Health Board/Region: Cardiff & Vale University Health Board Main Hospital Base: University Hospital of Wales, Cardiff
|
|
- Elwin Ward
- 5 years ago
- Views:
Transcription
1 Peer Review: Cancer Sub-site: Head & Neck Cancers Health Board/Region: Cardiff & Vale University Health Board Main Hospital Base: University Hospital of Wales, Cardiff Cycle: Second Date of review: 20 September 2017
2 REVIEWEES SERVICE DESCRIPTION KEY THEMES STRUCTURE AND FUNCTION OF THE SERVICE brief overview, including objective of the service The aim of the MDT is to ensure a coordinated approach to diagnosis, treatment and care services for all patients diagnosed with Head and Neck cancer. The function is to facilitate involvement in decision making by all individuals involved in the care of the patients. The functions of the MDT: A rapid diagnostic and assessment service Treatment and care considered by professionals with specialist knowledge and skills in Head and Neck Cancer. MDT assessment of patients prior to treatment plan discussion MDT discussion of scans, histology and treatment options of all suspected/diagnosed patients Effectively communicate the treatment options with patients and carers, and engage patients in shared decision making Individual Consultants to identify and manage their patients with Head and Neck cancers (including tertiary referrals) Assess patients and carers information needs and offer the level of information and support for all aspects of their treatment and care throughout the course of their illness. Provide treatment and follow-up for these patients and ensure that every patient with Head and Neck cancer receives multidisciplinary management with appropriate oncological input Provide a rapid referral service for patients who require specialist management Provide clinical information prior to and during the MDT meeting, for live update to Canisc, ensuring that data is validated at source. Communicate effectively with patients, carers, other MDT s, and outside agencies including primary and secondary care. Ensure that GPs and community workers are given prompt and full information about any changes in their patients illness or treatment. Data collection of the service for audit locally/nationally for improvement of the service delivery, care and local guidelines. Implement service improvement working with the site specific oncology, radiology and pathology teams and cancer services collaborative to adopt modernisation to benefit the patient journey. Provide a forum for training juniors and informing medical students of the process and function of an MDT Develop a portfolio of clinical trials and ensure that patients are considered for trials in line with guidance. Ensure that protocols/guidelines/standard operating procedures are developed /updated for all aspects of management /diagnosis/treatment of patients with Head and Neck cancer. Clinical Audit Incorporate advances in management and treatment into the patient pathway. Business Meetings (every other month) 20 September
3 PATHWAY describe links between primary care, diagnostics, MDT and treatment 08 June
4 IMPROVEMENTS/CHANGES SINCE LAST REVIEW refer to last Action Plan The format of the MDT has not significantly changed since the last review. Further to the previous peer review we have benefited from the appointment of 2 consultant radiologists and a dental therapist and dietetic assistant (funded by Faceup Cymru). The clinic model remains the same whereby the head and neck clinic runs every Tuesday morning. The MDT places a significant emphasis on the importance of treatment planning and values the importance of all members of the team seeing all new patients before treatment planning and having plenty of time to do so. As part of this treatment planning the AHPs and CNSs have introduced a Pre-Treatment Clinic which is held on a fortnightly basis to meet the needs of those patients seen the previous week at New Patient Clinic. Each patient has an allocated appointment of 1.5hrs and will have the opportunity to see a Speech and Language Therapist (SLT), Dietitian and CNS. Please see the embedded documents under Theme 3 for full details. As such the new and followup patient clinics are separated and alternate each week. This means we operate fortnightly clinics for new and followup patients. We do not feel that this model causes a significant problem with the cancer pathway and on the rare occasion we need to see new or followup patients outside of this model then they have been accommodated. Ultimately we would prefer to have a weekly clinic for our new patients but this change in service would have a significant cost implication and affect on other aspects of the overall service. In response to recommendations made at the last peer review, the AHPs and CNSs have collaborated to set up a Post-Treatment Clinic which provides continuity of care for patients who have completed their treatment and follow up at Velindre Cancer Centre, but are still awaiting an appointment at the UHW MDT Clinic. Each patient has an allocated appointment of 1.5hrs and has the opportunity to see a Speech and Language Therapist, Dietitian and CNS. The clinic is held on a fortnightly basis. Please see the embedded documents under Theme 3 for full details. We are also exploring other models which include weekly all day clinics (for all members of the MDT) which could then include both new and followup patients. Our last peer review highlighted a low access to theatre problem. This has remained unchanged however the introduction of a Post operative Anaesthetic Unit (PACU) has meant that the number of patients cancelled due to the lack of an ITU bed is very low. This has been a significant benefit to the service we provide as during the review period 51 patients required a free flap and therefore the requirement for PACU or the high dependency equivalent is high. 08 June
