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Developing a NI Acute Oncology Service

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Developing a NI Acute Oncology Service Round Table Discussions Liz Henderson Advisor to Macmillan Cancer Support Discussion agenda Take note of your concerns and ... – PowerPoint PPT presentation

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Title: Developing a NI Acute Oncology Service


1
Developing a NI Acute Oncology Service
  • Round Table Discussions
  • Liz Henderson
  • Advisor to Macmillan Cancer Support

2
Discussion agenda
  • Take note of your concerns and claims about AOS
    in NI
  • Identify the key issues/questions that emerge
  • Briefly explore these
  • Prioritise what is required

3
Claims
  • What positive statements could you make about
    current acute oncology arrangements

2 minutes
4
Concerns
  • What concerns do you have about current
    arrangements for acute oncology

4 minutes
5
Summary
  • CLAIMS
  • CONCERNS
  • Patients are in the system and being managed
  • Regional input and improved NS management in AEs
  • Collaboration education in AE
  • Nurse led 24hr helpline standardised with UKONS
  • Unit/centre patient pathways for chemo
    complications
  • SHSCT AOS
  • Regional collaboration on MSCC
  • Funding approved for Oncologists to support AOS
  • Offer of funding from Macmillan for AOS nurses
  • Current system inadequate
  • no mechanism for CUP
  • no coordination for MSCC
  • palliative care pts admitted to assess, instead
    of assess to admit
  • no coordination between departments and oncology

  • Patient safety risk
  • Patient poor experience
  • AE already swamped and demand increasing
  • Gone as far as we can without additional resource
  • Changing context increasing risk of variation in
    standards
  • Lack of clarity around nursing role
  • Hub and spoke model means haematologists feel
    put upon
  • Commitment and availability of all oncologists


6
Issues emerging
  • An issue is a reasonable question raised through
    better understanding of claims and concerns

7
Questions
  • What are the essential ingredients of AOS?
  • What is stopping us from delivering an effective
    AOS across NI?
  • What would enable us to deliver an effective AOS
    across NI?
  • What are the key priorities to be addressed?
  • What can be done to address these, and by whom?

8
Common elements of all successful models
Brian Haylock, Clatterbridge
  • There are many individual models which can be
    successful in a variety of different settings but
    essential core components include
  • Good leadership
  • Representation from all interested parties
  • A good relationship between Medical and Clinical
    Oncology
  • Specialised advanced nurse role required in order
    to run a successful service

9
What are the essential ingredients?
  • Coordination communication
  • Cooperation commitment
  • WHAT MODELS?
  • AOS team with named lead and core membership
  • Assessment
  • Agreed pathways
  • Good IT links and flagging systems
  • Fast track clinics,
  • Referral protocols,
  • 24 hour triage line and on call consultant
    service,
  • Regular morbidity mortality meetings and
    prospective data collection

10
NI Model (s)?
  • Regionally commissioned model with local
    flexibility
  • Regional plan, recruitment, policies, pathways,
    standards of car e -NI Measures /
  • Service Specification
  • Team approach AOS Nurses AO Consultants (
    Units 5 day oncologist present)
  • Hospitals with AE but no cancer services
    access to AOS nurses as minimum
  • Importance of data collection/ management
  • IT enabled service / communication mechanism
  • Initial focus 5 unit/centre
  • Need continuity of care
  • Buy-in all parties
  • Involvement all stakeholders
  • Sustainability and resilience
  • Leadership present and visible in hospital
  • Multidisciplinary skills mix / advanced roles
    nurses
  • Good communication with primary consultant
  • Not 1 size fits all
  • Need be attractive posts

11
Questions
  • What are the essential ingredients of AOS to
    provide a safe and effective service?
  • What is stopping us from delivering an effective
    AOS across NI?
  • What would enable us to deliver an effective AOS
    across NI?
  • What are the key priorities to be addressed?
  • What can be done to address these, and by whom?

12
Questions
  • What are the essential ingredients of AOS to
    provide a safe and effective service?
  • What is stopping us from delivering an effective
    AOS across NI?
  • What would enable us to deliver an effective AOS
    across NI?
  • What are the key priorities to be addressed?
  • What can be done to address these, and by whom?

13
Questions
  • What are the essential ingredients of AOS?
  • What is stopping us from delivering an effective
    AOS across NI?
  • What would enable us to deliver an effective AOS
    across NI?
  • What are the key priorities to be addressed?
  • What can be done to address these, and by whom?

14
Questions
  • What are the essential ingredients of AOS?
  • What is stopping us from delivering an effective
    AOS across NI?
  • What would enable us to deliver an effective AOS
    across NI?
  • What are the key priorities to be addressed?
  • What can be done to address these, and by whom?
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