1. South East of Scotland Cancer Transforming Care After Treatment Sandra Bagnall SCAN Patient Involvement Manager and TCAT Project Manager

2. Transforming Care After Treatment (TCAT) National programme funded by Macmillan - £5 million over 5 years Aim is to support initiatives that redesign the care of patients following active treatment of cancer Consider the physical, emotional and financial consequences of cancer treatment Enable people to play a more active role in managing their own care, where appropriate Focus on partnership working – improve integration between different service providers and provide more care locally

3. The overall aim of the programme is to ensure that people affected by cancer in Scotland, are prepared and supported to live with the consequences of the diagnosis and its treatment.

4. Driven through the Cancer Networks > Regional TCAT Clinical Leads > Regional TCAT Project Managers 3 Phases of Projects > Phase 1 – Secondary Care Led > Phase 2 – Local Authority and Primary Care Led Required Criteria > Clear description of gap in service provision and how proposed changes will impact. > Demonstrable Partnership Involvement > Plans to implement at least one aspect of the recovery package. > Evaluation intentions TCAT Cancer Experience Panel Evaluation of Programme – Edinburgh Napier University

5. SCAN NHS Borders Integrated pathway for all cancers NHS D&G Redesign FU for Breast NHS Fife Pall Care for Lung Supported self mgt for Melanoma NHS Lothian Recovery based approach to Lung, Rectal, Breast, Gynae and Prostate WOSCAN NHS A&A Redesign of care for Breast NHS FV Redesign FU for Prostate NHS L’shire Evaluate EoT summaries and PROMs e health NHS GG&C Supporting self management / effective transistions NOSCAN NHS Tayside & NE Fife Supported self management for Pelvic and H&N NHS Highland My Cancer Portal

6. NHS Lothian- Recovery Clinics Aim: To offer timely specialist support for incontinence and erectile dysfunction to men following surgery. Service: Clinics led by Alan McNeil and Prasad Bollina Alan-12 slots every 3rd Thursday. Prasad- 6 to 8 slots monthly Friday Men reviewed 8-12 weeks post-op Specialist input and support from Karen Edwards (Physio) and Alasdair Innes (Nurse) at same appointment Holistic Needs Assessment (HNA) to identify need and guide support

7. Initial Impressions: A welcome addition Patient feedback positive Feels better to be able to offer men the support they need at the first follow- up appointment As a result of the clinic and specialist input, we hope that no-one feels unsupported through this process

8. Any Questions?