Achieving personalised care for breast cancer patients through collaborative community working to promote self-management and survivorship
Currie, Rachel
Currie, Rachel
Glos Author
Date
2020-06
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Abstract
The NHS England (2019) ambition is to deliver personalised care and provide tools for self-management to empower people and to transform follow up pathways for cancer care. For breast cancer patients that have been risk stratified as supported self-management, we aim to discharge them with tools for survivorship. By working collaboratively with community services and by holding Healthy Living Events, prior to the End of Treatment (EoT) appointments this is the proposed pathway. We provide a detailed summary of cancer treatment to patients and their GP. This empowers people to self-manage their recovery by summarising their treatment, potential side effects, signs and symptoms of any recurrence and through the provision of advice and contact numbers for the Breast Care Nursing team and rapid re-access. Care planning through eHolisitc Needs Assessments, assessing feedback from patients who have received care planning during their treatment, and comparing care planning at EoT, can additionally enable the self-management of survivorship. Care planning and collaborative working has assisted in forming our approach to produce an improved patient experience demonstrating: a reduction in anxiety, reduced hospital admissions and GP visits and an increase in symptom control. Collaborative working has tried and tested various approaches to facilitate patients receiving co-hosted events, providing Healthy Living Events, highlighting opportunities for individual self-management. Collaborative working can be complex between different NHS providers involving multi-professionals; however, it is a fundamental approach for achieving personalised cancer care.
Citation
Currie, R. (2020). Achieving personalised care for breast cancer patients through collaborative community working to promote self-management and survivorship. European Journal of Surgical Oncology, 46(6), e14. https://doi.org/10.1016/j.ejso.2020.03.054