Project Name: Neuro-Endocrine Tumour (NET) Service Development Joint Working Project
Joint Working Project Summary:
The Christie NHS Foundation Trust Hospital (The Christie or ‘Trust’) is a tertiary referral centre for neuro-endocrine tumours (NET) covering Manchester’s population of 3.2 million people. In addition it takes referrals from outside of the immediate area including North Staffordshire and West Yorkshire. The service sees 120 new gastroenteropancreatic (GEP) NET patients and a further 20 lung NET patients per year. Currently the NET service is under resourced. There is a demand for support with non-clinical care. This includes assistance with the organisation of information required at clinic and follow-up appointments (e.g. test/scan results) and the logistics of community based therapies following discharge.
The Greater Manchester Health and Social Care Partnership (a Partnership made up of Greater Manchester local authorities, NHS clinical commissioning groups and 13 Trusts within the Greater Manchester area) , aims to be an innovator in the provision of healthcare services and encourage health professionals across the country to pilot new models of care.
The Macmillan Charity has worked with the Department of Health and Social Care and Frontier Health Economics (Frontier Report, 2010) to determine the current gap in the workforce supporting cancer services and a model for the future has been developed. The report shows that 33% of cancer care could be delivered by a trained but unregistered practitioner.
The aim of this joint working project is to provide a Band 4 Clinical Support Worker (CSW) to work in partnership with specialist NET consultants, Clinical Nurse Specialists (CNS), and Nurse Clinicians. This Clinical Support Worker will focus on clinical care of patients by taking the non-clinical elements of the workload away from the CNSs. Responsibilities of the CSW will include: management of homecare delivery systems and the collating of blood test and scan results.
The transfer of these tasks from the CNSs will free up nurse time to enable the set-up of a dedicated NET telephone clinic.
Project aims and outcomes:
Provide an improved NET service to provide consistent and holistic care to patients from the first consultation through to after treatment care.
Build data around this new service which can be analysed to understand whether the new service is benefitting patients and is financially sustainable
Show the benefit this new model of care can bring to patients and share this across the wider region; including other teams at the Christie/ Greater Manchester Cancer Alliance and the NETs community.