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Cancer in Scotland: Action for Change - Fifth Monitoring Reports: 1 October 2003 - 31 March 2004

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CANCER IN SCOTLAND: ACTION FOR CHANGE - Fifth Monitoring Reports: 1 October 2003 - 31 March 2004

NOSCAN: Progress with 2002-03 investments and their recurring revenue in 2003-04

Item No

Plan

2003-04
Allocation

Target Dates

Responsible Lead

Status

(Achieved
In Progress - on schedule
In Progress - delayed)

If delayed, Reasons Why and Actions to resolve

Estimated New Target Date

2003-04
Spent

2003-04
Remaining

Measurable Benefit/
Expected outcome

Evidence

Rapid Access to Diagnosis

Grampian 19

Continued appointment of Staff Grade Doctor

March 03

Mr Z Krukowski

Achieved

Reduce waiting times for the Breast Service to CSBS essential levels.

Clinic throughput has risen. Significant improvement made against 2005 2 month target. Latest figures show that 81.3% of patients are being treated within 2 months from date of referral.

Grampian 21

General Surgeon
Capital costs for office renovations

44,000

From Oct 02

Mr Z Krukowski

Achieved - appointed July 2003

44,000

0

To redesign networking across Grampian. Equity of service delivery as specified by CSBS. Address waiting time targets.

Mr. Alastair Coutts has been appointed and is based in Dr. Gray's Hospital in Elgin. Mr. Coutts uses videoconferencing to link into relevant MDTs and Focus Groups, and is taking part in redesign initiatives..

Grampian 22

2 extra Theatre Sessions

240,000

From Oct 02

Ms Deb Grant

In progress - on schedule

240,000

0

To maintain CSBS waiting time standards in light of increased demand.

Extra sessions have been created for both breast and CRC surgery, by using out of hours sessions for other types of surgery.

Grampian 27

Development of outreach diagnostic service
Peripheral hospital conversions; Endoscopy equipment, Nursing staff, Van/Trailer/Driver, Van Driver, Medical Supplies, Service Costs, Labs Supplies

272,000

From Nov 02

Ms Deb Grant

Achieved

137,500

134,500

Improving local access to diagnosis and treatment for Grampian patients. Reduce waiting times and facilitate early diagnosis.

Nursing staff and driver have been recruited, and all necessary equipment purchased. The service has begun in Aboyne and Stonehaven, and is also due to commence shortly in Banff and Peterhead. Service to be expanded in the near future to include cystoscopy using funding from New Opportunities Fund. Further opportunities exist to expand the service in line with developments around Diagnostic and Treatment Centres throughout Grampian.

Highland 02

Fast Track Rectal Bleeding Clinic

10,000

Immediate

Mr James Docherty

Achieved

10,000

0

Development of one stop clinic , reduces waiting times. Quantified by: the number of patients being seen in the clinic. Introduction of this weekly clinic will improve the quality of care by reducing waiting times for diagnosis for patients displaying symptoms of cancer.

Clinic introduced from 01.10.02 and has seen 260 new outpatients in the first year. Being able to maintain a maximum outpatient waiting time of 2 or 3 weeks for this diagnostic procedure will contribute towards the overall standard of cancer patients having treatment started within 2 months of referral.

Highland 06

Tissue Processor

Immediate

Dr Jim McPhie

Achieved

0

Provide optimum processing of surgical specimens. This equipment will be used for cancer specimens providing an improved quality of material for diagnosis, thereby enhancing the diagnosis process. Quantified by: the number of processed cancer samples.

Interim 'Pathlore' model delivered and commissioned early November 2002 and replaced with state of art 'Excelsior' model in March 2003 at no extra cost. The number of cancer samples that will benefit from this in a full year are: colorectal - 170; breast (invasive) - 167; lung - 100; prostate - 81; nodal lymphomas - 40; extranodal lymphomas - 10. This machine processes tissues samples to a higher level of reliability with greater protection to staff in respect of exposure to solvents and also greater reduction in waste solvent production. The flexibility of processing programmes allows 'fast tracking' of certain types of biopsy e.g. core biopsies from breast cancers and consequent early diagnosis. The core biopsy diagnostic reporting time has been commended during the recent QIS visit in respect of the Breast Screening Programme.

Highland 06

Automated Immunocytochemistry Stainer

Immediate

Dr Jim McPhie

Achieved

0

This equipment will automate a previously manual process used in particular for the diagnosis of lymphomas. The automation will enable a faster diagnosis e.g overnight processing.
Quantified by: a reduction in the average processing time and the number of samples processed.

Equipment fully commissioned since end of January 2003. The number of cancer samples that will benefit from this in a full year are: colorectal - 170; breast (invasive) - 167; lung - 100; prostate - 81; nodal lymphomas - 40; extranodal lymphomas - 10. The immediate benefits relate to enhanved quality of the immunostained preparations available for interpretation thus facilitating diagnosis.

Highland 06

Cytogenetics fluorescent microscope and image analysis equipment

Immediate

Dr Jim McPhie

Achieved

0

Allow chromosomal abnormalities testing to be carried out within the Pathology Department This is to replace an outmoded piece of equipment, and to meet the CPA requirements for the testing for chromosomal abnormalities.
Quantified by: the volume of samples processed using the equipment.

Microscope fully commissioned December 2002. Image analysis software installed and commissioned late March 2003. The number of cancer samples that will benefit from this in a full year are: colorectal - 170; breast - 167; lung - 100; prostate - 81; nodal lymphomas - 40; extranodal lymphomas - 10. The initial impression indicates increased accuracy and flexibility in analytical procedures including FISH analysis of lymphomas.

Orkney 03

Colonoscope and supplies

0

2002/03

Kathleen Bree

Achieved

0

To reduce waiting times.

Orkney 02

Cancer Registry for Orkney - Register Co-ordinator, Admin Support, IT Supplies

3,000

2002/03

Kathleen Bree

Delayed

In progress but delayed due to initial recruitment difficulties. Slippage of 12,230 from lst year (02-03) to be spent on this project next year (04-05) in addition to 3,000 now slipping from this year (03-04) so total on project in 04-05 will be 15,230

Aug 2004

0

3,000

Develop an electronic patient management system to record prospective data. Meet CSBS standards Improve the integration of cancer and palliative care services utilising IT links

Orkney 01

Needs Assessment - Coordinator and Admin Support

2002/03

Kathleen Bree

In progress but delayed

Delayed due to difficulties in identifying appropriate skilled staff for data transcribing. New source identified "of island" and will commence transcribing interviews in next 4 weeks. This spend is against slippage carried forward from 02-03 so is not really an overspend.

