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Transformation Project Updates

Acute Oncology - QIPP 1.6

Project Manager & Contact Details

Sarah Hudson

PMO Contacts

Emma Tee

Project Overview

The scope of Acute Oncology covers two distinct patient groups:

1) Acute complications of non-surgical cancer treatment and

2) Emergencies caused by the disease process, whether the primary site is known, unknown or presumed.

The benefits are linked to increase in income from outpatient attendances and reduction in spend across the Trust (effectively an enabling project) and to reduce the Trust bed base by 4 beds. The aim is for 6 beds in year one and then a further 5 beds in 2014/15.

Key Objectives

  1. Reduce the number of both non-elective and elective admissions by transferring treatment delivery to Day Care/Chemotherapy, review in outpatients and avoiding admissions.
  2. To close four beds across the Trust
  3. To be upper quartile LOS by December 2012.
  4. Integrate acute oncology service to Front door.

    Background - Implementation of an Acute Oncology Service this is an invest to save initiative which includes reducing inpatient beds, reducing LoS, preventing admission, providing day care/outpatient treatments wherever possible and increased outpatient activity.

From the benefits realisation work this indicates that there is a potential gain (in line with Dr Foster Upper Quartile and additional work to reduce DNAs in Clinical Oncology) by three clinics per week. The aim is to reduce the number of follow ups through continuous review of clinical protocols to be in line with Upper Quartile and to grow the new and follow up activity in line with the Acute Oncology Business Case and Cancer Business Plan 2012/13. The project has already achieved the Implementation of a Consultant Oncologist 24/7 on-call and weekend ward rounds to enable effective discharge.

Clinical and Medical Oncology Specific Actions:

  1. Remove one clinic per week and clinical assistant post – effective from May 2011.
  2. Subject to Acute Oncology Business Case Approval – Increase number of weekly clinics from April 2013 to 1 Consultant led, 1 Nurse led follow up and 1.5 Consultant led follow up.
  3. Develop projects using QIPP methodology in chemotherapy, Day Care and Radiotherapy to assess any potential gains with regard to outpatients
  4. Enable savings from other departments such as reduce LoS, reduction in unnecessary diagnostic testing (CT/MRI/Tumour Markers)

Reporting to

Transformation Board

Patient Benefits

Reduced LoS, admission avoidance, reduce unnecessary diagnostic testing (CT/MRI/Tumlur Markers) and increase access to acute oncology team improving patient outcome and satisfaction.

Trust Benefits

Reduced LoS and admission avoidance leading to improved patient flow through the hospital. A reduction in unnecessary diagnostic testing (CT/MRI/Tumlur Markers) will avoid unecessary cost and increased access to the acute oncology team leading to improving patient outcome.

Quality Pillars

Demonstrating Performance
Quality Improvement
Reputation Management
Physical Environment

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