Plan | Tumour
Type | Capital
'000 | Revenue
'000 | Measurable Benefit/
Expected outcome | Target
dates | Responsible
Lead |
North of Scotland |
Grampian | Consultant Gynaecological Oncologist, Admin Support, Implementation Manager, Data Manager, Medical and Admin Supplies | Gynaecology | | 72 | Development of MCN, redesign of service, meet relevant CSBS standards. Equity of access, establishment of combined database. | From Oct 02 | Dr D Parkin |
Grampian | Nurse Development Post | Colorectal | | 14 | Contribute to MCN, identify and implement actions to address unmet CSBS standards, development of nurse led services. | Oct 02 - Sept 03 | Kate Copp |
Grampian | Nurse Staffing | Uro-Oncology | | 15 | To provide clinical, educational and consultative support for patients, carers and professionals. Improved communication with patients with regard to treatment. | From Oct 02 | Ms A Hancock |
Grampian | Medical/ Clinical Oncologist | Various | | 25 | To reduce waiting times to meet CSBS standards | From Dec 02 | |
Highland | Integrated Breast Unit | Breast | | 281 | Reduce waiting times, development of MCNs, meet CSBS standards | As soon as possible | Mr Patrick V Walsh and Dr Alison Graham |
Highland | 1 G grade Oncology Nurse - West Directorate | All | | 25 | Equity of access and reduced waiting times for chemotherapy treatments. Redesign of day case chemotherapy services in Raigmore. Brings facilities up to the required standards. Development of network and modernisation of practices eg electronic prescribi | Oct 02 | Dr David Whillis and Mr J Cromarty |
Highland | Chemotherapy Nursing Team - 1 G grade, 2.5 E grade | All | | 81 | as above | Oct 02 | Dr David Whillis and Mr J Cromarty |
Highland | Chemotherapy Nurse 0.20 wte F Grade : Caithness | All | | 4 | as above | Oct 02 | Dr David Whillis and Mr J Cromarty |
Highland | Oncology Pharmacist, Grade C | All | | 24 | as above | Oct 02 | Dr David Whillis and Mr J Cromarty |
Highland | A&C3 for Oncology Day Case service | All | | 12 | as above | Oct 02 | Dr David Whillis and Mr J Cromarty |
Highland | Pharmacy (Cytotoxic Reconstitution) - SATO 1 wte and MTO2 0.5 wte | All | | 18 | Reduces waiting times, reduces clinical risk, increase capacity to support clinical trials in line with nation policy. | Oct 02 | Mr J Cromarty |
Highland | Grade H Colorectal Nurse | Colorectal | | 18 | Redesign of service , development of MCN, meet CSBS standards. Development of a patient support group. - | Oct 02 | Mr James Docharty |
Highland | Senior 1 Physiotherapist for Oncology/Haematology 1 wte | All | | 23 | Enhance quality and level of patient care, facilitate earlier discharge, improve multidisciplinary team working | Oct 02 | Dougal Sim |
Highland | Urology Nurse & Gynaecology Nurse Specialist | Urology and Gynae | | 27 | Enables holistic care from the process of diagnosis, treatment, post operative care and follow-up. Training of Hospital and Community Nursing staff. | Oct 02 | Mr S Bramwell and Mr N Hobson |
Highland | 1 radiographer aide 1 basic grade radiographer 2 senior radiographers | All | | 52 | - Meet national recommendations - Reduce waiting lists | Oct 02 | Dr David Whillis |
Highland | Psychologist B Grade (1.0wte), secretarial (0.5wte) | All | | 58 | Meet CSBS standards. Training and support to staff | Oct 02 | Dr Ken Proctor |
Highland | Audit 0.5WTE (ENT, Gynae and Urological) | Various | | 7 | Extend audit to cover ENT, urological and other gynaecological malignancies. | Oct 02 | Dr David Whillis |
Highland | Audit 0.5WTE (GI)** | GI | | 10 | Extend audit to cover GI | | NHS Highland |
Shetland | Extension of Nursing hours, ongoing Nurse training costs | All | | 6 | Facilitating equity of access to pain management. Compliance with SIGN guidelines. | Immediate. | Dr Patrick O'Connor |
Shetland | Oncology Support Nurse, initial training costs | All | | 20 | Increased support to meet local needs. Continuity of care assured. | Specialist training undertaken. Appointment of an additional nurse | Alison Mustard |
Tayside | Psychological /Psychiatric Support to Cancer patients | Various | | 27 | Improve detection of co-morbid psychiatric disorders; develop protocols for rapid assessment and treatment; promote clinical research and audit in psychosocial aspects of cancer treatment | Initiate Service August 2002; Develop protocols January 2003 | Dr A M Stewart |
Tayside | PAMS support to Oncology patients | Various | | 26 | To improve patient function and quality of life | | Kath Fairgrieve |