Jun-04

19,800

-19,800

Ascertain strengths and weaknesses in service provision, identify areas for improvement. Meet CSBS standards.

Shetland 01

Development of Radiographer barium-led enema service
Training, locum, and service costs.

9,000

Steve Jack

Training completed. Service introduction frozen.

Negotiations with mainland hospitals underway. Previous timeframe has proved unrealistic

900

8,100

Earlier diagnosis and reduced waiting times in line with CSBS standards and improved treatment protocols.

Diagnostic protocols in place. Reduced waiting times.

Tayside 05

Radiography staff

79,000

2002/03

Dr John Dewar

Achieved

78,700

300

Reduction of waiting times for radiotherapy, meet CSBS standards/ SIGN guidelines.

Patients now treated within national guidelines. A = 100%, B = 100%, C = 80%, D = 88%. Two new stff have been recruited in July 2003. The additional funding provided to the service is being used presently to employ agency radiographers to fill vacant posts. Radiography staff being trained to undertake radiotherapy planning for breast patients to allow them to start treatment even when consultant unavailable. Estimated start date 2005.

Tayside 12

Portable SIA Scope

8,000

Equipment Delivery - July 02. Audit of impact March 2003.

Dr Colin Fleming

Achieved

8,000

0

10% reduction in excision surgery of pigmented lesions. Achievement of 2 month waiting standard

Equipment purchased audit of impact March 2003. recent audit results - 144 patients scanned, 45 biopsies not needed due to information from siascope, 11 patients with multiple atypical naevia under surveillance.

Tayside 14

MRI Scanner Contribution to running costs

100,000

Commissioning dates yet to be agreed by NHS Tayside

Dr A Cook and Mr S Menhenick

Achieved

23,000

77,000

Reduce waiting times, meet presently unmet need, improve equity of access as machine will be sited in Perth

Building work to commence March/April 2003 and the PRI scanner installed in Perth Royal Infirmary December 2003. Building work in progress and on schedule. Magnet operational January 2004. Waiting times have remained constant due to large backlog of patients. However, scanner will increase capacity by approx 65 per week.

Tayside 20

2 Histopathology/ Cytopathology Consultants, support staff and consumables

218,000

Recruit by June 02; Specialist Service Sept 02

Dr F Carey

Achieved

166,500

51,500

Support for new diagnostic initiatives, improved turnaround times, better audit data

Waiting time for skin biopsy eliminated. 5% increase in cancer pathology activity. Mohs surgery introduced for difficult skin cancers. New consultant appointed, allowing specialised pathology for all patients in Tayside and increased support to MDTs through reorganisation of pathology service.

Tayside 21/22

Nuclear Medicine/Imaging Technician/Radiopharmacy Technician

33,000

Recruit by June 2002

Dr R A Lerski

Achieved

33,000

0

Reduce waiting times for bone scan to less than 3 weeks

Extra hours being worked by existing staff in imaging and radiopharmacy. Urgent bone scans reduced from 10 weeks to 2 weeks (less than target) It is expected that this will be maintained. waiting time for bone scans on cancer patients now 2 weeks (down from 10). 453 additional bone scans performed in 2002/03. 156 additional this financial year so far. Now 3 to 4 additional bone scanning sessions per month. From April 03 to March 04 - 444 additional bone scans carried out during 34 additional sessions performed.

Tayside 24

Digital Photography for Electronic Referral

15,000

Implementation January 03

Mr J H Stevenson

Achieved

0

15,000

Reduce waiting times to assessment and treatment; reduce patient travel

Software development and programming progressing. Upgrading of IT links between Primary Care and Plastic Surgery Dept are being installed as more practices are upgraded to use the technology for accurate digital image referral. Estimate 80% of IT work now complete, fully functional by Sept 04.

Tayside 28

Additional Consultant for Clinical Genetics

75,000

Recruit by June 2002

Dr David Goudie

Achieved

66,100

8,900

Reduce waiting times through extra clinics

0.8 wte clinical geneticist appointed plus A&C3 support. 0.5 consultant geneticist started 1/7/03, with 0.3 increase in admin hours. Nursing support was in place but person currently on maternity leave.

Tayside 30

Cervical Screening Services Equipment - capital charges

6,000

Summer 2002

Dr C McKenzie

Achieved

6,000

0

Colposcopy acts to reduce the number of patients developing cervical cancer

LLETZ machine received and in use.

W Isles 01

Audit of referral times and mapping of patient pathway

Completed by December 02

DPH/LHCC

Superceeded

Discussions with the Scottish cancer Therapy Network have established that much of the information is obtainable through them and the remainder through the LHCC. The project can be achieved with existing resources

0

Baseline for redesign and improving rapid access to services in compliance with standards. This will enable the Board to assess performance in relation to PAF 4.11, the timescales set in Section 7 of Our National Health and to improve referral times in line with the National Cancer Plan. Would enable standard 1.2 and 1.3 of CSBS standards to be met.

Improving Cancer Treatment and Care

Grampian 20

Consultant Gynaecological Oncologist, Admin Support, Implementation Manager, Data Manager, Medical and Admin Supplies

134,000

From Oct 02

Dr D Parkin

Achieved

82,666

51,334

Development of MCN, redesign of service, meet relevant CSBS standards. Equity of access, establishment of combined database.

Gynae-oncology network well established in the North. Prospective audit data being collected for all 4 gynae cancers. Work now underway to formalise MCN structure. New consultant now in post and working on follow up protocols for endometrial and cervical cancers.

Grampian 23

Nurse Development Post

14,000

Oct 02 - Sept 03

Kate Copp

Achieved

14,000

0

Contribute to MCN, identify and implement actions to address unmet CSBS standards, development of nurse led services.

