http://youtu.be/5Lw7pu9l6I8
National Cancer Survivorship Initiative
Holistic Needs Assessment
and Care Planning –
Helping People Take Control
•
Name Jackie Rowe
•
Title
Electronic HNA Team
•
Date
November 2013
Agenda
1. The Macmillan Recovery Package
2. Holistic Needs Assessment (HNA) and Care
Planning
3. Supporting Electronic HNA’s and Care
Planning.
4. Top Tips for Implementing HNA’s
The number of people living with cancer is set
to double by 2030
Source: Maddams J, Utley M, Møller H. Projections of cancer prevalence in the United Kingdom, 2010-2040. Br J Cancer 2012; 107: 1195-1202.
The Recovery Package
Taking action to improve outcomes
(2013)
Holistic Needs Assessment (HNA) &
Care Planning
HNA Practical Guide
A range of practical advice:
• Getting started
• Skills and knowledge
• Tools to support the assessment process
• The assessment conversation
• The care plan
• Examples of practice
Available at:www.ncsi.org.uk
Moving forward – The Future of A&CP
eHNA Process
Patients
Clinicians
My Care Plan Website
N3 Servers
Response &
Patient Consent
Questionnaire
answers
Macmillan
Clinical Store
(*HealthUnlocked)
Patient
Information
Store
Macmillan Interface
Completed Care
Plan
*Macmillan Cancer Support has commissioned
HealthUnlocked to provide a web-based platform for
delivery of the eHNA: including software development
hosting and support.
Each site will enter into a provider agreement to support the
appropriate information governance and data sharing
protocols to fully support this information flow.
Creating the Care Plan
Summary Data
Breakdown of data
Patients identified improvements in:
Relationship with clinicians
Identifying issues
Ease of understanding
Enabling thinking
Releasing anxiety
Contact details
Feeling of wellbeing
Gain perspective
“Felt cared for”
What Patient Told us:
Helped me – 91%
Made me feel listened to – 96%
Answered all my questions – 97%
Tips for implementing in clinical
practice
Ensure everyone understand the idea of HNA and why it needs to be
done.
Consider existing processes and see how HNA can be built on these,
avoid duplication or addition workload.
 Consider practicalities – IT, capacity in clinical areas, job plans, cohort
of patients.
Consider the patient pathway and identify key stages that HNA can be
implemented and who is best placed to do the assessment.
.
Tips for implementing in clinical practice
Consider the best environment and whether
patients have enough time available with the
person undertaking the assessment.
Start small – discuss how it went – clinical
supervision / steering group / MDT
.
Thank You
Contact Details: eHNA@Macmillan.org.uk
Resources
• www.be.macmillan.org.uk
• www.ncsi.org.uk
• www.dh.gov.uk
• www.nhsiq.nhs.uk