Sarita Yaganti Project Lead Service Improvement Cancer Commissioning Team West and South London Cancer Commissioning Team West amp South London 20 CCGs 17 Trusts 5 million people ONS ID: 134998
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Primary Care led and delivered follow-up of prostate cancer patients: the model for the future
Sarita YagantiProject LeadService ImprovementCancer Commissioning Team West and South LondonSlide2
Cancer Commissioning Team: West & South London
20 CCGs 17 Trusts 5 million people (ONS) 3 ex-Cancer Networks 2 CCT patient groups 2 CSUs
1 Integrated Cancer System (the London Cancer Alliance)Slide3
The London cancer landscape
Reconfiguration of Cancer Networks and Pan London Teams – 5 became 3 and soon 3 will become 12 Integrated Cancer Systems (provider) - London Cancer (North and North Central London) - London Cancer Alliance (North West and South London) - pathway groups (one for each tumour site)5 year cancer strategy for London being developedPan London Living with and Beyond Cancer work stream in placeSlide4
What we know about current follow-up
Variation: in follow up protocols across the geographyin the content of the follow-up consultationinformation give to patientpatients expectation and understanding of treatmentWillingness of patients to have follow up but want a “cancer specialist” in primary care CCGs Care Closer to Home agenda highlights the potential for delivering primary care-led and delivered follow-up systemsSlide5
Our ambition for follow-up
No “one-size fits all” follow-up pathway Ensure patient choice can be exercised and patient experience is enhanced Through training and education, we can assist primary and community teams to position themselves to provide care closer to homeQuality standards for follow up pathways are to be reflected in future commissioning arrangementsTo continue to work collaboratively with patients, health professionals, cancer charities to benefit the ongoing development and improvement in follow-up cancer careSlide6
Our aim for this project
...is to examine the evidence to discover and agree the best practice follow up of suitable men living with and beyond prostate cancer in primary care and to recommend commissioning options for service delivery models.Slide7
Project objectives – the why
To provide patients living with prostate cancer a safe, comprehensive follow-up service delivered by primary careEnsure care is tailored to patient's holistic needs (namely psycho/sexual/social) and access to support services is available and equitableEmploy 2 Band 8a Nurses to:To identify what is needed to provide an appropriately skilled primary care workforce to deliver this model To enable practice nurses to support patients living with and beyond a prostate cancer Testing and evaluating a model of careSlide8
The Process – the how
Supported by the CCT, two Band 8a nurses to take the project forward (recruitment in process)Slide9
Key deliverables – the what
Clearly defined, costed follow up model for the target patient group Establish data metrics for auditingClarify the infrastructure required in primary care to deliver the pathwaySet up/improve rapid access referral back into secondary careTo provide a locally accessible service for patients and ensure choice of follow up is given as standardSlide10
Challenges
Recruitment – second time round New world of CSUs = exciting, hair raising twists and turns at each corner! Things that we took for granted i.e. employing clinical staff for clinical rolesData, data, data :Identifying data sources e.g. primary care v secondary care dataCoding – what coding?Being very clear on what data you want need. Slide11
The future
Developing ways of providing patient access to specialist clinical support within primary careEstablished “key worker” policies for follow-up patientsClear understanding of costs of different follow up pathwaysPeripatetic workforce – promoting shared resources between practicesContinue to evaluate services by using consulting with those that are a part of the service – patients/providers/professionsWork with patients on what will enable them to be open and honest about how the emotive side to cancer effects them so that holistic needs can be metLearn from each other.....so.....Slide12
Let’s talk...
Sarita Yaganti: Project Lead, CCT North West & South London sarita.yaganti@nwlcsu.nhs.ukBarbara Gallagher: User Involvement Lead, CCT West & South Londonb.gallagher@nhs.net
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