Nurse in post. This has allowed patients to be offered support at a much earlier stage of the patient journey. CSBS review showed that the team were now meeting the vast majority of standards for CRC. The new postholder also took part in the redesign process with the CSIP facilitators.

Grampian 26

Nurse Staffing

31,000

From Oct 02

Ms A Hancock

Achieved

31,000

0

To provide clinical, educational and consultative support for patients, carers and professionals. Improved communication with patients with regard to treatment.

Person in post from May 2003. Currently undergoing training to enable development of a nurse-led cystoscopy service. The postholder has also been involved in collecting local audit data on the pathway for bladder cancer and prostate cancer patients; and has produced patient information leaflets for both of these cancers. The uro-oncology MDT also benefits from the specialist nurse's input, and this has improved case ascertainment.

Grampian 28

Medical/ Clinical Oncologist

75,000

From Dec 02

Mrs H Gauld

In progress - delayed

Consultant appointed but not available to take up post till Oct.2004. Locum cover being provided in the meantime.

6,000

69,000

To reduce waiting times to meet CSBS standards

Some locum cover being provided by an existing Consultant until the new postholder can take up post in October of this year.

Highland 01

Integrated Breast Unit

300,000

As soon as possible

Mr Patrick V Walsh and Dr Alison Graham

Achieved

247,000

53,000

Reduce waiting times, development of MCNs, meet CSBS standards. Quantified by: reduced waiting times and achieving CSBS targets.

This will provide a significant contribution towards the full business case for an integrated breast unit including the appointment of a second breast surgeon and supporting costs. The surgeon took up post in July 2003 and this will help to reduce the current waiting times being achieved by the proviously singlehanded consultant. The new Integrated Breast Unit is due to open late April 2004.

Highland 03

1 G grade Oncology Nurse - West Directorate (Belford Hospital)

34,000

Oct 02

Dr David Whillis and Mr J Cromarty

Achieved

33,750

250

An additional appointment to expand and improve the provision of cancer care in the local area, improving equity of access in Highland. The appointment will allow us to begin pharmaceutical care planning as per the Scottish Cancer Plan - Action for Change Quantified by: number of chemotherapy patients seen.

Post filled Jan 03. Four new chemotherapy patients per week and a monthly oncology outpatient clinic. All newly diagnosed cancer patients will also be seen. There has been improved staffing cover and training, improved patient safety and education, training of GPs and hospital staff, palliative care support and local delivery of care.

Highland 03

Chemotherapy Nursing Team - 1 G grade 2.5 E grade

108,000

Achieved Achieved

108,000

0

Additional staffing for the new Macmillan day case unit enabling the delivery of a redesigned day case chemotherapy service. Quantified by: number of patients using the new unit.

G grade in post Sept 2002, E grade in post Oct 2002. An average of 86 patient episodes per month are going through the new Unit. The opening of the Chemotherapy Day Unit in February has enabled complete redesign of the chemotherapy service.

Highland 03

Chemotherapy Nurse 0.20 wte F Grade : Caithness

5,000

Achieved

5,000

0

To secure the continued nursing input to the chemotherapy service in the north Highlands, improving equity of access. Quantified by: number of chemotherapy patients seen.

In post Aug 2002. An estimate 170 chemotherapy patient episodes will be carried out each year. Improved staffing cover and training, patient safety and education and a local delivery of care.

Highland 03

Oncology Pharmacist, Grade C

32,000

Achieved

32,000

0

Staffing of the new Macmillan day case unit enabling the delivery of a redesigned day case chemotherapy service. Quantified by: number of patients using the new unit.

Post was originally filled 1 May 2003. After 1 month in post the appointee went on sickleave and remained as such until they gave notice in September 2003. The post went back out to advert and was sucessfully filled in November 2003. The post supports the work of the Chemotherapy Day Unit and the Oncology Ward at Raigmore. The post is also helping to address the challenges identified in "Action for Change" and "The Right Medicine". It is intended that the post will in the future extend out to Children's services, Urology and the peripheral clinics that are held in a number of venues across Highland.

Highland 03

A&C3 for Oncology Day Case service

16,000

Achieved

15,500

500

Staffing of the new Macmillan day case unit enabling the delivery of a redesigned day case chemotherapy service. Quantified by: number of patients using the new unit.

Appointed Jan 03. An average of 86 patient episodes per month are using the new Unit since its opening in February 03. The opening of the Chemotherapy Unit in February has enabled the complete redesign of the chemotherapy service. This post is dedicated to the chemotherapy day unit ensuring that the administration of each patient's journey is as smooth as possible acting as a point of contact for any queries or concerns that the patient may have.

Highland 03

Pharmacy (Cytotoxic Reconstitution) - SATO 1 wte and MTO2 0.5 wte

24,000

Oct-02

Mr J Cromarty

Achieved

24,000

0

Enable the CSBS standards to be met. Quantified by: CSBS statistics

Posts filled from Aug and Sept 2002 respectively. The new Aseptic Dispensing Facility was built and commissioned within the last 9 months. A large effort has been made in decanting to the new facilities and writing new operating procedures whilst maintaining the service. Training of the new technicians has allowed the workload to increase from 900 items per month to 1200 items per month with no change to waiting times.

Highland 04

Grade H Colorectal Nurse

24,000

Oct 02

Mr James Docharty

Achieved

24,350

-350

This is the third specialist cancer nurse that will enable better support and access to stoma and colorectal care for patients throughout Highland. Meets CSBS requirements on specialist nurses needed for cancer care. Quantified by: the number of additional patients seen by the specialist nurse.

Appointed Nov 02. The appointee underwent induction until end March 03. Full service in place from 1 April 03. This post means that all bowel cancer patients will now have access to a specialist nurse, not just Stoma patients. Since January 03, 66 new colorectal cancer patients other than stoma patients have received this service. This enhanced service enables home visits to all colorectal cancer patients throughout Highland. The post also provides an education role to other health professionals.

Highland 04

Senior 1 Physiotherapist for Oncology/Haematology 1 wte

30,000

Oct 02

Dougal Sim

Achieved

30,000

0

Enhance quality and level of patient care, facilitate earlier discharge, improve multidisciplinary team working. Quantified by: the number of additional patients seen by the physiotherapist.

