Map Long Term Conditions After Care Care Plans Risk Stratification Rehabilitation Survivorship

Survivorship Case Studies

The case studies below provide real examples of how staff are delivering the QIPP challenge across the NHS. The aim of these case studies is to provoke thoughts, ideas and discussions about changes that can be made locally in the NHS.

Adult Survivorship

The impact of a community Macmillan nurse in curative care - NHS Birmingham East and North Health Economy

Cancer survivors exercising their way back to health - Bournemouth Test Community

Improving quality for patients with lung cancer - Brighton and Sussex University Hospital NHS Trust

Self management programmes and different models of follow-up care in cancer survivorship - North Bristol NHS Trust

The importance of establishing peer group support for survivors of pelvic cancers - The Christie Test Community

Moving forward (or initially backwards!): setting up a successful education programme for patients living with and beyond pelvic cancer - Clatterbridge Centre for Oncology

Patient group involvement in shaping assessment and care planning (ACP) - East Kent Hospitals University NHS Foundation Trust

A real life example of partnership working - Gloucestershire Test Community

Surviving cancer living life – a nurse led telephone service for breast and prostate cancer survivors - Guy’s and St Thomas’ NHS Foundation Trust

‘Life After the Prostate’ group education programme for stable prostate cancer patientsa> - Three Counties Cancer Network (3CCN) - Herefordshire

Improving care for patients at home immediately following radical radiotherapy treatment - Luton Community Services

Increasing primary care skills and knowledge has reduced length of stay, unnecessary appointments and admissions to hospital for patients with cancer - NHS Luton

Community cancer support and information service - Medway Test Community

Identifying the potential to reduce hospital follow ups - Mount Vernon Cancer Centre

Testing a complex intervention focused on a rehabilitative model to improve the patient experience and long term outcomes for haematology and breast oncology patients - Royal Free Hospital & Marie Curie Hospice Hampstead

Identifying patient support and information needs in survivorship - Sheffield Test Community

Interim evaluation of participant’s experience of the health and lifestyle coaching programme in South of Tyne and Wear - NHS South of Tyne and Wear

Routine use of the distress thermometer as psychological distress screening for outpatient gynaecological cancer patients - University College London Hospitals (UCLH) Gynaecological Cancer Centre

BeINSPIRED - a non pharmacological breathlessness management programme for people with cancer - South East Wales Cancer Network

Implementing a ‘virtual’ non medically led adjuvant Herceptin breast cancer pathway - Velindre Cancer Centre

Life after prostate cancer: A new approach to follow-up in Worcestershire - Worcestershire Acute Hospitals NHS Trust

Children and Young People

The Christie Survivorship Programme

A three tiered model of care provides follow-up options for childhood cancer survivors in Birmingham - Birmingham Children’s Hospital NHS Foundation Trust

Model of care - Brighton and Sussex University Hospital NHS Trust

South West young cancer survivors project - University Hospitals Bristol NHS Foundation Trust

Improving the lives of young people throughout and after their cancer treatment - Cambridge University Hospitals NHS Trust

Survivorship education programme - The Christie NHS Foundation Trust

Treatment summary record and survivor care plan - The Christie NHS Foundation Trust

The impact of cancer on a child’s world - CLIC Sargent

Policy project - CLIC Sargent

Transition care - Great Ormond Street Hospital for Children NHS Trust

Treatment summary record and survivor care plan - Great Ormond Street Hospital for Children NHS Trust

Lost to follow-up - University Hospitals Birmingham NHS Foundation Trust

Life after cancer: Helping our patients lead normal lives - The Royal Marsden NHS Foundation Trust

Telephone reminder system - Sheffield Children and Young People Cancer Survivorship Test Community

GPs view on the acceptability and usefulness of treatment summaries and care plans - Sheffield Children and Young People Cancer Survivorship Test Community

Summary of roles, responsibilities and training needs of survivorship and late effects nurses - Sheffield Children and Young People Cancer Survivorship Test Community

The Community Cancer Portal: Transforming the traditional model of late effects follow-up - Yorkshire Cancer Network