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       #Post#: 60--------------------------------------------------
       Stratified Cancer pathway initiative reduce emergency admissions
        
       By: admini5 Date: May 11, 2015, 4:35 am
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       [center]How to reduce unnecessary emergency hospital admissions
       and provide better care for cancer patients by using Stratified
       Cancer pathway initiative? [/center]
       This initiative focuses on redesigning follow-up pathways for
       people with breast, colorectal and prostate cancer. This
       includes the development of supported self-management pathways
       for those who have been treated with curative intent, whose
       treatment has been completed and in whom the acute effects of
       treatment have subsided.
       Supporting patients to self-manage their own health and
       wellbeing can meet unmet needs and reduce demand on services,
       where appropriate. This can be done in the following ways:
       -
       clinical and individual needs.
       -
       points in the pathway − for example, at the end of
       treatment or when problems arise.
       -
       diagnosis, treatments, and potential side effects of treatment,
       contact details and other key information.
       -
       services.
       -
       local support services − for example, walking groups,
       support groups, stop smoking groups, etc.
       -
       pathway at the end of treatment, surveillance tests will
       continue to be scheduled and monitored by the specialist team
       and, according to NICE standards, remote monitoring systems
       continue to be used with results sent by post without the need
       for face-to-face follow-up appointments.
       ‘Stratified’ means that the clinical team and the person living
       with cancer make a decision about the best form of aftercare
       based on their knowledge of the disease (the type of cancer and
       what is likely to happen next), the treatment (what the effects
       or consequences may be both in the short and long term) and the
       person (whether they have other illnesses or conditions, and how
       much support they feel they need). The 3 forms of aftercare are:
       -
       information about self-management support programmes or other
       types of available support, clinical signs and symptoms to look
       out for and whom to contact if they notice any, scheduled tests
       they may need (such as annual mammograms), and how to contact
       relevant professionals if they have any concerns.
       -
       phone or email contact with professionals as part of continuing
       follow-up.
       -
       support to manage their cancer and/or other conditions.
       The resulting release of resources allows those with complex
       needs to have more contact with their specialist team and those
       experiencing problems to re-access help more quickly.
       This change in approach has been broadly welcomed by clinicians
       and patient groups alike who are enthusiastic in taking the
       initiative forward and developing similar pathways for other
       types of cancer.
       For further information:
  HTML http://arms.evidence.nhs.uk/resources/qipp/1029456/attachment
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