Ovarian: SDA Pathway 2/52 results apt with Consultant and CNS. Post Op check. ‘Thinking Ahead’ leaflet given. Treatment Summary dictated. Discuss tumour marker check with relevant patients-see below. CNS/Support Worker issues letter to patient asking them to attend GP 2 weeks prior to next appointment to have tumour markers checked if their markers were elevated at diagnosis. Letter to GP also. 4/12 appointment with Consultant. Examine. Assess post op issues. Check Treatment Summary Issued. Tumour marker determines pathway. SDA for patient whose previously elevated markers are now normal: Discharge from consultant and appoint to NURGYO1 for HNA. Consultant follow-up if markers are still elevated or complex issues. Consider SDA in future if complex issues resolve SDA Patients Gynae CNS Holistic Needs Assessment apt 5/12 post op Give ‘Caring for yourself’ leaflet and rapid access number. Psychosexual assessment and counselling included. Code SDDO by receptionist. Signposting to services available. PATIENT/ GP concern from trigger list Gynae Onc CNS/ Support Worker (triage call within 48 hours / 2 working days) Jan 2015 EMcC V1 Not for SDA If tumour markers were not within normal range at post op check: Consultant led / Shared Care followup and appoint to appropriate clinic. (NURGYO1 if for Nurse Led /Shared Care) Rapid Access to Gynae Team or MDM Survivorship-www.survivorship.cancerni.net Clinical Support Services: Education and Information: Physical Activity: Other Support Services MDM decision: potential SDA patient. Borderline Ovarian Cancer - Treatment complete.