Title: Author Date
1 Tri-Network Event What CNSs need to know about
the commissioning process and the SEC Cancer
Nursing Strategy Debbie Stubberfield December
2nd 2008 Nurse Advisor NHS South East Coast
Author Date
2Purpose of the Day
- For Cancer Nurses to learn more about
commissioning and their contribution - To understand the World Class Commissioning
Process and its role in developing world class
care - Launch of the South East Coast Cancer Nursing
Strategy
3Opening remarks
- Overview and outcomes of the day
- Some national and local strategy and policy
- Nurses role in commissioning
- What do commissioners need to know about the
contribution of clinical nurse specialists?
4Some Context
- NATIONAL
- NHS Next Stage Review Final Report High
Quality Care for All (2008) - Framing the Nursing Midwifery Contribution (DH
2008) - Nurses in Society Starting the Debate (Kings
College London 2008) - State of the art metrics for nursing a rapid
appraisal (Kings College London 2008)
5Some Local Context
- Healthier People Excellent Care A vision for
South East Coast. (NHS SEC 2008) - NHS South East Coast Safer, Smarter Nursing
2008-2010 - The South East Coast Cancer Nursing Strategy
(2008)
6High quality care for allNHS Next Stage Review
Final Report
- Raising standards
- Stronger involvement of clinicians in decision
making at every level of the NHS - Fostering a pioneering NHS
Quality at the heart of the NHS
- Help to stay healthy
- Empowering patients
- Most effective treatments for all
- Keeping patients as safe as possible
High quality care for all
High quality care for patients and the public
Freedom to focus on quality
7Healthier People Excellent Care
- Key Principles
- Care should be personalised according to an
individuals needs - Patients should have more choice and control over
their care - Services should conform to best practice
- Prevention is better than cure
- Services should seek to reduce inequalities
- Patients will be treated in the right place at
the right time - No existing services will be changed before new
services are place - Services should make best use of tax payers money
8The Nursing Contribution
- Practitioners
- Partners
- Leaders
9Metrics
10National Metrics for consultation
- Cancer 56 (Indicators)
- Proportion of women receiving immediate breast
reconstruction - Quality of Patient experience compliance with
patient experience measures Cancer Quality
Improvement Network System (CQUINS) - Percent of patients seeing a relevant specialist
nurse
11Metrics continued
- Proportion of patients managed by the MDT who had
their diagnosis confirmed by histology or
cytology - Proportion of bowel cancer cases admitted as an
emergency - Percentage of oncology surgery performed outside
a specialist team centre - Consultation ends December 12th www.ic.nhs.uk
12Nurses in Society
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15South East Coast Directors of Nursing working
together with Universities to improve care and
patient experience
South East Coast Directors of Nursing working
together with Universities to improve care and
patient experience
NHS South East Coast York House, 18-20 Massetts
Road, Horley RH6 7DE Phone 01293 778 899 Email
info_at_southeastcoast.nhs.uk Web
www.southeastcoast.nhs.uk
NHS South East Coast York House, 18-20 Massetts
Road, Horley RH6 7DE Phone 01293 778 899 Email
info_at_southeastcoast.nhs.uk Web
www.southeastcoast.nhs.uk
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17What do commissioners need to know about
commissioning a chemotherapy service?
- British Oncology Pharmacists Association (BPOA)
(2004) Position Statement on Safe Practice and
the Pharmaceutical Care of Patients Receiving
Oral Anticancer Chemotherapy. London - Chemotherapy Services in England, ensuring
quality and safety a report from the National
Chemotherapy Advisory Group, draft for
consultation November 2008 - National Confidential Enquiry into Patient
Outcomes and Death report For Better, for
Worse. November 2008 - Wilson et al (2002). Patient and carer needs
following a cancer related hospital admission
the importance of referral to the district
nursing service. Journal of Advanced Nursing 38
(3), 245-253
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