Post filled 30 September 2002 enabling the range of Physiotherapy services to cancer patients to be increased including pain management, rehabilitation programmes, respiratory care, measure and supply of mobility aids. Increased number of clinical areas now receiving dedicated, specialist physiotherapy input including provision of service for radiology patients ie to mobilise stiff shoulders to facilitate radiotherapy treatment in breast cancer patients. Rapidly developing Oncology, MDT Team and team working (CSBS standard). Further benefits include the establishment of an education/advisory resource for Physiotherapy colleagues throughout the Highlands; the provision of emergency duty Physiotherapy respiratory service to Highland Hospice, in the absence of the Hospice Physiotherapist (pilot Dec 03 - Mar 03); and joint educational and working initiatives with the Hospice Physiotherapist and staff. Establishing professional links with specialist Oncology Physiotherapists throughout Scotland / UK. In patient treatments over same period (Oct - Mar) last year have increased from 14 to 76 (new) and 60 to 638 attendances. Outpatients increased from 1 to 17 (new) and 13 to 96 attendances.

Highland 04

0.5wte Senior Staff Nurse (with interest in Urology) 0.5wte Senior Staff Nurse (with specialist interest in Gynaecology Cancer and Colposcopy)

36,000

Oct 02

Mr S Bramwell and Mr N Hobson

Achieved Achieved

36,000

0

Enables holistic care from diagnosis through to post operative care and follow-up. Will also enable education and awareness of nursing staff; establishment of a MCN with Aberdeen; and research. Quantified by: the number of additional cancer patients seen by the nurse

Senior staff nurse with interest in urology nurse in post Nov 02. Senior staff nurse with interest in gynaecology cancer and colposcopy in post May 03. The appointment of these post will enable education and awareness of nursing staff; establishment of a MCN with Aberdeen and clinical research.

Highland 04

1 radiographer aide

1 basic grade radiographer

2 senior radiographers

70,000

Oct 02

Dr David Whillis

Achieved Achieved Achieved

70,000

0

Reduces waiting times for patients by extending the working day. Enables extra imaging to be done that improves the quality of treatment for the patients and brings the service into line with recommendations of the College of Radiographers. Improves the skills of staff and enables professional development. Quantified by: reduced waiting times and increased throughput of patients.

Appointments made 1 July 2002, Nov 2002 and Jan 2003 respectively. Waiting times have reduced from 4/5 weeks to 2 weeks maximum. It has enabled the introduction of Electron Portal Imaging and Electron Therapy in line with the Royal College of Radiographers recommendations. There is also improved quality of accuracy and service to patients and increased opportunity for staff training.

Highland 04

Psychologist B Grade (1.0wte), secretarial (0.5wte)

Oct 02

Laura Lee

Achieved

0

Meet CSBS standards. The key objectives of the position will be to:
Establish and develop collaborative working relationships with local clinical staff
Raise awareness through teaching
Facilitate support groups by firstly determining the need to establish new cancer support groups for people affected by cancer
Develop a programme of psycho-educational courses according to the local needs by offering
Enhance the skills of the healthcare professionals and supplement these with one to one sessions, subject to evaluation of needs, by offering at least 6 sessions a week after 6 months in the post. This will maximise the cancer support available in the region.

The position will be evaluated and monitored on an ongoing basis. In particular,
- the postholder will be monitored by the Programme Co-ordinator at their monthly meetings.
- evaluations of presentations, courses and support groups will be achieved by providing feedback forms.

The clinical psychologist has been involved in various activites, particularly: one to one clinical sessions, relaxation and stress management workshops, meditation workshops, living with cancer workshops, teaching, study days, meetings, talks, continuing professional development and research. From Sept 03 to March 04 there was a total of 40 new people and a total of 156 appointments given.

Highland 07

Audit 0.5WTE (ENT, Gynae and Urological)

10,000

Oct 02

Dr David Whillis

Achieved

10,000

0

Provision of clinical audit in ENT, gynaecological and urological cancers.

Post filled end of June 2003. Initially this post is assisting to clear the audit backlog in lung, ovarian and colorectal cancers.

Highland 07

Audit 0.5WTE (GI)**

NHS Highland

In progress - delayed

Currently out to advert

0

Extend audit to cover GI

Shetland 02

Extension of Nursing hours, ongoing Nurse training costs

7,000

Immediate.

Dr Patrick O'Connor

Achieved

10,100

-3,100

Facilitating equity of access to pain management. Compliance with SIGN guidelines.

One day per week additional nurse clinic time. Increased numbers of patients seen. Reduction in waiting times for pain clinic from 2 to 1 month for first appointment, complementary therapies now available.

Shetland 04a

Oncology Support Nurse, initial training costs

14,000

Appointment of additional post Dec 2002

Alison Mustard

Achieved

21,300

-7,300

Increased support to meet local needs. Continuity of care assured.

Specialist training undertaken.

Tayside 16

Psychological /Psychiatric Support to Cancer patients

27,000

Initiate Service August 2002; Develop protocols January 2003

Dr A M Stewart

Achieved

27,000

0

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

Service initiated in August 2002. Recruitment commenced to CSO funded trial "The impact of Venlafaxine on Psychological Morbidity and Cognitive Functioning in Newly Diagnosed Lung Cancer Patients". Group therapy protocol established. Psychotherapy groupwork should provide access for selected patient populations to an environment designed to address various pscyhological problems which are currently poorly managed. Timing and setting of groups is to be integrated with each patient's established treatment plan. Regular psycho-oncology seminars to junior doctors in training. Undergraduate medical student teaching. Development of a joint psycho-oncology interest group - University of Dundee/Aberdeen. New Referrals between August 2003 and January 2004 - 53; patients under review - 37. CSO Study Recruitment - 42 patients. Group Therapy for People with Cancer Sessions initiated.

