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Evaluation of the oncology physiotherapy service

Evaluation of the oncology physiotherapy service. In part fulfilment of the BTEC level 3 certificate in management. Introduction. World Health Organisation (WHO) 1987 Calman Hine Report (DOH) 1995 NHS Cancer Plan (DOH) 2000 Supportive and Palliative care guideline (NICE) 2004. Background.

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Evaluation of the oncology physiotherapy service

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

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

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

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

  5. 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 Author: Caroline Belchamber: April 2006

  6. 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 Author: Caroline Belchamber: April 2006

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

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

  9. 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 Author: Caroline Belchamber: April 2006

  10. 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 Author: Caroline Belchamber: April 2006

  11. 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) Author: Caroline Belchamber: April 2006

  12. 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 Author: Caroline Belchamber: April 2006

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