Tayside | Tayside Lung Cancer SSG Group | Lung | | 19 | Improve communication between primary/secondary care, increase efficiency of multi-disciplinary working | As soon as possible | Dr Peter Brown |
Tayside | LINAC - additional physicist support. | Various | | 35 | Maximise utilisation of capital equipment, eliminate bottlenecks, provide oncall rota | As soon as possible | Alan Orr |
Tayside | Development of Medical Thoracoscopy | Various | | 32 | Improved patient morbidity and reduction in number of inpatient days | Dr John Winter |
Tayside | Paediatric Oncology - 0.5 wte Pharmacy Technician 0.5 wte Pharmacist Grade C | Various but mostly Leukaemia | 25 | Delivery of safe and effective pharmaceutical care. Implement system for discharge prescriptions and new chemocare prescribing system | Implement new systems within 6-9 months | Jo Richards |
Tayside | Paediatric Oncology - Dietetic Service | Various but mostly Leukaemia | 5 | Will enhance present service and enable expert advice to be given to outpatient department and community | Individual nutrition plan within 3-6 months | Dr Rosalie Wilkie |
W Isles | Increase sessions from visiting oncologist | All | | 8 | Improved access for patients and reduced requirement for travel | By September 02 | Dr I Clark |
W Isles | Outpatient clinic for Haematology | Leukaemia | | 7 | Improved access for patients and reduced requirement for travel | In place by September 03 | Dr I Clark |
W Isles | Colorectal nurse | Colorectal | | 20 | Contributes to service redesign and provides hospital and domicilliary support to patients | By October 02 | Mr A Sim |
W Isles | Focus groups on the patient's journey | All | | 12 | Contributes to staff education and redesign towards patient centred service | Completed by March 03 | Ms Norma Neill |
W Isles | Patient held records | All | | 6 | In line with CSBS standards. Improves patient involvement | 2002/03 | Dr G Gray |
W Isles | Clinical Psychology Sessions | All | | 7 | Provides support for patients in line with CSBS Standards | By October 02 | Dr I Clark, Medical Director |
W Isles | Staff training for lymphoedema | Breast | | 6 | Enables provision of service which is currently not available locally | By November 02 | Ms Jane Adams |
South East Scotland |
Borders | Pharmacy service for chemotherapy | All | 2 | 20 | Equity of access to chemotherapy and improved quality and safety of chemotherapy services | Recruit by September 2002 Standards in place December 2002 | Vince Summers |
Fife | Haematology oncology unit - additional nursing resources and dedicated medical input | Colorectal Lung | | 127 | Equity of access, patients treated nearer to home; improved quality of chemotherapy and of care through development of clinical nurse specialist. | Recruit by Summer 2002, Opening of combined inpatient daycase area winter 2002 | Clive Preston |
Fife | Clinical psychologist | All | 2 | 41 | Equity of access to psychology services; help patients cope with the cancer treatment | Recruit by Spring 2002 | Clive Preston |
Fife | Colonoscope and technical staff | Various | 35 | 28 | Early diagnosis and improved patient outcomes - patients will be seen within 2 weeks of referral for diagnostic tests relating to oesophogeal, lung and haematological cancers. | By Summer 2002 | Clive Preston |
Dumfries & Galloway | Lung cancer nurse specialist | Lung | | 24 | Improve quality of patient care through co-ordination of diagnositc tests (one stop clinic), treatment and continuity of care. Improved communication with patients on tests and treatments. | By July 2002 | Paul Rafferty |
Lothian | Consultant gastroenterologist, dietetic and palliative care input and IT support. | Upper GI | 3 | 104 | Early diagnosis; quicker and better staging; improved access and fewer delays for endoscopic palliation and reduced number of inappropriate surgical interventions; development of protocols / GP referral guidelines. | Recruit by December 2002, Review progress by January 2003 | Ian Penman |
South East Region | Consultant gastroenterologist, dietetic and palliative care input and IT support. | Upper GI | 2 | 52 | Early diagnosis; quicker and better staging; improved access and fewer delays for endoscopic palliation and reduced number of inappropriate surgical interventions; development of protocols / GP referral guidelines. | Recruit by December 2002, Review progress by January 2003 | Ian Penman |
