Update Plans restarted as NHS England offering 2 years of funding having been on hold in COVID Background Early supportive care elsewhere increases completed oncology therapy reduces admissions and length of stay and improves symptom control and advance care planning ID: 1040309
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1. Enhanced Supportive Care 2022 UHBW/BNSSGUpdate: Plans restarted as NHS England offering 2 years of funding (having been on hold in COVID)Background: Early supportive care elsewhere increases completed oncology therapy, reduces admissions and length of stay and improves symptom control and advance care planningCurrent stage: initial meetings to confirm finance, staffing proposal, key performance indicators, governance etc for a new multi-disciplinary service (for patients with GP in BNSSG:UHBW/NBT)Proposed Scope For patients diagnosed with incurable cancer Candidate for disease targeted therapy (e.g. Systemic Anti-cancer therapy (SACT))Identified at the weekly MDT for referral to new servicePilot phaseInitially for patients with Hepatobiliary (HPB) malignancy (pancreatic, liver, bile duct cancer) Aim to expand to patients with upper gastrointestinal malignancy (oesophageal, stomach, small bowel cancer) after the first three months. In the future, other cancer sites (lung and others) hope to also be included within the service.Model of care if no targeted therapy/best supportive careReferral to palliative care : inpatient or outpatient palliative care or community hospice palliative care as appropriate. Next steps: recruitment of staff, business intelligence mapping, steering group, patient pathways