5 MDT SERVICE Specifics Local / Regional VC Used with whom? Membership / attendance Adequate time for discussion MDM Module used Details The Cardiff and Vale UHB Head and Neck Cancer Multidisciplinary Team (MDT) is a multi-professional group of clinicians from the University Hospital of Wales (UHW) and Velindre Cancer Centre (VCC), and is based at the University Hospital of Wales. The team serves a population of 472,400, with referrals from Cardiff and the Vale of Glamorgan, and from other health boards within South Wales. It is also the tertiary centre for ophthalmology in south Wales. Not required Membership of all the required specialists for this peer review and well attended. There is one consultant oncologist with no cover. Not raised by the MDT. Canisc MDM module used live in the MDT PATIENT CENTRED CARE AND EXPERIENCE Specifics Named Key Worker / contact details Care plans / holistic needs assessment Follow up process Details Named key worker from a point of diagnosis that continues through the patient pathway. However, the MDT do not regularly communicate this beyond the MDT and into primary care. The MDT have identified the handover to oncology as requiring improvement. Holistic needs assessments completed pre-op and not reassessed. Piloting the use of electronic HNAs to be uploaded to internal health record systems. HNAs are not regularly communicated to primary care. Follow up post treatment by referral and hand-over within the MDT includes dietetics, occupational therapy, psychological support and physiotherapy. Treatment summaries not regularly communicated to primary care. 20 September
6 Patient involvement and quality measures The MDT do not actively seek patients views through and are not aware of the response to the national patient survey. SUPPORTIVE CARE Specifics Patient Questionnaire Dental assessments Details The MDT do not currently seek the views of their patients through local questionnaires or surveys. Consultant Restorative Dentist and Dental Hygienist ensures patients have appropriate dental support through the pathway for pre-op and post-op reconstructions. STRATEGIC INTERFACE Specifics Business meeting Policy Links to organisational strategy / planning Details The MDT have a business meeting bi-annually. MDT Operational Policy and follow a number of national guidelines Fortnightly executive meeting GENERAL OBSERVATIONS The MDT actively review their practice and pathways by way of: Access to imaging from primary care referral Audit 20 September
7 GENERAL OBSERVATIONS The MDT consider: Whether a weekly MDT is required and how to deliver, with weekly new patient clinic Lack of access to theatre list for reconstruction How to deliver a Sentinel Lymph Node Biopsy service The potential for robotic surgery and use of similar Da Vinci model, which is currently used for prostate surgery and has reported increased outcomes and quality of life for patients within other areas such as head and neck surgery The value of the regional MDT GOOD PRACTICE GOOD PRACTICE AND SIGNIFICANT ACHIEVEMENTS identify any areas of good practice A well-functioning team Dental assessment pre-op and access to post op dental rehabilitation Ultrasound access daily for neck lump assessment Improvement since last review as evidenced by the action plan Improved radiology input to the MDT Key worker copied into letters IMMEDIATE RISKS TITLE Detail of the risk Rationale None None None 20 September
8 SERIOUS CONCERNS TITLE Detail of the risk Rationale None None None CONCERNS TITLE Detail of the risk Rationale Staffing level and skill mix on dedicated head and neck ward A5 Pathology service Outpatient service / survivorship The MDT reported loosing 16 members of staff within 18 months on the dedicated ward. Subsequently the reported cases of near miss incidents have increased on the ward. The Health Board and MDT are aware of forthcoming retirements of the specialist oral pathologist who supports the local MDT but also provides a tertiary second opinion for Wales. There is a concern regarding the lack of succession planning for this specialist role as well as a lack of dedicated ENT pathologist within the team. No service provision post-surgery for specialist outpatient physiotherapy available. HNAs and treatment summaries are not communicated with primary care as standard practice. The Health Board should explore the correlation of ward staffing levels and increased risk, where identified through their quality and safety structure. The turnover of staff will affect patient care and staff morale. Succession planning to continue a seamless service of oral pathology would ensure patients have appropriate specialist oral and specialist ENT pathological input during discussion at MDT and as a tertiary service for Wales. The Health Board should explore service gaps and provision of care in relation to implementing interventions from within the recovery package and supporting survivorship. An essential part of rehabilitation of post treatment care for patients to continue with their lives after cancer. 20 September
9 CONCERNS TITLE Detail of the risk Rationale USC pathway Wound care Oncology cover The Health Board / MDT are below target and show a decrease in achievement since the review of Dedicated expert nursing time for specialist wound care for complex head and neck reconstructive cases was inadequate Single handed oncologist providing oncology input into the MDT with no cover arrangements for absence. Achievement of the target was reported in the last peer review. The Health Board were unable to satisfy the panel that this is being addressed. Specialist wound care is an essential part of the recovery package for patients and needs to be embedded in the specialist service provided. Where absent, no cover for oncology input to the MDT for discussing systemic anti-cancer treatment and radiotherapy options for each patient. 20 September