South East Region | Molecular diagnostic and monitoring service for haematological malignancies - 2 lab staff, equipment and consumables | Haematology | 3 | 67 | Accurate diagnosis. Effective disease monitoring. Improvements to treatment at presentation and relapse. Reduce reporting time. | Recruit by September 2002, provision of service September 2002 | Peter Johnson |
South East Region | Ultrasound system, flow machine, urodynamics kit etc, sessional staff support | Prostate | 210 | | Reduce waiting times through one stop clinic | Recruit Summer 2002, Train staff Autumn 2002 | J Brush |
West of Scotland |
Ayrshire & Arran | Nurse Specialist | Gynaecology | | 33 | | Summer 2002 | |
Ayrshire & Arran | Redesign of Breast Cancer Services (Theatre time, OP Clinics, Radiology and Pathology) | Breast | | 237 | Redesign of services; meet CSBS Standards. | Summer 2002 | Ms J Hendry |
Ayrshire & Arran | Nurse Specialist | Head & Neck Urology | | 66 | Service redesign; extended nursing role; improved quality; reduce waiting times. | Summer 2002 | Ms R McDonald |
Ayrshire & Arran | Staff Grade Dermatologist + support | Skin | | 80 | Reduce waiting times for diagnosis; improved follow up; facilitate MCN development | Summer 2002 | Ms Hendry |
Forth Valley | Pharmacy staffing | All | | 20 | Improved quality of care/safety | Mar 2003 | FVAHT |
Forth Valley | Oncologist sessions | All | | 45 | Access to specialist treatment | Mar 2003 | NGT/FVAHT |
Glasgow | 2 Clinical Nurse Specialists | All | | 60 | Improved quality of care. | Summer 2002 | Isobel Neil |
Glasgow | 2 Clinical Nurse Specialists | Head & Neck | | 64 | Improved quality of care through development of MCN | Summer 2002 | J Grant |
Glasgow | Multidisciplinary Team - redesign and admin | Head & Neck | | 20 | Improved access to toservices through development of MCN | Summer 2002 | J Miller |
Glasgow | Nurse Specialist and specialist patient information | Breast | | 56 | Increase capacity of nurse led breast clinic to ~ 500 patients per annum. | Recruit summer 2002 | Donna Buchan |
Glasgow | Nurse Specialist | Urology | | 32 | Improve patient journey through nurse led service; reduce waiting times. | Recruit summer 2002 | Jane Grant |
Glasgow | Clinical Nurse Specialist in Palliative Care | | 39 | Meet CSBS Standards; improve support in the acute setting for ~ 250 people per year. | Recruit summer 2002 | Maureen Henderson |
Glasgow | 2 Clinical Nurse Specialists | Lung | | 87 | Meet CSBS Standard; improved palliative care support. | Recruit summer 2002 | TBC |
Glasgow | 2 Nurses | Children | | 60 | Improve quality of care | Recruit summer 2002 | Dr B Gibson |
Glasgow | Colorectal Nurse | Colorectal | | 40 | Improve quality of care: meet CSBS standards | Recruit summer 2002 | J Grant |
Lanarkshire | Nurse Led Cancer Services(return clinics, chemotherapy services) | All | 25 | 160 | Support BOC; enhance local provision; meet CSBS standards; service redesign. | Start development summer 2002 | Paul Wilson, Director of Nursing |
WoSCAN | Two additional Medical Oncologists + Support | BOC Plans | | 200 | Increased numbers of patients having specialist advice across the Region. Meet CSBS standards. | May-summer 2002 | Isobel Neil |
WoSCAN | Consultant Paediatric Oncologist + Support | Paeds | | 100 | Equity of access and improve quality through support for single handed service | Summer 2002 | Morgan Jamieson and Dr B Gibson |
WoSCAN | Psychologist sessions | Paeds | | 14 | Improved support for children with life threatening illness and bereavement support. | Summer 2002 | Morgan Jamieson |
WoSCAN | Consultant Oncology Surgeon | Gynaecology | | 100 | Support service redesign; meet CSBS standards. | Recruit summer 2002 | Ms Jane Grantand Dr Joe Davis |
WoSCAN | 3 Specialist Nurses | Upper GI | | 95 | Increased specialist nurse support for patients. Links with Primary Care. | Recruit summer 2002 | Ms J Grant |
WoSCAN | 0.6 consultant and 1.5 Theatre sessions | Bone | | 140 | regional bone sacrcoma service; no of patients benefiting ~ 220 | Expand service summer 2002 | Dr Jennifer Armstrong |
WoSCAN | Regional Heamato-oncology Service | Haematology | | 35 | JACIE Accreditation for transplants; access to Databases. | As soon as funds released | Isobel Neil and M MacLeod |
WoSCAN | 2 Consultant Nurse Oncologists | All | | 80 | Extend Hickman Lines across West of Scotland. | Summer 2002 | Isobel Neil |
Sub-Totals | 281 | 3,353 | |
|
IMPROVING CANCER TREATMENT TOTAL | 3,634 | |