The document provides top tips for setting up or expanding acute oncology services based on workshops and discussions. It includes tips in areas such as collecting baseline data, engaging stakeholders, identifying needed staff and skills, establishing practical resources like referral processes and education programs, and providing 7 day services. Contact information is also included for individuals working at services that may provide useful examples.
Dr Sinead Clarke, Macmillan GP Advisor, Clinical Director for Performance, IT, Finance, Cancer and End of Life, South Cheshire and Vale Royal CCGs, Medical Lead for Cheshire end of Life Partnership
Dr Jackie Dominey, GP and Macmillan GP Advisor, Clinical Lead End of Life, Solihull CCG
20131212 salford royal experience an epr 10 years on, implementing ep rs at...amirhannan
Madeleine Neve, IM & T lead at Salford Royal Hospital presents at Health 2.0 Manchester meeting. See http://www.htmc.co.uk/pages/pv.asp?p=htmc0519 to watch talk
On 12th December 2013, Dr Hannan (GP / family physician) along with Marilyn Gollom (patient) presented this talk to Health 2.0 Manchester. You can watch the talk by going to http://www.htmc.co.uk/pages/pv.asp?p=htmc0519.
The Observatory of Innovation in Healthcare Management in Catalonia is the instrument used by the Catalan health system to catalogue the efforts made by organisations in innovating in several spheres of management. See more information at http://oigs.gencat.cat
Dr Sinead Clarke, Macmillan GP Advisor, Clinical Director for Performance, IT, Finance, Cancer and End of Life, South Cheshire and Vale Royal CCGs, Medical Lead for Cheshire end of Life Partnership
Dr Jackie Dominey, GP and Macmillan GP Advisor, Clinical Lead End of Life, Solihull CCG
20131212 salford royal experience an epr 10 years on, implementing ep rs at...amirhannan
Madeleine Neve, IM & T lead at Salford Royal Hospital presents at Health 2.0 Manchester meeting. See http://www.htmc.co.uk/pages/pv.asp?p=htmc0519 to watch talk
On 12th December 2013, Dr Hannan (GP / family physician) along with Marilyn Gollom (patient) presented this talk to Health 2.0 Manchester. You can watch the talk by going to http://www.htmc.co.uk/pages/pv.asp?p=htmc0519.
The Observatory of Innovation in Healthcare Management in Catalonia is the instrument used by the Catalan health system to catalogue the efforts made by organisations in innovating in several spheres of management. See more information at http://oigs.gencat.cat
This resource summarizes the eight recommendations outlined in the Institute of Medicine's a new consensus study entitled, Improving Diagnosis in Health Care. The recommendations are aimed at making diagnoses more accurate, reliable, efficient, and safe. This work is a continuation of the IOM’s Quality Chasm series.
Hear firsthand from Healthcare Improvement Scotland and one of their teams that participated in the U.K. Health Foundation collaborative about their experience in applying the Vincent Framework at the frontline. The related challenges and benefits and how it has impacted their work.
This workshop will look at patient care pathways and demonstrate how simulation can combine process flow across; services, clinical best practice and the progression of patients through disease states, to test the impact of improvement initiatives on patient care, outcomes, costs and resource utilization.
Using examples from recent projects on simulating care pathways within HIV services, and simulating future service needs for dementia care, we show the results of combining disease progression with service utilization.
In the workshop, we’ll consider what the ideal pathway model would look like and invite you to work with us to build a pathway using our latest technology.
ECO 11: Transfer of Care to Pharmacy - Hassan Argomandkhah, Chair of Pharmacy...Innovation Agency
Hassan introduces the concept and key objectives of transfer of care to pharmacy (TCP). The slides include a project outline, an overview of TCP in Cheshire and Merseyside, and the benefits and potential savings of Electronic Transfer of Care to Pharmacy.
This resource summarizes the eight recommendations outlined in the Institute of Medicine's a new consensus study entitled, Improving Diagnosis in Health Care. The recommendations are aimed at making diagnoses more accurate, reliable, efficient, and safe. This work is a continuation of the IOM’s Quality Chasm series.
Hear firsthand from Healthcare Improvement Scotland and one of their teams that participated in the U.K. Health Foundation collaborative about their experience in applying the Vincent Framework at the frontline. The related challenges and benefits and how it has impacted their work.
This workshop will look at patient care pathways and demonstrate how simulation can combine process flow across; services, clinical best practice and the progression of patients through disease states, to test the impact of improvement initiatives on patient care, outcomes, costs and resource utilization.