10 PEER REVIEW PANEL NAME Position Organisation Cath Bale Associate Medical Director Wales Cancer Network Conor Marnane Consultant ENT Surgeon Abertawe Bro Morgannwg University Health Board Huw Jones Consultant Maxillofacial Surgeon Betsi Cadwaladr University Health Board Senthil Muthu Consultant Radiologist Betsi Cadwaladr University Health Board Carolyn Faulkner Clinical Nurse Specialist Abertawe Bro Morgannwg University Health Board Wendy Wilkinson Allied Health Professional Lead Wales Cancer Network James Owens Consultant Restorative Dentist Abertawe Bro Morgannwg University Health Board Dana Knoyle Improvement Nurse Wales Cancer Network Gareth Popham Peer Review Project Lead Wales Cancer Network Sheila James Network Administrator Wales Cancer Network OBSERVER Sian Wilson Specialist in Special Care Dentistry Betsi Cadwaladr University Health Board 20 September
11 HEALTH BOARD STAFF AND MULTIDISCIPLINARY TEAM MEMBERS NAME Position Organisation Sarah Clements Speech and Language Therapist Cardiff & Vale University Health Board John Potts Consultant Histopathologist Cardiff & Vale University Health Board Adam Jones Consultant Pathologist Cardiff & Vale University Health Board Alyn Coles Cancer Services Cardiff & Vale University Health Board Maggie Lucas Cancer Services Manager Cardiff & Vale University Health Board Annette Beasley Cancer Lead Nurse Cardiff & Vale University Health Board Vicki Stew Clinical Nurse Specialist Cardiff & Vale University Health Board Lynda Bond-Govier Clinical Nurse Specialist Cardiff & Vale University Health Board Alison Ewins Head and Neck Dietician Cardiff & Vale University Health Board Mererid Evans Consultant Oncologist Velindre NHS Trust Sandeep Berry Consultant ENT Cwm Taf University Health Board Rebecca Bailey Clinical Nurse Specialist Velindre NHS Trust Cellan Thomas Maxillofacial Consultant Cardiff & Vale University Health Board Mary Hart Radiologist Cardiff & Vale University Health Board David Owens ENT Consultant Cardiff & Vale University Health Board 20 September
12 HEALTH BOARD STAFF AND MULTIDISCIPLINARY TEAM MEMBERS NAME Position Organisation Graham Shortland Executive Lead for Cancer Cardiff & Vale University Health Board Margaret Hourihan Consultant Radiologist Cardiff & Vale University Health Board Stuart Quinne Consultant ENT Surgeon Cardiff & Vale University Health Board 20 September
Job Description. Job title: Uro-Oncology Clinical Nurse Specialist Band: 7
Job Description Job title: Uro-Oncology Clinical Nurse Specialist Band: 7 Department: Cancer Services Hours: 37.5 (min 22.5 hrs) Reports to: Lead Nurse for Cancer We are a pioneering research active organisation
More informationNewsletter Spring 2017
Newsletter Spring 2017 Primary Care's important role in cancer services I m a GP, with a practice in Ebbw Vale and for the last few years I ve been involved with initiatives that look at the role of primary
More informationUniversity College Hospital. The Specialist Centre for Head and Neck Cancer. Information for patients and carers
University College Hospital The Specialist Centre for Head and Neck Cancer Information for patients and carers 1 Contents Page (s) 1. Introduction 2 2. Head and Neck Cancer Service at University 2 College
More informationSELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM)
SELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT MDT Lead Clinician MCCN WIRRAL UNIVERSITY TEACHING Wirral Breast MDT (11-2B-1) - 2011/12 Miss M Callaghan Compliance Self Assessment BREAST
More informationPEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM)
PEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM) Network Organisation (Trust) Team MVCN LUTON AND DUNSTABLE Luton & Dunstable Colorectal MDT (11-2D-1) - 2011/12 Peer Review Visit Date 11th November 2011
More informationUrology Clinical Forum. 11 th March 2015
Urology Clinical Forum 11 th March 2015 Welcome and Introductions Justin Vale, Chair of the LCA Urology Pathway Group Progress of the Urology Pathway Group Justin Vale, Chair of the LCA Urology Pathway
More informationUniversity College Hospital. The lung cancer multidisciplinary team. Information for patients and carers
University College Hospital The lung cancer multidisciplinary team Information for patients and carers 2 If you would like this document in another language or format, or require the services of an interpreter,
More informationSOUTH EAST WALES CANCER NETWORK UPPER GASTROINTESTINAL CANCER CLINICAL CARE GUIDELINES
SOUTH EAST WALES CANCER NETWORK UPPER GASTROINTESTINAL CANCER CLINICAL CARE GUIDELINES CREATED: JULY 2010 REVIEW DATE: JULY 2011 Signed on behalf of the Cwm Taf Health Board Signed: Designation: Date:
More informationColorectal Multi Disciplinary Team
Colorectal Multi Disciplinary Team Patient Information Introduction This booklet is for people who have been diagnosed with Colorectal Cancer. There are many people involved in providing cancer health
More informationService Mapping Report
Service Mapping Report Background and purpose One of the roles of the Southern Melbourne Integrated Cancer Service (SMICS) is to map cancer services provided to adults by Alfred Health, Cabrini Health,
More informationPEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM)
PEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM) Network Organisation Team YHSCN HULL AND EAST YORKSHIRE HOSPITALS Hull And East Yorkshire Hospitals Haematology MDT (13-2H-1) - 2015 Peer Review Visit
More informationNorthern Ireland Peer Review of Cancer MDTs. EVIDENCE GUIDE FOR LUNG MDTs
Northern Ireland Peer Review of Cancer MDTs EVIDENCE GUIDE FOR LUNG MDTs CONTENTS PAGE A. Introduction... 3 B. Key questions for an MDT... 6 C. The Review of Clinical Aspects of the Service... 8 D. The
More informationJob Description. Job title: Gynae-Oncology Clinical Nurse Specialist Band: 7. Department: Cancer Services Hours: 30
Job Description Job title: Gynae-Oncology Clinical Nurse Specialist Band: 7 Department: Cancer Services Hours: 30 Reports to: Lead Nurse for Cancer We are a pioneering research active organisation and
More informationMeeting people s needs A Wales Cancer Alliance Policy Paper Summer 2017
