Project Name: Bristol Renal Cell Carcinoma Service Improvement Joint Working Project.
Joint Working Project Summary: The Bristol Haematology and Oncology Centre (“BHOC”), is part of the University Hospitals Bristol NHS Foundation Trust. The renal cell carcinoma (“RCC”) clinical team at BHOC (“the NHS team”) have identified the need to improve the communication and transfer of RCC patient test results and scans between the weekly Multi-Disciplinary Team (“MDT”) meetings and out-patient clinics. For example, some blood / liver / renal function test results and scans are not available at critical times for the NHS team to make effective treatment and care decisions in the weekly out-patient clinics. This situation has led to delays in clinical decisions and access to the most appropriate care and inappropriate scheduling of RCC patients to out-patient clinic appointments.
Aims: Novartis and the NHS team to work together on a Joint Working Project (“JWP”) which leads to the generation and implementation of a new excel based system. The new system will link and draw down information stored on the main MDT meetings’ computer in to a collated and visual format and accessed through ipads / tablets in clinic. This will help the NHS team to improve the communication and transfer of all necessary RCC patient blood / liver / renal function test and scan results between the weekly MDT and out-patient clinics. This will facilitate the NHS team to make quicker clinical decisions, improve the accuracy in scheduling RCC patients to the correct out-patient clinic appointments, reduce unplanned visits by the RCC patients to the BHOC and reduce the work burden on Clinical Nurse Specialists (“CNSs”).
Novartis will benefit from a stronger partnership with the NHS team, working on areas of mutual interest to deliver an improved cancer service for RCC patients. It will also help Novartis develop a richer understanding of the NHS systems and processes for the communication and exchange of information which inform clinical decisions. A JWP summary report will provide information to generate a slide presentation for sharing best practice with internal Novartis colleagues and to help tailor and adapt Novartis support services.
The NHS will provide the funds for the iPads / tablets along with the development, implementation and introduction of the new excel based system. The NHS team will also generate the service protocol and patient satisfaction questionnaire. Novartis will provide project management and JWP documentation support. A project steering group will regularly review and track the progress and impact of this JWP via the generation of aggregated service level reports.
Expected Patient Outcomes for this Project:
Improved patient satisfaction of the RCC out-patient service in terms of reducing the length of time waiting in clinic to see a Healthcare Professional and optimising the time between the NHS team and the RCC patient.
RCC patients will be scheduled to the next correct out-patient clinic appointment.
The improved out-patient service will support self-management and disease understanding and reduce the need to contact / visit BHOC CNSs in between normal clinic visits.
Start Date and Duration: December 2017 with an expected duration to the end of December 2019.