membersmeet – 4th january 2011 past... · cancer centre except major surgery or patients...
TRANSCRIPT
Dr Kirit Ardeshna – Consultant Haematologist & Clinical Lead for the Cancer Centre
Martin Lerner – Divisional Manager, Cancer Division
Lisa Godfrey – Programme Director, Macmillan Cancer Support
Kara Gelb – Project Manager, transforming patient experience
Membersmeet – 4th January 2011
Why build the Cancer Centre
• UCLH Board commitment to cancer services
• Patient environment
• Holistic care
Key facts about the Cancer Centre
• £100 million investment• 14,000 m2
• Designed around the needs of patients
• Innovative art work• First PET MRI in UK• Day care not overnight• Opening 2 April 2012
Squire Garden5th
Staff Conference Facilities Haematology Day Care
Aseptic Production
Teenage and Young Adult Service
Chemotherapy Day Care
Cancer Centre Outpatient Service
Plant/Services
Macmillan Support & Information Service
Shop & Cafe Dispensary
Phlebotomy Imaging (PET-MRI, MR|I, CT, U/S, X-ray) Theatres andprocedures
4th
3rd
2nd
1st
GF
-1
Basement
Floor by floor in the cancer centre
Private patients
Ground floor
• Spacious entrance hall
– Welcome– Living room– Information
• Café, shop• Pharmacy
Lower Ground Floor
• Phlebotomy & laboratory• Imaging - CT, MRI, Ultrasound,
PET-MRI, plain X-ray• Procedures Suite• Theatre• Macmillan Support and
Information Service(counselling, benefits advice, therapy, complementary therapy, lifestyle classes, dietary advice)
First floor
• Outpatients
• Improved outpatient experience– Check and Track– Scheduling system – Patients Portal– Reduced clinic waits
Second floor
• Adult chemotherapy– Day case– Ambulatory care
• Entertainment/WiFi
• No/reduced waits
Third floor
• Dedicated Teenage & Young Adults area• Outpatients and treatment for 13 - 24 yr olds • Recreation and support area• Ambulatory care - Paul’s House
Fourth floor
• Haematology Outpatients• Includes patients with non
malignant haematological conditions
• Day care facilities– Blood transfusions– Patients assessments– Procedures– Stem cell collection– Plasma exchanges
Fifth floor
• Open air roof garden for all patients
Private patients
Improving the patient journey
• 1400 new cancer patients a year start their cancer journey at UCLH
• About 2000 new cancer patients a year start their journey at another hospital and will get much of their treatment at UCLH
Services in the Cancer Centre
Diagnosis
2‐week clinics in
cancer centre for
lung, prostate,
breast, head and
neck, haematologyOther diagnoses in
main hospital
Treatment
All treatments in
Cancer Centre
except major
surgery or
patients
requiring 24‐hour
care
End of life care
In cancer centre
and at home
Ongoing care
Monitoring,
support,
survivorship,
further treatment
Macmillan Support and Information Service
A day in the Cancer Centre
300 outpatient consultations
50 patient receiving chemotherapy
150 patients and carers visiting the support and information service
80 scans and other diagnostic tests
60 haematology and surgical and other minor procedures
Macmillan Cancer Support 2010
£ 128.5 million – fundraised in 2010£96.7 million – spent on services5,367 funded professionals £131 million benefits obtained for 78,000 people3.4 million unique users accessed the help-lines
Perceptions of Macmillan
Macmillan UCLH Partnership
• Two organisations with national reputations for innovation in cancer services
• £10 million contribution from Macmillan
• UCH Macmillan Cancer Centre
• Learning laboratory for innovations
• The best possible patient experience with patient voice at the centre of all that we do
Macmillan UCLH Partnership
• Support and Information Service
• Patient Experience Board
• Workforce
• GP liaison
• Patient information
• Volunteer service
• Patient environment
• Supported self-management after treatment
• Training and learning development
• Evaluation
Support & Information Service
• Living room
• Psychology & communications skills
• Allied Health Professionals
• Complementary therapy
• Patient information
• Integrated with every MDT
• Needs assessment
• Head of Service apponted
• Based in the Cancer Centre reaching across UCLH & outside
The challenge
Governing body report
• 18 in depth interviews with patients at the end of their cancer treatment at UCLH
• Overall the interviewees reported very positively on their experience of care. Recommendations should be considered in the context of a range of such positive feedback about a generally very high quality service
• Availability of clinical nurse specialists especially to patients who are tertiary referrals
• Role and profile of Macmillan amongst cancer patients particularly given the charity’s significant involvement in the new ambulatory cancer centre
Brain Cancer feedback
“All in all, please remember, patients are human beings, just like the staff, we have feelings and are trying to have as much of a life as possible. We sit there working out what out of our life dreams we can actually now expect to be able to do. What kind of a future can we plan now? We have families that we love and want to protect, just like anyone, we walk away from appointments evaluating every word that was said to us and that affects us and those around us profoundly on a daily business. Everything that is said to us means so much.”
Campaign: “Making a Difference Together”
Dr Kirit Ardeshna – Consultant Haematologist & Clinical Lead for the Cancer Centre - building
Martin Lerner – Divisional Manager, Cancer Division – services provided in the cancer centre
Lisa Godfrey – Programme Director, Macmillan Cancer Support – Macmillan’s involvement
Kara Gelb – Project Manager, transforming patient experience – UCLH campaign
Questions please