Meeting people s needs A Wales Cancer Alliance Policy Paper Summer 2017 Meeting people s needs: overview More work needs to be done to meet the needs of patients, both as they undergo treatment for cancer
More informationAn introduction to the multi-disciplinary team for bowel and anal cancer
An introduction to the multi-disciplinary team for bowel and anal cancer Providing support for patients and their families at the Royal Sussex County Hospital An introduction to the Multidisciplinary team
More informationUrological Cancer Peer Review Betsi Cadwaladr University Health Board Ysbyty Glan Clwyd, Ysbyty Wrexham Maelor and Ysbyty Gwynedd
Urological Cancer Peer Review Betsi Cadwaladr University Health Board Ysbyty Glan Clwyd, Ysbyty Wrexham Maelor and Ysbyty Gwynedd MEETING ATTENDANCE Peer Review Team Name Job Title Organisation Dr Tom
More informationSt Monica s Specialist Breast Care Centre. Ethna Hickey- CNM2 Emma Holland- Specialist Breast Care Nurse Claire O Donnell-CNM1
St Monica s Specialist Breast Care Centre Ethna Hickey- CNM2 Emma Holland- Specialist Breast Care Nurse Claire O Donnell-CNM1 Aims and objectives To provide an overview of the services of the Specialist
More informationREPORT 1 PLANNED CARE
REPORT 1 PLANNED CARE Contents Planned care vision c-3 Definition - Planned Care c-3 Current planned care services c-4 What patients say about current planned care services c-7 Vision c-8 Principles c-9
More informationNon-emergency patient transport: the picture across Wales
Non-emergency patient transport: the picture across Wales January 2018 0 P a g e Accessible formats If you would like this publication in an alternative format and/or language, please contact us. You can
More informationINTERNAL VALIDATION REPORT (NSSG 1C AND TUMOUR SPECIFIC 1A MEASURES)
INTERNAL VALIDATION REPORT (NSSG 1C AND TUMOUR SPECIFIC 1A MEASURES) Network Cross Cutting Group SWSHCN SWSHCN Gynae NSSG (11-1C-1e) - 2011/12 Date Self Assessment Completed 11th August 2011 Date of IV
More informationPEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM)
PEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM) Network Trust NLCN BARNET AND CHASE FARM HOSPITALS Team Barnet And Chase Farm Hospitals Lcl SKIN MDT (08-2J-1) 2009/10 Peer Review Visit Date 4th February
More informationUniversity College Hospital. The Myeloma Cancer Multi-Disciplinary Team. University College Hospital Macmillan Cancer Centre
University College Hospital The Myeloma Cancer Multi-Disciplinary Team University College Hospital Macmillan Cancer Centre 1 Contents Page 1. Introduction 2 2. Medical teams 3 3. Key Worker 3 4. Clinical
More informationAyrshire and Arran NHS Board
Paper 12 Ayrshire and Arran NHS Board Monday 9 October 2017 Planned Care Performance Report Author: Fraser Doris, Performance Information Analyst Sponsoring Director: Liz Moore, Director for Acute Services
More informationInformation for patients with gynaecological cancer. Departments of gynaecology, oncology and gynaecological oncology
Information for patients with gynaecological cancer Departments of gynaecology, oncology and gynaecological oncology This booklet gives further information about cancers of the female reproductive system
More informationDRAFT Optimal Care Pathway
DRAFT Optimal Care Pathway 1. Introduction... 3 1.1 Background... 3 1.2 Intent of the Optimal Care Pathways... 3 1.3 Key principles of care... 3 2. Steps in the care of patients with x cancer... 4 Step
More informationYour local NHS and you
South Wales Programme Local Engagement Document Your local NHS and you Local NHS services in Cardiff and the Vale of Glamorgan are run by Cardiff and Vale University Health Board (UHB). The UHB is one
More informationSummarise the Impact of the Health Board Report Equality and diversity
AGENDA ITEM 4.1 Health Board Report INTEGRATED PERFORMANCE DASHBOARD Executive Lead: Director of Planning and Performance Author: Assistant Director of Performance and Information Contact Details for further
More informationSpecialised Services Service Specification: Hepatobiliary Cancer Surgery
Specialised Services Service Specification: Hepatobiliary Cancer Surgery Document Author: Specialised Services Planner, Cancer and Blood Executive Lead: Medical Director, WHSSC Approved by: Management
More informationGynaecology Oncology Multi-Disciplinary Team (MDT) Information for patients and relatives
University Teaching Trust Gynaecology Oncology Multi-Disciplinary Team (MDT) Information for patients and relatives Brooke Building Gynaecology 0161 206 5224 All Rights Reserved 2017. Document for issue
More informationThe sarcoma multi-disciplinary team
http://www.londonsarcoma.org/ Information for patients and carers The sarcoma multi-disciplinary team University College London Hospitals NHS Foundation Trust 2 Contents An introduction to The London Sarcoma
More informationService Mapping Report
Service Mapping Report Background and purpose One of the roles of the Southern Melbourne Integrated Cancer Service (SMICS) is to map cancer services provided to adults by Bayside Health, Cabrini Health,
More information106,717 people accessed mental health. 192,192 access A&E. 1,011,942 patient contacts with community staff. 2,245,439 patient contacts
Employs 15,285 2,245,439 patient contacts 192,192 Assisted 91,360 Dispensed 13,598,605 prescription items** 38,107 1,011,942 patient contacts with Across 11 clusters, 540,850 people are registered with
More informationINTERNAL VALIDATION REPORT (MULTI-DISCIPLINARY TEAM)
INTERNAL VALIDATION REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT GMCCN SALFORD ROYAL Salford Pituitary MDT Neuroscience MDT (11-2K-4) - 2011/12 Date Self Assessment Completed 15th December 2011 Date
More informationSkin Cancer Multi Disciplinary Team Patient Information
Skin Cancer Multi Disciplinary Team Patient Information Introduction This booklet is for people who have been diagnosed with skin cancer. It tells you about the skin cancer multidisciplinary team (MDT)
More informationCore Community Rookwood Lodge. YES - we provide a domiciliary physiotherapy service for these groups of patients.
