1. Metastatic Spinal Cord Compression Project
Clodagh O'Brien
Regional Macmillan MSCC Project Manager

2. Starting point
Progress to date
Future

3. Starting Point
Guidance – NICE guidance MSCC and AOS peer review measures
Regional Steering Group
A lot of good will

4. Variable Standard Audit result 2011
Commence definitive treatment within 24 hours
100%
64.2%
Emergency RT for appropriate patients within 24 hours
72.7%
Post-operative RT for appropriate patients
Appropriate documentation of mobility/stability ?
Prescription of thromboprophylaxis

5. Progress to date Referral Pathways Treatment pathways
Spinal surgery rota
Improved MRI access
Patient information
Rehab guidance

7. Impact of progress Variable Standard Audit result 2011 Audit result
2013
Commence definitive treatment within 24 hours
100%
64.2%
80%
Emergency RT for appropriate patients within 24 hours
72.7%
91%
Post-operative RT for appropriate patients
Appropriate documentation of mobility/stability ?
60%
Prescription of thromboprophylaxis
96%

8. Impact of Progress Mobility -able to walk unaided at diagnosis
CRAG (2001) 18%
SCAN – (2012) 25%
Northern Ireland (2013) 38%

9. Future Health professional education MSCC co-ordinator role essential
Who do I phone when I have a patient with suspect MSCC?
How do I get an MRI?
MSCC co-ordinator role essential
Educate
Triage
Audit

10. Key messages Positive developments to date Work still needs to be done
To progress MSCC co-ordinators are needed