Commissioning Guidance Evidence Review NCRAB Strategic Plan Service Mapping Workforce model email: jackie.turnpenney@ncat.nhs.uk

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