HBPR* CBPR** Community COPD team (CRRU) 1) Please whether there is a community rehabilitation service in your area for treating the following conditions: - Hip fracture - Stroke - COPD ES ES ES Core Community
More informationHealth Innovation Cymru Wales & Health Technology Challenge
Health Innovation Cymru Wales & Health Technology Challenge Welsh Public Health Conference Dr Corinne Squire South East Wales Academic Health Science Partnership www.healthtechchallenge.wales & email:bevans2@cardiff.ac.uk
More informationHealth Board Report INTEGRATED PERFORMANCE DASHBOARD
AGENDA ITEM 4.4 2 nd March 2016 Health Board Report INTEGRATED PERFORMANCE DASHBOARD Executive Lead: Director of Planning and Performance Author: Assistant Director of Performance and Information Contact
More informationNeurology quality indicators
Neurology A new approach for London Neurology quality indicators For adult neurological services December 2016 Acknowledgements The London Neuroscience Clinical Network is grateful to all who have contributed
More information1000 Lives Improvement
1000 Lives Improvement 1000 Lives Improvement is the national quality improvement service for NHS Wales delivered by Public Health Wales. Our aim is to support the NHS to improve outcomes for people using
More informationClinical Coding Communication
CCC Ref. 2015/02 Date of Issue: 30th April 2015 Clinical Coding Communication Subject: Interpretation of NHS England Data Definitions for the Purposes of Clinical Classification Coding Introduction This
More informationCorporate slide master. Frank Atherton Chief Medical Officer October 2017
Corporate slide master Prudent With guidelines Healthcare for corporate presentations in Wales Frank Atherton Chief Medical Officer October 2017 communication CITIZENS National Assembly for Wales Welsh
More informationAllied Healthcare Professionals Module
Allied Healthcare Professionals Module Allied health professionals (AHPs) are key members of today s multidisciplinary healthcare team. They work in partnership with health and social care colleagues across
More informationTOPIC 9 - THE SPECIALIST PALLIATIVE CARE TEAM (MDT)
TOPIC 9 - THE SPECIALIST PALLIATIVE CARE TEAM (MDT) Introduction The National Institute for Clinical Excellence has developed Guidance on Supportive and Palliative Care for patients with cancer. The standards
More informationHealth and social care professionals programme. A short guide
Health and social care professionals programme A short guide Health and social care professionals The health and social care professionals programme, funded by our committed partners Royal Mail and The
More informationHolistic Needs Assessment
Holistic Needs Assessment Sharon Cavanagh Allied Health Professional and Survivorship Lead 26 March 2013 Why is HNA a priority? Empower patient s to identify and raise issues that they want addressed Improve
More informationSpecialised Services Commissioning Policy: CP160 Specialised Paediatric Neurological Rehabilitation
Specialised Services Commissioning Policy: CP160 Specialised Paediatric Neurological Rehabilitation April 2018 Version 4.0 Document information Document purpose Document name Author Policy Specialised
More informationGlangwili Hospital General Surgery (including Colorectal) ~ Recruitment ~
Glangwili Hospital General Surgery (including Colorectal) ~ Recruitment ~ October 2017 What we do General Surgery (including Colorectal) Glangwili Hospital, Carmarthen There are currently seven surgical
More informationGuy s, King s and St Thomas cancer services The Cancer Outpatient Clinic Your cancer of unknown primary (CUP) team
Guy s, King s and St Thomas cancer services The Cancer Outpatient Clinic Your cancer of unknown primary (CUP) team When we have been able to find cancer but not the original site, we call this cancer of
More informationMDT Peer Review Report Proforma
Network Trust NICaN Western Health and Social Care Trust Lung MDT Visit Date 13 September 2017 Structure and function of the service The Western Health and Social Care Trust (WHSCT) was established on
More informationPATIENT ACCESS POLICY (ELECTIVE CARE) UHB 033 Version No: 1 Previous Trust / LHB Ref No: Senior Manager, Performance and Compliance.
