1. Trust Board Reports Lynne Whiteside Southern HSC Trust Band 8a Clinical Lymphoedema Lead

2. Recruitment HSC TrustBand 8a Trust Clinical Lead Band 7 Specialist Practitioner Band 3 Therapy Assistant Belfast  Northern (maternity covered) (appointed) South Eastern (appointed)  Southern Awaiting outcome of business case Western  (awaiting review) 

3. Financial Status Each Trust has contributed to the Network costsEach Trust has contributed to the Network costs Further request for investment from Trusts to develop a Regional minimum data setFurther request for investment from Trusts to develop a Regional minimum data set Each Trust has potential under spend as result of delayed recruitmentEach Trust has potential under spend as result of delayed recruitment

4. Waiting List HSC TrustWaiting list status BelfastAll under 13 weeks, 37 on list NorthernLongest wait 11 weeks, 23 on list South Eastern11 on list SouthernLongest wait 9 weeks, 15 on list WesternNot known

5. Areas For Concern-all Trusts Recruitment and retentionRecruitment and retention Standardising referral procedures and data collection from legacy TrustsStandardising referral procedures and data collection from legacy Trusts Increasing demands and complexity of patientsIncreasing demands and complexity of patients Increasing prevalence rates which decreases the capacity for new patients to enter service, also reduces time available for treatmentIncreasing prevalence rates which decreases the capacity for new patients to enter service, also reduces time available for treatment Very small no. of staff, therefore any annual, sick, study or maternity leave will have a huge impact on delivery of serviceVery small no. of staff, therefore any annual, sick, study or maternity leave will have a huge impact on delivery of service Succession planning-lack of time, funding and development opportunitiesSuccession planning-lack of time, funding and development opportunities

6. Others Concerns South Eastern, Southern trusts have no designated clinical space to practise. Northern has an agreement for space but no time limit on it.South Eastern, Southern trusts have no designated clinical space to practise. Northern has an agreement for space but no time limit on it. Trust areas so large-travel time and expenseTrust areas so large-travel time and expense Under funding of compression garments-more complex pts=more complex garments=more expensiveUnder funding of compression garments-more complex pts=more complex garments=more expensive

7. Progress-all Trusts Regional approachRegional approach Increased awareness and access to lymphoedema servicesIncreased awareness and access to lymphoedema services Mapping exercise establishing good linksMapping exercise establishing good links Utilising FP10 for garment provision spreading cost across relevant sectorsUtilising FP10 for garment provision spreading cost across relevant sectors Services can be more flexible and respond to areas of greatest needServices can be more flexible and respond to areas of greatest need Discussions re: screening of at risk patientsDiscussions re: screening of at risk patients

8. Progress-cont’d Improved local access for patientsImproved local access for patients Staff support within Trust Teams and LNNIStaff support within Trust Teams and LNNI Regional undergraduate & postgraduate educationRegional undergraduate & postgraduate education British Lymphology Society Conference, Oct 2008British Lymphology Society Conference, Oct 2008