Tayside 17

PAMS support to Oncology patients

26,000

2002/03

Kath Fairgrieve

Achieved

26,000

0

To improve patient function and quality of life

Appointment of Senior OT on 1st September 2002. This appointment will work alongside the current part time physio and dietician to develop an Oncology Team. This post will also be looking at the appropriate outcome measures which will give some robust clinical measurement of the effect of input by March 2003. In process of recruiting a generic therapy assistant. Patients are now assessed within 2 working days whereas previously patients were only seen "when possible". Oncology - new referral 01.02 - 07.02 73NP. New referrals 01.03 - 01.03 173 NP = 136% increase

Tayside 18

Tayside Lung Cancer SSG Group

19,000

As soon as possible

Dr Peter Brown

Achieved

19,000

0

Improve communication between primary/secondary care, increase efficiency of multi-disciplinary working

Appointed 23rd August 2002. Audit measurable benefits March 2003. Contact details are given with the bronchoscope appointment and patients are able to speak to the department regarding their tests/arrangements. Patients under investigation for lung cancer now leave their first out patient appointment with a bronchoscopy, CT and follow up appointment. The percentage of lung cancer patients discussed at the MDT is now 85% compared with approximately 55% prior to me being post. Monthly reports are now available to the lung group.

Tayside 19

LINAC - additional physicist support.

35,000

As soon as possible

Alan Orr

Achieved

35,000

0

Maximise utilisation of capital equipment, eliminate bottlenecks, provide oncall rota

Mechanical engineer appointed August 2002. Audit of reduction in waiting times for Radiotherapy will be done in conjunction with Oncology department by March 2003. Waiting lists have been reduced due to reduction in machine downtime as a result to increased technical cover. The weekend cover has treated a further 23 patients as part of the sustainable on call service. Weekend maintenance cover, now available is a signifcant improvement in the service to patients. The quality of care is considerably improved by the additional physicist available in the department and the weekend cover. Downtime is minimal with fast repairs/recalibrations.

Tayside 11

Development of Medical Thoracoscopy

32,000

Dr John Winter

Achieved -equipment

32,300

-300

Improved patient morbidity and reduction in number of inpatient days

Difficulty in gaining anaesthetic sessions. Thoracoscopes received July 2003, testing August 2003. Nurse training arranged with Edinburgh Royal Infirmary. Mr Walker, Consultant Thoracic Surgeon, attending twice monthly to give instruction in thoracoscopic technique.

Tayside 29

Paediatric Oncology - 0.5 wte Pharmacy Technician 0.5 wte Pharmacist Grade C

25,000

Implement new systems within 6-9 months

Jo Richards

Achieved

25,000

0

Delivery of safe and effective pharmaceutical care. Implement system for discharge prescriptions and new chemocare prescribing system

Audit to be undertaken by April 2002 to ensure effective pharmaceutical care. All patients are now counselled on the use of their medicines by the paediatric pharmacist. Hopefully this has led to improved compliance and understanding. Ward stock management has improved stock control therefore reduced nursing workload.

Tayside 31

Paediatric Oncology - Dietetic Service

5,000

Individual nutrition plan within 3-6 months

Dr Rosalie Wilkie

Achieved

5,000

0

Will enhance present service and enable expert advice to be given to outpatient department and community

0.2 WTE Paediatric Dietician now in post since 02/09/2002. Audit of service will be undertaken by March 2003. The children attending the paediatric oncology clinic no longer have to wait to be seen. Before this post was instigated the children were no seen regularly at clinic.

In patients March - August 4 new, 28 returns
Out patients March - August 2 new, 127 returns

W Isles 02

Increase sessions from visiting oncologist

11,000

By September 02

Dr I Clark

In progress - delayed

Negotiations with mainland hospitals underway. Previous timeframe has proved unrealistic due to national staffing shortages

Not Known

11,000

Improved access for patients and reduced requirement for travel. This will enable more patients to receive chemotherapy close to home and support equity of access for Western Isles patients in line with the National Cancer Plan.

W Isles 03

Outpatient clinic for Haematology

11,000

In place by September 03

Dr I Clark

In progress - delayed

Negotiations with mainland hospitals underway. Previous timeframe has proved unrealistic due to national staffing shortages

Not Known

11,000

Improved access for patients to diagnosis and treatment. Reduced requirement for travel. Improved access to follow up support.

W Isles 04

Colorectal nurse

36,000

By October 02

Mr A Sim

Achieved

10,146

25,854

Improved access for patients to diagnosis and treatment.Contributes to service redesign and provides hospital and domicilliary support to patients

Postholder recruited late in financial year and underwent induction training and shadowing.Evidence of benefit will be clearer at next monitoring return.

W Isles 05

Focus groups on the patient's journey

0

Completed by March 03

Ms Norma Neill

Achieved

0

Contributes to staff education and redesign towards patient centred service in line with the guidance in "Patient Focus and Public Involvement" and the National Cancer Plan.

Telephone interviews and 4 focus groups held. Report produced and video made by patients and carers on specific island issues relating to cancer.

W Isles 06

Patient held records

2002/03

Dr G Gray

Achieved

0

Would contribute to meeting CSBS Assessment and care Planning standards.

200 Patient held Records printed and introduced.

W Isles 07

Clinical Psychology Sessions

11,000

By October 02

Dr I Clark, Medical Director

Achieved

9,051

1,949

Provides support for patients in line with Standard 4 of breast cancer CSBS Standards

Service available at WIH for one day per month. Open to any cancer patients

W Isles 08

Staff training for lymphoedema

0

By November 02

Ms Jane Adams

In progress

3,270

-3,270

Enables provision of service which is currently not available locallyand improves equity of access to treatment.

One physio. and one Macmillan nurse are currently undergoing the training

Palliative Care

Grampian 24

Specialist Pharmacist, Specialist Nursing Support, additional Admin Support, Medical Staff holiday cover

83,000

From Oct 02

Dr M Leng

Achieved

83,000

0

Improve equity of access to multi-professional specialist palliative care support; Improve informational needs of patients, carers and professionals.

The palliative care pharmacist means we now have a pharmacy presence at Roxburghe House for the first time and she now attends and inputs to medical ward rounds, regularly reviews prescriptions, counsels patients, prepares medication aids at discharge, engages with medical staff to optimise medication.etc.

Grampian 25

Transport and supplies costs for Ellon Day Unit

4,000

From Oct 02

Mrs E Towsey, and Mrs Claire Hutcheson

Achieved

4,000

0

To enhance the local accessibility and provision of palliative care services to patients

All places at the Day Unit now fully utilised.

Grampian 42

Specialist Palliative Care Nurses for Primary Care

62,000

From Aug 02

Mrs F Francey

Achieved

62,000

0

Equity of access through the redesign of Specialist Palliative Care Nursing provision.