Reference No: PATIENT ACCESS POLICY (ELECTIVE CARE) UHB 033 Version No: 1 Previous Trust / LHB Ref No: Trust 364 Documents to read alongside this Policy. Ministerial Letter EH/ML/004/09 WAG Rules for Managing
More informationFramework for Cancer CNS Development (Band 7)
Framework for Cancer CNS Development (Band 7) Opening Statement This framework provides a common understanding of the CNS role across the London Cancer Alliance and will be used to support the development
More informationINTERNAL VALIDATION REPORT (MULTI-DISCIPLINARY TEAM)
INTERNAL VALIDATION REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT GMCCN SALFORD ROYAL Salford Specialist Gynae MDT (11-2E-2) - 2011/12 Date Self Assessment Completed 30th June 2011 Date of IV Review
More informationIntroduction to the lung cancer multi disciplinary team (MDT)
Royal Berkshire NHS Foundation Trust London Road Reading Berkshire RG1 5AN 0118 322 51111 (Switchboard) www.royalberkshire.nhs.uk This document can be made available in other languages and formats upon
More informationHepato-Pancreatobiliary Cancer Multi Disciplinary Team Patient Information
Hepato-Pancreatobiliary Cancer Multi Disciplinary Team Patient Information Introduction This booklet is for people who have been diagnosed with hepato-pancreatobiliary (HPB) cancers which include cancer
More informationImproving Mental Health Services in Bath & North East Somerset
Improving Mental Health Services in Bath & North East Somerset Andy Sylvester Executive Director of Operations Welcome & Introductions Housekeeping Format of the day Presentations Questions and answers
More informationStakeholder Mapping Analysis Exercise for Hywel Dda Our Big NHS Change
Influence Stakeholder Mapping Analysis Exercise for Hywel Dda Our Big NHS Change 50+ Forums Advisory Groups (Stakeholder Reference Group, Health Professionals Forum, Partnership Forum) Affected staff(wider
More informationCancer Clinical Nurse Specialists: Guidance on roles, responsibilities and job planning.
Cancer Clinical Nurse Specialists: Guidance on roles, responsibilities and job planning. Author: Lead Nurse CNG Review date: July 2020 Approved (Lead Nurse Group) : 26/07/2017 SCN, Clinical Nurse Specialists:
More informationThe Oncology Project Year 3
The Oncology Project Year 3 Dr Alison Brewster Consultant Clinical Oncologist, Velindre Hospital Introduction to the Oncology Project Why is it important? Learning objectives Process Tutorials Patient
More informationLondon Cancer Head and Neck cancer bid Submission document Proposals for: Level 1 Local unit Level 2 Extended local unit Level 3 MDT hub centre Level
London Cancer Head and Neck cancer bid Submission document Proposals for: Level 1 Local unit Level 2 Extended local unit Level 3 MDT hub centre Level 4b Specialist treatment centre: clinical oncology Monday,
More informationNeuro-Oncology Multi Disciplinary Team Patient Information
Neuro-Oncology Multi Disciplinary Team Patient Information Introduction This booklet is for people who have been diagnosed with brain or spinal tumours. It tells you about your regional neuro-oncology
More informationAgenda Item 3.3 IMPLEMENTATION OF SETTING THE DIRECTION - WHOLE SYSTEMS CHANGE PROGRESS UPDATE
FOR INFORMATION UHB Board Meeting: 17 January 2012 IMPLEMENTATION OF SETTING THE DIRECTION - WHOLE SYSTEMS CHANGE PROGRESS UPDATE Report of Paper prepared by Executive Summary Director of Public Health
More informationNHS GRAMPIAN. Local Delivery Plan - Section 2 Elective Care
NHS GRAMPIAN Local Delivery Plan - Section 2 Elective Care Board Meeting 01/12/2016 Open Session Item 7 1. Actions Recommended The NHS Board is asked to: Consider the context in which planning for future
More informationColorectal Cancer Multi Disciplinary Team Patient Information
Colorectal Cancer Multi Disciplinary Team Patient Information Introduction This booklet is for people who have been diagnosed with colorectal cancer (cancer of the colon and rectum which is part of your
More informationAgenda Item 5.1 Appendix 11 CWM TAF UNIVERSITY LOCAL HEALTH BOARD
CWM TAF UNIVERSITY LOCAL HEALTH BOARD MINUTES OF THE MEETING OF THE PRIMARY CARE COMMITTEE HELD ON 26 AUGUST 2015 AT YNYSMEURIG HOUSE, ABERCYNON PRESENT: Professor D Mead Mr J Palmer Mr G Bell Cllr C Jones
More informationGreater Manchester Neuro-Rehabilitation Services information for patients and carers
THIS BOOKLET IS BEING TRIALLED Greater Manchester Neuro-Rehabilitation Services information for patients and carers Greater Manchester Neuro-Rehabilitation Services gmnrodn@srft.nhs.uk All Rights Reserved
More informationA Review of the Impact of Private Practice on NHS Provision
11 February 2016 Archwilydd Cyffredinol Cymru Auditor General for Wales A Review of the Impact of Private Practice on NHS Provision I have prepared this report for presentation to the National Assembly