Using examples from recent projects on simulating care pathways within HIV services, and simulating future service needs for dementia care, we show the results of combining disease progression with service utilization.
In the workshop, we’ll consider what the ideal pathway model would look like and invite you to work with us to build a pathway using our latest technology.
ECO 11: Transfer of Care to Pharmacy - Hassan Argomandkhah, Chair of Pharmacy...Innovation Agency
Hassan introduces the concept and key objectives of transfer of care to pharmacy (TCP). The slides include a project outline, an overview of TCP in Cheshire and Merseyside, and the benefits and potential savings of Electronic Transfer of Care to Pharmacy.
Realising the Value Stakeholder Event -Workshop: How does the system support Nesta
Workshop D - How does the system support communities/individuals and how could it do it better?
The levers and drivers that national bodies put in place and how these are used locally have a significant impact on working in partnership with communities and patients. These levers and drivers include regulation, targets, outcomes measures, financial flows, annual contracting cycles, clinical standards, workforce training and revalidation etc.
This workshop will draw upon your experience and evidence to address two questions:
How these levers and drivers get in the way of working in partnership with patients and communities?
What is the best blend of approaches to support commissioners and providers locally to harness the energy of patients and communities
Innovations conference 2014 catherine adams integrating a multidisciplinary...Cancer Institute NSW
Catherine Adams - Integrating a Multidisciplinary Stepped Care Model of Psychosocial Care for Cancer Survivors and Families into routine Clinical Practice in Rural and Remote Regions
How can you extend current uses of Lean Six Sigma beyond process but to incorporate empathy building? Join Jill Secord, RN, MBA, who will explore effective integration of proven approaches to accelerate quality and efficient health care services.
The winners of this year's CfWI poster competition have been revealed.
After talking to the entrants during the CfWI'2 4th Annual Conference, Roy Taylor CBE, Vice-Chair of the CfWI Governance Board, who judged this year's entries announced that all three deserved to be commended for for the content of their posters, with each showcasing workforce planning problem solving.
Lessons learned - implementing an Electronic Palliative Care Co-ordination System (EPaCCS)
Electronic Palliative Care Co-ordination Systems (EPaCCS) provide a means of recording and communicating key information about people's wishes and preferences for end of life care. The ultimate aim is to improve co-ordination of care so that end of life care wishes can be met at the point of care, and more people are able to die in the place of their choosing and with their preferred care package.
Medical assistants can fill many roles and work in a variety of settings. This presentation shows some of these settings and what makes them different from one another.
Write a 3 page evidence-based health care delivery plan for one co.docxowenhall46084
Write a 3 page evidence-based health care delivery plan for one component of a heart failure clinic.
Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.
. Describe accountability tools and procedures used to measure effectiveness.
· Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.
. Develop an evidence-based plan for health care delivery.
· Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
. Apply professional and legal standards in support of a care plan.
· Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
. Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.
.
Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar.
Preparation
Refer to the Internet for supplemental resources to help you complete this assessment.
Instructions
Deliverable: Develop an evidence-based plan for health care delivery.
Scenario:
The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients.
As a member of the nurse team, you have been asked to develop onecomponent of the clinic.
The hospital leadership established these objective.
Dr Alison Young, Consultant Medical Oncology, Leeds Teaching Hospitals Trust
Dr Andrew Stewart, Haematologist and Lead for Acute Oncology, University Hospitals of the North Midlands
Ceri Stubbs, Clinical Lead, Velindre NHS Trust
Palliative Care and Acute Oncology IntegrationRecoveryPackage
Dr Catherine O'Doherty, Consultant in Palliative Medicine, Trust Acute Oncology Lead and Lead Cancer Clinician, Basildon and Thurrock University Hospitals NHS Foundation Trust
Karen Andrews, Head of Nursing for Macmillan/Acute Oncology and EOL services, Basildon and Thurrock University Hospitals NHS Foundation Trust
Dr Ricky Fraser, Acute Oncology Fellow, South West Wales Cancer Centre
Joanne Upton, Skin Cancer Advanced Nurse Practitioner, The Clatterbridge Cancer Centre
Dr Ashling Lillis, National Director's Clinical Fellow Macmillan Support, final year trainee in Acute Oncology
Dr Clare Philliskirk, Trainee in Acute Medicine, West Midlands
Dr Sarbit Clare, Acute Medical Consultant, Sandwell and West Birmingham Hospitals
Dr Ashling Lillis, National Director's Clinical Fellow Macmillan Support, final year trainee in Acute Oncology
Dr Clare Philliskirk, Trainee in Acute Medicine, West Midlands
Dr Sarbit Clare, Acute Medical Consultant, Sandwell and West Birmingham Hospitals
Dr Chris Jenkins, Consultant Haematologist, University Hospital of the North Midlands
Dr Andrew Stewart, Consultant Haematologist, The Royal Gwent Hospital
Dr Andrew Stewart, Consultant Haematologist, The Royal Gwent Hospital
Dr Chris Jenkins, Consultant Haematologist, University Hospital of the North Midlands
This presentation, created by Syed Faiz ul Hassan, explores the profound influence of media on public perception and behavior. It delves into the evolution of media from oral traditions to modern digital and social media platforms. Key topics include the role of media in information propagation, socialization, crisis awareness, globalization, and education. The presentation also examines media influence through agenda setting, propaganda, and manipulative techniques used by advertisers and marketers. Furthermore, it highlights the impact of surveillance enabled by media technologies on personal behavior and preferences. Through this comprehensive overview, the presentation aims to shed light on how media shapes collective consciousness and public opinion.
