Evidence and Practice
Why you should read this article: • To read about an evaluation of a pilot service redesign that enables patients with head and neck cancer to receive follow up and rehabilitation closer to home • To enhance your understanding of the elements involved in a comprehensive evaluation of a service redesign • To recognise the importance of collaboration between all partners involved in a service redesign project Patients with head and neck cancer may be required to travel significant distances for treatment, follow up and rehabilitation. This article presents findings from an evaluation of a pilot head and neck cancer service redesign in Thames Valley Cancer Alliance to enable patients from Swindon and Wiltshire to receive follow up and rehabilitation closer to home. The evaluation identified a decrease in overall outpatient visit time for these patients, resulting in reduced travel costs and improved quality of life. Other positive findings included improved outpatient clinic attendance and reduced emergency admissions. However, two aims of the service redesign – increased uptake of holistic needs assessments and delivery of patient education – were not achieved. The evaluation provided evidence for moving the pilot service to a recurrently commissioned model.
Why you should read this article: • To learn about the experience of early phase cancer research nurses during the COVID-19 pandemic • To appreciate the challenges and positive developments brought about by the COVID-19 pandemic in relation to nurses working on early phase cancer clinical trials • To recognise the positive implications for future cancer research nursing practice This service evaluation examined the experiences of adult and children’s cancer research nurses working on early phase cancer clinical trials during the coronavirus disease 2019 (COVID-19) pandemic. A questionnaire was provided to early phase cancer research nurses at experimental cancer medicine centres, and alongside this there was an online discussion with eight of the nurses. The themes developed from the findings and online discussion provided an insight into the challenges faced by early phase cancer nurses during this unprecedented time and into some of the innovations, such as virtual appointments, adopted to overcome them. COVID-19 had a significant negative effect on the cancer research nurse workforce. However, peer support, networking opportunities, reflection and embracing innovation provided support for nurses and enhanced person-centred care.
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