More informationNHS WALES INFORMATICS MANAGEMENT BOARD
NHS WALES INFORMATICS MANAGEMENT BOARD Draft minutes of part 1 of the meeting Wednesday 28 April 2016 14:00 15:00 Attendees: Andrew Goodall (AGD), Chair - Welsh Government Steve Ham (SH) - Velindre NHS
More informationNational Cancer Action Team. National Cancer Peer Review Programme EVIDENCE GUIDE FOR: Colorectal MDT. Version 1
National Cancer Action Team National Cancer Peer Review Programme FOR: Version 1 Introduction This evidence guide has been formulated to assist Networks and their constituent teams in preparing for peer
More informationAGENDA ITEM 17b Annex (i)
QUALITY AND PATIENT SAFETY COMMITTEE Minutes of the meeting held on 10 th April 2014 Welsh Health Specialised Services Committee Offices Unit 3a, Van Road Caerphilly Business Park Caerphilly CF83 3ED Present
More informationReview of Management Arrangements within the Microbiology Division Public Health Wales NHS Trust. Issued: December 2013 Document reference: 653A2013
Review of Management Arrangements within the Microbiology Division Public Health Issued: December 2013 Document reference: 653A2013 Status of report This document has been prepared for the internal use
More informationFreedom of Information Request: Our Reference CTHB_217_15
Freedom of Information Request: Our Reference CTHB_217_15 You asked: 1. Do you have any community based dermatology services within your local health board? Yes. (only primary care, not linked to dermatology)
More informationTransforming Cancer Services In South East Wales
Transforming Cancer Services In South East Wales Clinical Service Model January 2016 Cancer survival rates are increasing. But the number of people getting cancer is increasing too. At Velindre NHS Trust
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Named Key Worker for Cancer Patients Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Named Key Worker for Cancer Patients Policy Version No.: 4 Effective 07 December 2017 From: Expiry Date: 07 December 2020 Date Ratified: 17 October
More informationMy treatment plan booklet
Oesophago-gastric service My treatment plan booklet Information for patients, relatives and carers Details about me Name: Address: Date of birth: Telephone number: NHS Number: Emergency contact details
More informationAuthor: Kelvin Grabham, Associate Director of Performance & Information
Trust Policy Title: Access Policy Author: Kelvin Grabham, Associate Director of Performance & Information Document Lead: Kelvin Grabham, Associate Director of Performance & Information Accepted by: RTT
More informationDany Bell Macmillan National Programme Lead Treatment and Recovery
Dany Bell Macmillan National Programme Lead Treatment and Recovery Acrylic effect painted panels Implementing Recovery Package and Stratified Pathways: A case Study of implementing the Recovery Package
More informationCCIG(17)02 - Draft Minutes
All Wales Critical Care Implementation Group Agenda Tuesday 6 th September 2016, 2.00-4.00pm Caerdydd 3, Welsh Government, Cathays Park, Cardiff VC dial 521971 from NHS Videoconferencing Network 1. Welcome
More informationAMP Health and Social Care Professional Implementation Group Update
AMP Health and Social Care Professional Implementation Group Update November 2016 Welcome to another update from the National Acute Medicine Programme s Health and Social Care Professionals Implementation
More informationFollow-up Outpatient Appointments Summary of Local Audit Findings
May 2016 Archwilydd Cyffredinol Cymru Auditor General for Wales Follow-up Outpatient Appointments Summary of Local Audit Findings Briefing Paper for the NHS Wales Planned Care Programme Board I have prepared
More informationCardiff & Vale of Glamorgan CHC Members Monitoring Visit Cardiff North Renal Unit 7 th November 2012
Cardiff & Vale of Glamorgan CHC Members Monitoring Visit Cardiff North Renal Unit 7 th November 2012 Cyngor Iechyd Cymuned Caerdydd a Bro Morgannwg Tydydd Llawr Tŷ r Parc, Heol Y Brodyr Llwydion CAERDYDD
More informationStatement of Purpose. June Northampton General Hospital NHS Trust
Statement of Purpose June 2016 Northampton General Hospital NHS Trust The statement of purpose is made in compliance with Care Quality Commission (Registration) Regulations 2009: Regulation 12 and Schedule
More informationSELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM)
SELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT MDT Lead Clinician 3CCN WORCESTERSHIRE ACUTE HOSPITALS Worcestershire Acute Hospitals NHS Trust Local Upper GI MDT (11-2F-1) - 2011/12
More informationManchester University NHS Foundation Trust, Training Interface Group fellowship post in Oncoplastic Breast Surgery
Introduction The fellowship programme is run through the Joint Committee on Surgical Training (JCST). Fellowship posts are open to all higher surgical and where appropriate, non-surgical trainees, that