2 community Macmillan nurses in post. Based at Roxburghe House but covering a wide geographic area.

Highland 05

Palliative Care Specialist Pharmacist 0.50 wte

21,000

Immediate

Ken Proctor and Mrs Joan Munro

Achieved

20,500

500

To enable the range of pharmacy services to cancer patients to be increased including pain management, rehabilitation programmes, respiratory care, measure and supply of mobility aids.

Appointed 30 September 2002. The community pharmacy service has been redesigned with the implementation of the new model scheme. Three of the nine LHCCs are now participating in the model scheme. Others are being actively encouraged and it is expected that a further two LHCCs will join the scheme in the next few months. Training of community pharmacists and other healthcare professionals is ongoing. Posts meets QIS cancer standards and SIGN 44.

Highland 05

Macmillan Nursing Service Development - 1 wte - Fort William, - 1wte - East Highland

68,000

Oct 02

Helen Spratt, Director of Nusing, HPCT

Achieved Achieved

68,000

0

Equitable access to specialist palliative care. Improve quality of services to patients. Enhance the macmillan nursing service. Enable staff to undertake audit, research and education. Enable the training of the primary care team.

The Fort William post filled from November 2002. This has enhanced the Macmillan serivce in Lochaber from 1wte to 2wte. This post has improved the quality of care to patients and their carers by attendance at out patient clinics. The Macmillan nurses are able to provide local training to other healthcare professionals. The East Highland post filled from April 2003. This has enhanced the Macmillan service in East Highland and has enabled a Macmillan nurse to be based in the LHCC. The Macmillan nurse has facilitated some training with other members of the primary care teams and has contributed to a palliative care workshop as part of East Highlands' protected learning time initiative.

Highland 05

0.50 wte Palliative Care Consultant (0.5 wte funded by Hospice)

45,000

Immediate

Mrs Joan Munro

Achieved

44,900

100

Development of courses and training for healthcare professionals; development of consultant service in Skye, Lochalsh and Lochaber; implementation and audit of CSBS standards. Quantified by: in a 12 month period - 12 clinical visits to Lochaber; in a 12 month period - 12 clinical visits to Skye, Lochalsh; increase from 3 to 4 sessions at Raigmore Hospital; develop proposals for increase of palliative care to non-malignant, end-stage COPD and fibrosing alveolitis; reduce on call for Medical Director of 50% i.e. now 1 in 2 ratio; Teaching sessions - 12 per year; 2 x weekly session to patients in day hospice; support training to SPR - 6 months in next year; support GP principal training - 2 Hospice attached GPs per year.

Increasing specialist palliative medical care input to Lochaber and Skye and the service to Caithness continues. A total of 41 visits to Lochaber, 55 to Skye and 9 to Caithness. Educational input to all 3 areas and Lochcarron. Contributes to the Marie Curie/Highland Hospice Education Programme. Scheduled input to the chest unit in Raigmore. Service development proposals include: breathless clinic and care pathway for the dying.

Highland 05

Training of integrated palliative care key workers

5,000

Training ongoing during 2002 and 2003

Helen Spratt, Director of Nusing, HPCT

Achieved

5,000

0

Four nurses trained each year. Course from Sept 2002 for 10 weeks - 4 participants. Objectives - encourage collaboration between specialist palliative care services and primary care; promote personal development of key nurses; enhance palliative care skills within Primary Care Teams (Inverness LHCC, Badenoch and Strathspey LHCC); improve the quality of service to patients and carers with palliative care needs. Course combines clinical and theoretical aspects provided by Highland Hospice and Macmillan Nursing service.

14 nurses have now completed the Key Nurses Course and now work as key workers within their LHCCs (Inverness LHCC, Nairn and Ardersier LHCC, East Highland LHCC, Badenoch & Strathspey LHCC). This will enable a wider range of patients to have access to effective palliative care. This course has encouraged collaboration between Highland Hospice and Primary Care.

Highland 05

Development and improving standards of palliative care

50,000

On-going during 02/03

Helen Spratt, Director of Nusing, HPCT

Achieved

50,000

0

To improve the quality of service to patients;enhance palliative care skills of healthcare professionals; improve clinical practice. The main project has been a series of Communication Workshops held in Sept/Oct, January and February. These courses covered Breaking Bad News, Counselling Skills and Working with Difficult and Demanding People. These workshops were open to all staff within NHS Highland. A clearer understanding of what key communication skills make the difference to patient outcomes; the process underlying effective communications; a greater clarity about areas of their own practice they feel would benefit from improvement and skills; techniques and knowledge to make adjustments; a greater understanding of what they currently do well and how to build upon it. Funds have been released to all nine LHCC's to enable them to develop and run their own programmes to meet their requirements.

Over 200 Healthcare Professionals (Nursing, AHPs, Consultants, Pharmacists, GPs, Admin and Clerical and Service Managers) have attended the workshops. All workshops have received excellent feedback. The LHCCs have used their funds to enable nursing staff to undertake Marie Curie Modules (22+ nursing staff across the Trust); to offer a 2 day course for 30 nursing assistants on physical and emotional care of dying patients; one day course for 15 GPs/Nurses on caring for Cognitively Impaired Patients with Palliative Care; 2 local Breaking Bad News Courses; training sessions with REACT on pain management; one day event and two evenings on palliative care education for 76 healthcare professionals; a study day for the MacMillan Nurses; test books and resources.

Highland 05

Day Hospice Service

36,000

Oct 02

Mrs Joan Munro

Achieved

36,068

-68

Support additional 15 places per week; support for carers; increase complementary therapies; improve efficiency service. Quantified by: number of patients attending, every patient attending day hospice will receive a full assessment on admission and an appointment for a 6 week review; weekly carers group offering support, information and advice; additional 5 patients per week given out-patient complementary therapy appointments; additional 5 patients per week for out-patient physiotherapy appointments; development of a young person support group; enhancement of skill of additional 3 volunteers though occupational therapy skills training; occupational therapy available to patients on a daily basis; services of chaplain available on daily basis; services of family support (social worker) on a daily basis.

