Development of a comprehensive radiotherapy late effects programme delivered by information and support radiographers
By Nottingham University Hospital NHS Trust (NUH)
The number of people being cured of their cancer is increasing but as they live longer, many are now coming forward, cured of their disease but living with significant late effects of treatment. Radiotherapy, in particular, is known for causing late effects mostly through a process of tissue fibrosis and reduction in blood flow. At the RTLE clinic at NUH, patients can self-refer. From there, they can either be given information about managing their RTLE or clear and open pathways to access a wide array of specialist interest clinical teams and services within the Trust.
“The judges thought this work simply ticked all the boxes and showed good use of a multidisciplinary team to enhance quality of life. It provides holistic care by tapping into and utilising existing expertise, to meet a major unmet need. A leader in its intervention, this programme has simple aims that are expertly executed and the delivery is superb.”
Transferring hospital based prostate cancer care into community based nurse-led clinics
By The Christie Hospital NHS Foundation Trust
Nurse-led clinics have been set up in primary care centres/GP practices at six locations across Greater Manchester, Lancashire and Cheshire. Patients who have received treatment for prostate cancer at The Christie Hospital are transferred out to the community-based service at the appropriate time point for their continued follow-up. For radiotherapy patients this happens immediately following completion of treatment and their entire post treatment follow up and discharge happens in the community. Patients are stratified according to risk and discharged to self-manage with GP support at the appropriate time point.
“This holistic approach to support is exactly what we should be doing to provide improved care. It is easily replicable, and in engaging commissioners, the team has ensured that the programme is sustainable and will continue to provide much-needed support.”
Do it For You! (DiFY)
By Sheffield Children’s NHS Foundation Trust
Research shows that survivors of childhood cancer have lower levels of fitness and also rate their physical health lower than their peers – the hospital team wanted to find a practical way of showing families that it is possible to get back to an active life. The first DiFY Day was held at the English Institute of Sport, Sheffield in 2012, showcasing many different sport and leisure activities and actively encouraging patients (at all stages of treatment and follow up) and families to try them out. The response was overwhelmingly positive, with many parents appreciating the opportunity for their children to try out new activities in a safe and supportive environment.
“This team realised the challenge, surpassed objectives and engaged the community. The entry is inspiring to read. This could be a national model.”