0x01 - Newton's Third Law: Static vs. Dynamic AbusersOWASP Beja
f you offer a service on the web, odds are that someone will abuse it. Be it an API, a SaaS, a PaaS, or even a static website, someone somewhere will try to figure out a way to use it to their own needs. In this talk we'll compare measures that are effective against static attackers and how to battle a dynamic attacker who adapts to your counter-measures.
About the Speaker
===============
Diogo Sousa, Engineering Manager @ Canonical
An opinionated individual with an interest in cryptography and its intersection with secure software development.
This presentation by Morris Kleiner (University of Minnesota), was made during the discussion “Competition and Regulation in Professions and Occupations” held at the Working Party No. 2 on Competition and Regulation on 10 June 2024. More papers and presentations on the topic can be found out at oe.cd/crps.
This presentation was uploaded with the author’s consent.
Acorn Recovery: Restore IT infra within minutesIP ServerOne
Introducing Acorn Recovery as a Service, a simple, fast, and secure managed disaster recovery (DRaaS) by IP ServerOne. A DR solution that helps restore your IT infra within minutes.
Have you ever wondered how search works while visiting an e-commerce site, internal website, or searching through other types of online resources? Look no further than this informative session on the ways that taxonomies help end-users navigate the internet! Hear from taxonomists and other information professionals who have first-hand experience creating and working with taxonomies that aid in navigation, search, and discovery across a range of disciplines.
Sharpen existing tools or get a new toolbox? Contemporary cluster initiatives...Orkestra
UIIN Conference, Madrid, 27-29 May 2024
James Wilson, Orkestra and Deusto Business School
Emily Wise, Lund University
Madeline Smith, The Glasgow School of Art
1. 1
New Services workshop feedback
Many thanks for taking such an active part in our workshop, we do hope
you got as much out of it as we did! As we discussed, we have put
together some ‘top tips’ for managing service set up or service expansion;
these are a combination of the discussions had during all 4 workshops, as
well as some thoughts that Lisa, Cathy and Rosie have had. We have also
included at the end the emails of those of you who had ideas/services
that are of interest to everyone and who kindly agreed to share their
contact details.
We do wish you success in the set up/expansion of your services, and we
are very happy to be contacted if you feel we can be of assistance.
- Lisa Barrott (Cancer Matron BSUH NHS Trust):
lisa.barrott@bsuh.nhs.uk
- Rosie Roberts (Velindre/SWCN chemotherapy specialist
nurse/Macmillan AO project manager): Rosie.Roberts3@wales.nhs.uk
- Cathy Hutchison (Cancer Consultant Nurse, Beatson West of Scotland
Cancer Centre/NHS Greater Glasgow & Clyde):
Cathy.Hutchison@ggc.scot.nhs.uk
2. 2
Top Tips
Starting out
• Ensure you collect baseline data to measure against and prove you are making a
difference. Include both quantitative and qualitative data eg door to needle time for
sepsis. Length of stay for CUP patients, numbers of complaints and patient
experience.
• Have an awareness of the ‘big picture’ ie what are the Trust /Health board /hospital
priorities- build your business case for funding using the right emphasis that reflect
these priorities to give better chance of success.
• Don’t reinvent the wheel – find out what others have done and learn from their
successes and their mistakes. Useful group: UKONS Acute Oncology Forum.
• Don’t be afraid of trying a new model if what others have done will not fit with your
local situation.
Engaging with others
• For a sustainable service – need to negotiate cross-cover for absence.
• Importance of gaining support from colleagues who may feel threatened when
services first set up – ensure they know how you can help them and engage them
with supporting you with OOH services.