The aromatherapist has delivered (72) sessions plus 3 x 2 hour sessions for qualified staff on massage technique and 1 x 1 hour session for Rachel House. 165 contacts with Day Hospice patients by the OT. In addition domicilary visits are now provided (15 in the report period). A reminiscence group has been established. 7 hours of chaplaincy to the day service.

Highland 05

Family Support Service - Bereavement Support

20,000

Oct 02

Mrs Joan Munro

Achieved

20,088

-88

Bereavement training for volunteers; professionals and assistants. Quantified by: development of a full information pack to assist parents managing children facing bereavement and following bereavement - to be available within 12 months; development of an education package for health and education professionals working with children facing death in the family - will be available within 12 months; delivery of education on bereavement - 8 sessions per year.

The additional counsellor is now working with a maximum number of clients (8). The Family support team set up a bereavement support group in November 03. Currently undertaking a survey of bereaved people to identify need for additional support groups. A new risk assessment form is being piloted in the in-patient unit. The 2 day Loss and Bereavement programme is now part of the Marie Curie education programme and delivered 2x per year by the Family Support Team. Since Nov 03 10 bereavement packs have been distributed. A pre-bereavement pack is now being developed. A team member has undergone the training to deliver Seasons for Growth programme and is due to start late spring.

Highland 05

Needs assessment for palliative care**

Immediate

Dr John Wrench, Director of Public Health, Highland NHS Board

Achieved

0

Consultation with staff, patients and carers re palliative care needs across Highland. Consultation with upto 9 LHCCs, AHPs questionnaire, GP questionnaire, specialist palliative care services, non-malignant specialist nurses, childrens services, care homes and specific project with patients / carers.

Needs assessment complete and recommendations being progressed.

Tayside 13

Palliative Care in Perth and Kinross Nursing Homes

71,000

Assessment of impact March 2002

Ann Gourlay

Achieved

71,000

0

Improve quality of care by provision of local services. Improve training and development of NH Standards.

This project has been amended to spot purchase in December 2003. There have been 10 episodes of care (9 patients) at Westminster Ochil, Perth and length of stay ranged from 2 to 35 days, with only episodes exceeding a fotnight in length. Levenglen had one patients with 2 episodes of care, for 15 and 40 day stays. Rumbling Bridge had plans to admit one female, who died before transfer.

Tayside 15

Primary Care - LHCC Cancer Liaison Leads

15,000

By Oct 02

Dr Sonia Devereux

Achieved

01/12/2002

15,000

0

Primary Care engagement in cancer and palliative care - MCNs, Site Specific Groups, assisting in improving the patient journey

Allocation to various Site Specific Groups as liaison leads. Team objectives and workplan developed for 2004/05

Shetland 03a

Updating of professional knowledge and skills in Oncology and Palliative Care

30,000

During 2003/04 and ongoing uptake of training.

Dr Bruce Cleminson

Achieved - but this is an ongoing programme of skills updating. Some expenditure is being used in slippage plan for additional knowledge and skills updating in cancer management for theatre staff.

11,928

18,072

Meet CSBS standards for communication. Increased knowledge base among health, social care, education, carers and voluntary sector staff.

Numbers of staff trained via recognised programmes

W Isles 09

Formation of a peripatetic palliative care team with hospital clinic

70,000

By October 02

Dr G Gray

Achieved

70,000

0

Improve access for patients and integration and delivery of palliative care services in line with National Cancer Plan chapter 6

W Isles 10

Palliative Care symptom control drug boxes for all GP practices

0

By October 02

Dr G Gray

In progress - delayed

Appropriate drug boxes have been sourced and lists of contents drawn up. Issues about ordering and carriage of drugs still to be resolved

Dec-04

0

Meet CSBS Standards -timely access to drugs and equipment

W Isles 11

Training in Palliative care for new team and other staff

0

By December 02

Ms J Adams and Dr I Clark

In progress - delayed

Pain nurse has yet to be recruited to team, advertisement agreed.

Dec-04

0

Achievement of CSBS Standards - Education and training in relation to palliative care

Investing in Staff and Technology

Grampian 14

2 x Pharmacists, MTO2 Technician

83,000

Appointments by Oct 02

Mr B Jappy

Achieved

83,000

0

Increased staffing to improve safety standards

Greater cover for oncology and haematology. This has meant that we can write more of the prescriptions, review more of the patients side effects and the drug therapy needed to control them, introduce care planning to selected groups of patients and counsel more patients. The pharmacist grade C in aseptic dispensing has enabled us to reduce the pressure of workload leading to a safer methods of working. She has also enabled us to prepare a comprehensive summary manual of all protocols used throughout Grampian which will contain all relevant information and will be available to all prescribers using the service.

Grampian 15

Role extension of Biomedical Scientists in Pathology

45,000

Oct 02

Dr M McKean

Achieved

45,000

0

Early diagnosis and treatment of patients; reduce waiting times by addressing bottlenecks in diagnosis.

Pilot completed in June 2003. Results written up and presented nationally.

Grampian 16

Recruitment of Admin staff for Pathology

12,000

Oct 02

Dr M McKean

Achieved

12,000

0

Contribute to robust service for diagnosis and treatment of patients with cancer.

Admin staff in place. Contributing to overall improvements in service

Grampian 17

Radiographer, Radiotherapy Assistants, training

49,000

Oct 02

Mrs L Forsyth

Achieved

49,000

0

Develop skill mix to support clinical practice and maintain waiting times. Support development of essential services e.g. Electronic Portal Imaging, Conformal Therapy, and Intensity Modulated Radiation Therapy.

Skill mix project very successful. Used as a model for other areas to follow.

Grampian 18

Nurse Education

10,000

Oct 02 - Sept 03

Mrs U Lyon

Achieved

10,000

0

Develop a nurse led service for the management of common problems; ensure the provision of high quality patient care

Breast care nurses now able to take on expanded role. Nurse led clinic in operation. Breast care nurses closely involved in current redesign project within the symptomatic breast service.

Grampian 29

Investment in clinical audit - equipment and IT

From Oct 02

Jane Kane

Achieved

0

Enhancment of QA
Meet CSBS standards

Reports completed for lung, colorectal and breast cancer. Work now underway to address unmet standards.

