Overview of Test Communities (PowerPoint)

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					Overview of Test Communities

         Gilmour Frew
            Director:
      Cancer Improvement
       NHS Improvement
                 Summary
• 18 Test communities (16 in England and 2 in
  Wales) looking across one or more workgroups
• 14 communities will be involved with care and
  support immediately following treatment
• 12 communities will be involved in care and
  support for active, progressive and recurrent
  disease
• 9 communities will be involved with care and
  support for late effects of treatment
       Immediate post treatment (1)
• Luton PCT and Borough: looking to develop and
  deliver patient led care within community setting
  that compliments and reflects other long term
  conditions (urology, prostate and skin cancers)
• GCC UCLH: testing whether prophylactic or
  early intervention improves physical,
  psychological and/or social well being
  (gynaecological cancers)
      Immediate post treatment (2)
• UCLH: test use of software to tailor follow-up,
  monitoring investigations and management of
  specific patient needs (testicular and prostate
  cancers)
• Pan Birmingham: integrated health and social
  care support exploring the needs of low, medium
  and high risk patients (breast)
      Immediate post treatment (3)
• NHS South of Tyne and Wear: community based
  follow up and management, health/lifestyle
  coaching using cognitive approach (breast,
  urology)
• Royal Free and Marie Curie Hospice
  Hampstead: adapt/expand current holistic
  rehabilitation model to earlier in post treatment
  pathway and test if can be replicated to other
  hospice settings (breast, haematology)
       Active progressive, recurrent
                disease(1)
• South West London: integrated supportive care
  and survivorship pathway delivery for patients
  and families (lung, brain/CNS)
• Three Counties: user led integrated health and
  social care survivorship programme using
  peripatetic local based delivery (lung, sarcoma,
  head and neck)
       Active progressive, recurrent
                disease(2)
• South East Wales: new approach to care for
  patients receiving Herceptin to include wider
  social supportive care within pathway (breast)
• Royal Free and Marie Curie Hospice
  Hampstead: adapt/expand current holistic
  rehabilitation model to earlier in post treatment
  pathway and test if can be replicated to other
  hospice settings (breast, haematology)
       Management of Late Effects
• Christie: test a 3 tier management and support
  algorithm, improve understanding and
  awareness of late effects to enable identification
  and assessment of those who develop problems
  (colorectal, prostate, bladder and gynaecology)
 Cutting across the 3 workstreams (1)
• Mount Vernon Cancer Network: developing tools
  to increase patient and carer awareness of
  advanced disease complications and support
  services available to them (head and neck,
  colorectal, prostate)
• East Kent: develop supportive care framework
  that is flexible to meet the needs of local health
  communities (breast, lymphoma)
 Cutting across the 3 workstreams (2)
• Medway: implementation of step down service to
  support patients including links to healthy
  living/wellbeing programmes (breast, urology,
  haem-oncology, lung)
• Bournemouth: multi professional and
  organisational/agency pre-rehabilitation,
  rehabilitation and well being post treatment
  programme (breast, colorectal, melanoma)
 Cutting across the 3 workstreams (3)
• Sheffield health and social care community:
  consolidate and coordinate existing services and
  develop a users manual to support
  implementation of SPARC (breast, prostate,
  acute leukaemia, lymphoma)
• Christie: development of treatment summary and
  individualised follow up plan (lymphoma)
 Cutting across the 3 workstreams (4)
• Liverpool and Broadgreen: develop effective self
  coping/management strategies to emotional
  reaction to disease (breast)

• South East Wales: breathlessness programme
  to support self management and keeping well
  (lung and others experiencing breathlessness)

				
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posted:4/21/2011
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