• Establish close links with key people in the emergency admission departments and
acute medical departments, palliative care, haematology, site specific CNS, triage
services. Networking is time consuming and can be slow to show benefits, but you
will reap real rewards from putting the effort in.
• As early as possible establish a visible presence in clinical areas, communicating with
and engaging with teams in Emergency Departments, Medical & Surgical Assessment
Units, & Palliative care.
• Manage expectations of what the service is able to offer.
AOS team /human resources
• Identify skill mix needed for your service eg balance of medical /nursing roles
/administrative support.
• If possible your team should have a mixture of skills and experience eg oncology /
chemotherapy/acute care /palliative.
• Ensure budget and time built in for professional development to help motivate and
retain staff.
• Admin time to support service is essential.
• Need to have clearly agreed roles with agreed boundaries & guidelines. Acute
Oncology is by nature a grey area; however, it is important to have clear priorities at
the start of the service, and then negotiate role expansion as you go forward.
• Need to include developmental posts and equip staff with education, knowledge and
skills for the role. Macmillan are keen to support developmental posts so speak to
3. 3
your local link. Search what courses are offered through your local university as it is
best to work with them to create programmes of study that fit your needs. If none
currently available, look at what is available nationally.
Practical resources
• Ideally have 1 contact number / email for AOS team for clarity.
• Make friends with IT – set up a database to capture activity and outcomes. Ensure
whatever database you go for is supported by your IT department, so if things go
wrong with it, they are there to help fix it! consider the Somerset Cancer Register
(well recognised, national system with new AO & MSCC pages).
• Establish a website or pages on existing hospital/cancer network sites with details of
your service, protocols and pathways.
• Cancer flag – start by looking at what other ‘flags’ are already established in your
organisation as it’s much easier for IT to model the cancer flag on an already
established system.
• Don’t forget to identify office space, desk, chairs, computers, printers, phones etc.
• Consider what referral system will work best for you, for example an email referral
system.
• Develop clear referral criteria for the service, whether this is for an AO review or if
you are developing an Acute Oncology Assessment Unit, to manage expectations and
ensure you are not overloaded with inappropriate patients.
• Consider attendance at acute medical meetings if they exist in your hospital (good
for networking/visibility and picking up referrals).
• Find out what access you have to inpatient beds within oncology/haematology: this
may sound obvious, but understanding the pressures on beds and how the system
works is vital. Can you access an area for an assessment unit or will patients be
directed in via A&E/ chemo unit etc? consider what is your ideal and then look at
ways of achieving it (this is likely to be a long process, your data will be key to
supporting any business case for a separate unit).
______________________________________________________________________
Education
• Education is vital and must be prioritised Use every opportunity – often one to one
ad hoc or planned, may need to be OOH, meet staff where they are, understand
their pressures and the reality that acute staff rarely have time to take out for
training /education.
• Target your education to the key staff –focus on the front line staff dealing with
acute admissions.
• Use baseline audit /questionnaire to assess how much staff already know about AO
and then prove the difference you have made over time.
• Get involved with established training and induction programmes for key staff
groups.
4. 4
7 Day Service
• The most common challenge to be raised at the workshops and one that there is no
easy answer to! Main considerations are: funding, staffing, skill mix, what the
weekend service should look like – same as during the week or reduced. Is there the
same need in your area OOH?
• Consider working with colleagues: can a joint service be provided at weekends with
palliative care/site specific CNS involvement?
• Could a CNS be present in A&E at weekends to provide expert advice, but with the
clinical support of the A&E team?
Working across primary and secondary care
• Make contact with your local ambulance service: do they have a computer system
accessed by their paramedics where relevant patient info is stored? This can help
ensure patients get the appropriate care and may avoid being brought to A&E.
Consider getting teaching programmes set up with the paramedics on AO
presentations.
• Make contact with the GP Cancer lead within your local commissioning groups (or
similar): they can assist in reviewing what the local need is and what services you can
link into in primary care. Input at primary care conferences to promote
service/educate GPs and practice nurses/ANPs on AO.
• Are there Macmillan GPs in your area who may be able to help?
Useful contacts
• Dr Arun Selvaratu: oncologist at Southampton. Large AO service with acute
assessment unit and several ANP posts; providing a 7 day service:
arun.selvaratu@uhs.nhs.uk
• Dr Sharath Gangadhara: oncologist at Bath; looking at 7 day service currently:
sharath.gangadhara@nhs.net
• Clare McGuire: works at Basildon and Thurrock NHS trust where palliative care are
supporting a 7 day service: clare.mcguire@btuh.nhs.uk