Establishment of a Managed Service
Network for Children's Cancer
Annie Ingram
16th December 2009
What are we trying to achieve?
• Tiered and integrated model of cancer services specialist centres with shared patterns of care NIHCE
• ‘…delivered as a network across four sites in Scotland…’
Cabinet Secretary, 2008
• Uniformity of care, as close to home as possible.
• Support the continued development of the MCN…& pilot
the creation of a Managed Service Network;
• Full range of specialist services in Edinburgh & Glasgow,
including BMT;
• Effective shared care. NDP,2009
• Improve outcomes for Children and Young People
The Proposed Model
Principal
Treatment
Centre
Shared
Care
Shared
Care
Principal
Treatment
Centre
Shared
Care
Shared
Care
What have we done so far…
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Self assessment – NICHE
National discussion on approach
CATSCAN
Investment in local services
What’s different?
MSN Neurosurgery
Proposed MSN Children's
cancer
• Improve services
• Continue to provide
services locally
• Uniform standards
• Clear referral pathways
• Identify sub-specialist
centres
• Improve services
• Operate as MDT – all
patients
• Invest in PTC
• Invest in shared care
• Uniform standards
• Clear referral pathways
• Sub-specialisation
Emerging model
Managed Service
Network
Operational
Management
Group
MDT
CATSCAN
Clinical Governance
& Quality
MDT
• The first step towards creation of the pan-Scotland MSN
• All new cases to be assessed jointly in real time
• Will monitor ongoing treatment of every child or young
person with cancer
• Will involve service redesign:
– Adjustment of consultant job plans, and other members of the MDT
– Impacting on scheduling of clinics, theatre etc
– Opportunity for improving cross-site working
Why MDT?
By bringing together key professionals with the necessary knowledge, skills
and experience expect:
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–
–
–
–
–
–
Improved consistency, continuity, coordination and cost effectiveness
Improved communication between health professionals
Improved clinical outcomes
Increased recruitment into clinical trials
Opportunities to improve audit
Educational opportunities for health professionals
Increased job satisfaction and psychological wellbeing of team members
However – complex to organise:
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–
–
–
Number of different professionals involved
Information required, good-quality
Other clinical commitments – time?
Robust supporting infrastructure
Establishing an MDT
• One or more National MDTs required?
• Core membership?
• Appropriate supporting infrastructure?