CHEMOTHERAPY PROJECT

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CHEMOTHERAPY PROJECT

• EXPECTED OUTCOMES
• Completed Mapping Process
• Completed Capacity and Demand
• Redesign

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CHEMOTHERAPY PROJECT TEAM

• Dr Gallagher
• Claire Murrell
• Kate Marshall
• Janet Smith
• Mary Maclean

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PATIENTS LIKELY TO BENEFIT

• Barts has a large chemotherapy unit treating
  patients referred directly as well as tertiary
  referrals from Homerton and other Trusts both
  inside and outside of the Network. There is a
  unit seeing around 350 patients a week and 4
  other wards dedicated to inpatient Oncology care.

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How it all started!

• Patient Journey Mapping Exercise
• Patient Group Discussion
• Patient Questionnaire
• Data Collection
• Outside Input

PATIENT EXPERIENCE
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Colorectal Mapping Exercise
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Colorectal Mapping Exercise
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Patient Experience
Group Discussion 5 colorectal
patients Wonderful staff! All received useful
written information Excellent CNS but
communication gap Good symptom control Waiting
for 1st chemo treatment not too long Overall
waiting on the day much too long Poor
environment Staff too busy Difficult line
removals Unnecessarily frequent medical
consultations
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Patient Experience

• Questionnaire 24 colorectal patients
• Newham patients treated sooner and did not wait
  on day of treatment
• Not all received written information
• Poor conditions for patients and staff on Paget
  and GHF ward
• Overall positive encouraging comments

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Data Collection
8 Week period Time Motion nurses doctors
Medical consultation time 17 mins (Range from 4
29 mins) Nurse assessment time 20 mins
Demand bookings cancellations 885 visits
368 patients 113 bookings weekly 10.5
cancellations Capacity hours kit Maximum
6 nurses, often only 4. One medical
oncologist. Shared kit. Activity timings
FBC 80 mins UE 100 mins (Urgent) Chemo prep 60
mins Backlog 4 Weekly
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SAFER ENVIRONMENT
REDUCED OVERCROWDING
FLEXIBILITY
SCHEDULE
IMPROVED PATIENT EXPERIENCE
EFFICIENT USE OF TIME
PATIENT CHOICE
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CHEMOTHERAPY BID

• DID WE MEET OUR EXPECTED OUTCOMES?
• Completed Mapping Process?
• Completed Capacity and Demand?
• Redesign?