tya moving forward - susan mehta

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TYA : moving forward at UCLH Treatment Summaries and Care Plans Susan Mehta Lead CNS Late Effects of Cancer October 9 th 2013

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TYA moving forward at UCLH treatment summaries and care plans Susan Mehta Lead CNS Late Effects of Cancer Presentation from an event held in London on Wednesday 9 October with the Teenage and Young Adult (TYA) Centre Champions and our Clinical Leads to share learning, good practice examples, the successes, challenges and barriers to implementing: Treatment summaries End of treatment care plans Increased self-management for TYAs after cancer treatment The output from the meeting will be to define what support NHS IQ can provide locally to assist TYA teams in order to make progress with their implementation plans.

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Page 1: TYA moving forward - Susan Mehta

TYA : moving forward at UCLH

Treatment Summaries and Care Plans

Susan Mehta Lead CNS Late Effects of Cancer October 9th 2013

Page 2: TYA moving forward - Susan Mehta

Long-term follow-up: service evaluation December 2012 to February 2013

•Audit tool adapted and developed

•Collaboration with Bristol late effects team

•Questions adapted to collect data required for service development at UCLH.

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Page 3: TYA moving forward - Susan Mehta

Long-term follow-up: service evaluation December 2012 to February 2013

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Page 4: TYA moving forward - Susan Mehta

Plan for improvement

Page 5: TYA moving forward - Susan Mehta
Page 6: TYA moving forward - Susan Mehta

Improving and developing long-term follow-up services

Page 7: TYA moving forward - Susan Mehta

Treatment summaries and Care Plans

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Service development

Treatment summaries and care plans are in the plan

Implement pathways which include individualised treatment summaries and care plans

Nurse led clinics at defined transition points on the pathway

Page 8: TYA moving forward - Susan Mehta

Treatment summaries and Care Plans

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Discuss the clinical value of treatment summaries and care plans

Survivorship education for medical and nursing colleagues

Create easy to use templates

Involve administrative staff and secretarial support

Page 9: TYA moving forward - Susan Mehta
Page 10: TYA moving forward - Susan Mehta
Page 11: TYA moving forward - Susan Mehta

The price young people and adults face if they don’t have a treatment summary and care plan

The GP says I am too young to have a heart problem

The GP says I am too young to have a heart problem

A young man later diagnosed with cardiomyopathy after referral to a cardiologist by the long-term follow-up team

Page 12: TYA moving forward - Susan Mehta

The price young people and adults face if they don’t have a treatment summary and care plan

My employer did not believe I could survive cancer.

My employer did not believe I could survive cancer.

You don’t look like you have had cancer You don’t look like you have had cancer

A young man asking his employerfor time off work to attend hospital appointments

Page 13: TYA moving forward - Susan Mehta

The price young people and adults face if they don’t have a treatment summary and care plan

Someone who seems to suffer frequent ill health with no clear medical explanation

Someone who seems to suffer frequent ill health with no clear medical explanation

Comment on a GP referral letter to long-term follow-up.

Referral requested by a 45 year old treated age 15yrs for Hodgkins disease with mantle radiotherapy

Page 14: TYA moving forward - Susan Mehta

The value of providing individualised treatment summaries and care plans

Identifying treatment-related needs of each young person and adult to provide the necessary clinical support and empower the individual to seek timely and appropriate interventions throughout life