1. Cancer Services Collaborative Chemotherapy Project Marie Jean Hewison

2. Where did it start? Cancer Standards Peer review Professionals CSC via tumuor projects

3. Project Overview All 34 networks given opportunity to bid early 2002 12 pilots each allocated 5K each Geographically spread across the country All set their own locally defined targets and measured themselves against these targets These included: –Patient information –Centralisation of chemotherapy services –Nurse led pre assessment –Hand held records –Development of toxicity assessment tools/protocols

4. Common Themes Scheduling Access booking and choice Waiting times –Patient issues –End of treatment –Out of hours support –Privacy during treatment –Delivery close to home Capacity –Staff –Space

5. Possible Solutions Role redesign –Chemotherapy co ordinator Move out into primary care –Clinics/administration of chemotherapy –Outreach services NHS Direct –Information –Out of hours –Development of protocols for nurse led services

6. Milestones Engagement of Pharmacists –BOPA –Network Pharmacy forum Appointment of Clinical Leads –Professor David Kerr –Professor Roger James Service Improvement Guide/Good Practice Guide Opportunity to work on Chemotherapy Standards High Priority in Network Delivery Plans –54 projects covering approx. 70 Trusts Over arching National Strategy for Chemotherapy –Led by Dr Pat Blain Policy Team DOH

7. Three Key changes that make a difference Protocols –Regimens –Nurse/pharmacy led services –Patient Group Directives Care of patients/delivery in the most appropriate place,by most appropriate staff Scheduling –Geoff Hiscox 3 Counties network has written a “How t “ booklet

8. The Future Horizon Scanning Work with –the Networks teams –DOH –Cancer Action Team –Haematology –Clinical staff Use Peer review Explore possibilities in Primary Care Keep all the strands together !!!!

9. Primary Care Why is it important ? –Shared care –Lots of interest –Patients –GPS –Chemotherapy teams Issues –Staffing –Medical Cover –Information –Education –Standards –Resourcing

10. And Finally---- Experience to date has been of enthusiastic,committed and knowledgeable teams Well done and keep it up!!!!

11. Future Events Workshop early October Network Pharmacists meeting early October Nurse Consultant /Chemo Practitioner conference calls Network Chemo Leads meeting September /October