More informationWELSH HEALTH SPECIALISED SERVICES COMMITTEE ANNUAL GOVERNANCE STATEMENT 2014/15
Agenda Item 19b Annex (ii) To: Mrs Allison Williams, Chief Executive, Cwm Taf University Health Board cc: Joint Committee Members WELSH HEALTH SPECIALISED SERVICES COMMITTEE ANNUAL GOVERNANCE STATEMENT
More informationHaving a sentinel lymph node biopsy and wide excision for melanoma
Having a sentinel lymph node biopsy and wide excision for melanoma This leaflet has been given to you to help answer questions you may have about sentinel lymph node biopsy and wide excision. It explains
More informationINTERNAL VALIDATION REPORT (MULTI-DISCIPLINARY TEAM)
INTERNAL VALIDATION REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT EMCN UNIVERSITY HOSPITALS OF LEICESTER Leicester General Hospital Specialist Urology MDT (11-2G-2) - 2011/12 Date Self Assessment
More informationRTT Assurance Paper. 1. Introduction. 2. Background. 3. Waiting List Management for Elective Care. a. Planning
RTT Assurance Paper 1. Introduction The purpose of this paper is to provide assurance to Trust Board in relation to the robust management of waiting lists and timely delivery of elective patient care within
More informationTOGETHER FOR HEALTH DELIVERING END OF LIFE CARE PLAN A Delivery Plan up to 2016 for NHS Wales and its Partners
AGENDA ITEM 3.1 5 th November 2013 TOGETHER FOR HEALTH DELIVERING END OF LIFE CARE PLAN A Delivery Plan up to 2016 for NHS Wales and its Partners Executive Lead: Director of Therapies and Health Science
More informationNational Cancer Peer Review Programme Evidence Guide for: Gynaecology Specialist MDT
Intelligence National Cancer Action Team Part of the National Cancer Programme National Cancer Peer Review Programme Evidence Guide for: Gynaecology Specialist MDT Foreword This evidence guide has been
More informationThe 4 th UK Transoral Robotic Surgery Conference and Hands on Dissection Course
Newcastle Surgical Training Centre The 4 th UK Transoral Robotic Surgery Conference and Hands on Dissection Course MONDAY 25 TH & TUESDAY 26 TH JUNE 2018 NEWCASTLE SURGICAL TRAINING CENTRE CRYSTAL CLEAR
More informationReport to the Board of Directors 2015/16
Attachment 9 Report to the Board of Directors 2015/16 Date of meeting 18 Subject Report of Prepared by Seven Day Services Medical Director Ashling Rivá, Project Manager Previously considered by Transformation
More informationRehab V Vita Square Operational Guideline
Southern Adelaide Local Health Network Rehab V Vita Square Operational Guideline Consultation Paper Version 2.2 January 2018 Purpose The purpose of this document is to provide an overview of operational
More informationMembership of CAT guideline committee
Membership of CAT guideline committee The Committee will operate as an advisory Committee to NICE s Board, developing clinical guideline on Cancer of the Aerodigestive Tract. The terms of reference sting
More informationDiagnostic Imaging, Peterborough
Diagnostic Imaging, Peterborough TRUST & DEPARTMENTAL RUST & D STRATEGY.. To be a major provider in eastern England that is best for patients and great to work for. OUR STRATEGY HAS ASSOCIATED PILLARS
More informationAudit and Primary Care
10 th June 2013 Delivering Change through Clinical Audit & Quality Improvement Audit and Primary Care Primary Care Quality and Information Service Laura Jones, Primary Care Quality Team Lead Primary Care
More informationOncology Nurse Led Clinics
Oncology Nurse Led Clinics An economic assessment of Breast Open Access follow up and Uro-Oncology Clinical Nurse Specialist Clinics Understanding the service The Great Western Hospital Foundation Trust
More informationNAME SPECIALTY PLEASE NOTE THAT THE CONSULTANT SURGEONS RUN A 4 WEEK ROLLING ROTA OF ACTIVITY. (HENCE THE 'BUSY' JOB PLAN)
CONSULTANT CONTRACT JOB PLAN NAME SPECIALTY PLEASE NOTE THIS IS INTENDED AS A GUIDE ONLY. AN FORMAL JOB PLAN WILL BE DEVISED WITH THE SUCCESFUL CANDIDATE TO TAKE ACCOUNT OF PERSONAL INTERESTS AND SPECIALTY
More informationPrescription for Rural Health 2011
Foreword Prescription for Rural Health is the Welsh NHS Confederation s contribution to the debate on health in rural Wales. This document has been published alongside Prescription for Health 2011, which
More informationPeer Review in Endocrinology
Peer Review in Endocrinology Self Assessment Questionnaire Centre to be visited. Visit date 1 Explanatory Notes Introduction The need for Peer Review of UK endocrine units was agreed by the Clinical Committee
More informationColorectal Recovery Package & Risk Stratified Pathways. Julie Burton Lead Colorectal / Stoma Care CNS Nurse Endoscopist
Colorectal Recovery Package & Risk Stratified Pathways Julie Burton Lead Colorectal / Stoma Care CNS Nurse Endoscopist The Cancer Story is Changing Improving the patient journey and quality of life To
More information