Grampian 30

Electronic Patient Record - Training

6,000

From Oct 02

ALCG

Achieved

6,000

0

Improve clinical decision-making, communication and audit data collection. Piloted in Lung before roll-out to all cancers.

Training undertaken. Software installed. EPR in use from November 2003. Information and decisions taken at MDT meeting now directly input to the EPR in real time.

Grampian 31

Nurse Staffing

Mar 03

Lynn Adams

Achieved

0

Development of the skills and knowledge of nurses involved in the delivery of cancer care, in primary and secondary care.

Education & training programmes for nurses and support workers undertaken. Links made with Joint Future initiative and joint training to be set up for joint health and community care teams.

Grampian 32

Breast Intervention Chair

Oct 02

Dr H Deans

Achieved

0

Improved facilities for patients undergoing interventional breast procedures.

Increased comfort for patients undergoing procedures such as FNA. Chair used for 2 clinics per week - up to 30 patients per clinic.

Grampian 35

Service contracts to support capital investment

48,000

From Mar 03

GUHT

In progress - on schedule

9,523

38,477

Service Contracts for to support the major capital investment

Has not been required this year - used to fund slippage projects (see under slippage spreadsheet).

Grampian 36

GP Education and Training

Immediate

Dr P Kiehlmann

In progress - on schedule

0

To release and train Primary Care staff to implement redesign solutions

Primary care reference group established. GP reps on each of the site specific groups. Also involved in redesign workshops for site specific cancers, e.g. colorectal and lung.

Grampian 37

2 x 0.5wte Medical Secretary

14,000

From Oct 02

Dr M Nicholson and Mr T O'Kelly

Achieved

14,000

0

To support the co-ordination of multi-disciplinary assessment and asssit with redesign.

MDT meetings well co-ordinated, including videoconferencing with Shetland, Orkney and Elgin. Improved communication with primary care about patient management plans. Postholder has recently left but recruitment process underway for replacement.

Grampian 38

Additional Technical post (Electronics)

22,000

From Oct 02

Graeme Robertson

Achieved

22,000

0

Ensure safe and timeous services through LINAC maintenance.

3 LINACs now fully operational.

Grampian 39

Upgrade of Pharmacy Clean rooms

7,000

From Oct 02

Brian Jappy

Achieved

7,000

0

Improved Pharmacy facilities to enhance the safe delivery of treatment

Upgrade completed in Dec. 2003. Clean room now meets all relevant safety standards.

Grampian 40

Radial Scanning Endoscope

6,000

From Oct 02

David Tosh

Achieved

6,000

0

Improve the efficiency of the existing sessions, and reduce waiting times

Has improved the ability to accurately stage gastric and oesophageal cancers, and therefore improved treatment.

Shetland 2

Bereavement training for hospital and community staff

18,000

Participation in year (7 staff in 2002/03, 6 staff in 2003/04)

NHS Shetland

Achieved

17,250

750

Increased skills among generic staff. Improved support in crisis/ bereavement to patients & carers/relatives and other staff

Numbers of staff trained via recognised programme

W Isles 12

IT based links with mainland to support development of MCNs

7,000

By December 02

Dr I Clark

In progress - on schedule

7,000

Compliance with CSBS standards - multidisciplinary working

W Isles 13

Communication training packages for professionals working with cancer patients

0

By December 02

Dr I Clark

In progress - on schedule

0

Compliance with CSBS standards - Education and training

W Isles 14

Training packages for clinical pharmacists and technicians in oncology and cancer care

0

By December 02

Ms D Tiernan

In progress - delayed

Staff shortages in Pharmacy may delay progress of this project

0

Compliance with CSBS standards - education and training. To enable pharmacists to operate as part of the multidisciplinary team.

W Isles 15

Link' nurse training for ward nurses

0

By December 02

Ms J Adams

In progress - delayed

Staffing pressures have made it difficult to identify suitable staff

Dec-03

0

Improved standards of care. Improved multidisciplinary working and communication. In line with National Cancer Plan Chapter 7.

W Isles 16

Patient Care co-ordinator

26,000

By October 02

LHCC

Achieved

Dec-03

9,233

16,767

Promotion of integrated patient's journey in line with National Cancer Plan Chapter 7 - "At present very little resource goes into managing a patient's transition from primary to secondary care or between hospital and hospice.… alternative approaches [are required]to bring about the changes needed to better co-ordinate patient care across all care settings.

LHCCs are ideally placed to promote integration across primary and secondary care as one of the key elements of cancer MCNs"

Postholder has been in place for three months. Work is in progress on the development of protocols for GP referrals and mapping of referral patterns.

Making it Happen

Grampian 13

Provision of local management support to NESCCAG through substantive funding for Lead Cancer Clinician, Manager, Finance Manager and Admin Support

98,000

Immediate

Prof N Haites

Achieved

98,000

0

Provide co-ordination and management support for Cancer and Palliative Care across Grampian, Orkney and Shetland.

NESCCAG work now fully supported by dedicated time as evidenced by NESCCAG being most advanced within NOSCAN on establishment of new focus groups and other elements of cancer plan.

Highland 6

Contribution to local administration for Highland

23,000

Dr John Wrench, Director of Public Health, Highland NHS Board

Achieved

22,983

17

Provide co-ordination and management support for cancer and palliative care across Highland area and Wesiern Isles.

Post holder in post 22 April 2002. Restructuring of Highland & Western Isles partnership groups and action groups taken place enabling areas to work on local priorities and to come together for common issues e.g. referral pathways. Action plans for both areas for 2003-04 agreed and implemented including co-ordination of regional and local MCNs including lung, gynae and colorectal. Action plan for 2004-05 drafted and resource implications identified. Working groups established for patient and public engagement and involvement, audit and IT, and soon to be formed, palliative care.

Highland 6

Risk against slippage / advertising costs

From Oct 02

Human Resources

-

0

Contribution to recruitment costs arising from Highland Investment Plan

Highland 6

Contribution from NHS Highland Health Plan

-41,000

2002/03

NHS Highland

-

-41,000

0

Contribution to Highland Cancer Investment Plan from NHS Highland Health Plan

Sub-Totals

Allocation

Sub-totals

Spent

Remaining

3,327,000

2,757,406

569,594

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Page updated: Wednesday, June 8, 2005