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Reducing Length of Stay for Cancer Inpatients

Reducing Length of Stay for Cancer Inpatients. James Frost Project Manager (Inpatient Stay) NWLCN. Cancer Reform Strategy. Building on the Cancer Plan 2000 Targets are: Preventing cancer Diagnosing cancer earlier Ensuring better treatment Living with and beyond cancer

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Reducing Length of Stay for Cancer Inpatients

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  1. Reducing Length of Stay for Cancer Inpatients James Frost Project Manager (Inpatient Stay) NWLCN

  2. Cancer Reform Strategy Building on the Cancer Plan 2000 Targets are: Preventing cancer Diagnosing cancer earlier Ensuring better treatment Living with and beyond cancer Reducing cancer inequalities Delivering care in the most appropriate setting

  3. Cancer Reform Strategy Patient focussed Reducing risks of developing cancer Earlier detection High quality treatment High quality ‘tailored’ information Equality of access and treatment Care delivered in a clinically appropriate and convenient setting

  4. CRS - Chapter 7 Delivering care in the most appropriate setting Inpatient care Key principles for improving inpatient care Assessment prior to admission Defined inpatient pathway Proactive case management Emergency admissions the exception not the norm

  5. NWLCN Approach What are we trying to achieve? Transformation of inpatient care Play our part in saving 1 million bed days Be focussed (Project Approach) Engage with Trust staff Support service improvement Improve outcomes Don’t reinvent the wheel!

  6. NWLCN Approach How have we done this? Enhanced Recovery Programme Neutropenic Sepsis info, DVD and alert cards Nurse-led Discharge Metastatic Spinal Cord Compression Acute Oncology Service RAPA

  7. RAPA Why? Work more efficiently & effectively Better experience for the patient Drive service improvement Better use of resources

  8. RAPA How? Agree principle with Cancer Executive Team Write to all Trust Chief Executive’s Agree pilot sites West Mid Chel West Hillingdon Imperial Identify local project managers IT Operational

  9. How are we doing so far? Lies, damn lies and statistics! 173,119 bed days in 2005/6* of which 103,824 (60%) were non-elective* 146,584 bed days in 2007/8* of which 87,912 were non-elective* Reduction of 15% *Cancer Commissioning Toolkit – HES Data

  10. RAPA Developments for the future? Network RAPA Wider than cancer Protection of Vulnerable Adults Infection Control Respiratory Cardiac Acute Oncology Service Trust-wide Readmission monitoring

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