Ambulatory Care What this means for adolescent cancer patients and - - PowerPoint PPT Presentation

Ambulatory Care

What this means for adolescent cancer patients and what has been achieved so far at UCLH.

Alison Finch - Matron Daniel Wood – Divisional Manager Susan George – Assistant Director of Services (CLIC Sargent)

• Our current service and ambulatory care
• Advantages to both patients/hospital
• Paul's House from a patient/family
• Achievements so far
• The Challenges
• The Future – Cancer Centre

Overview

• Comprehensive children’s and teenage

clinical services at UCH

• > 5,200 attendances p.a.
• Two entire floors of the UCH Tower

0-12 and 13-19 years

• Age appropriate facilities including primary

and secondary schools

• 1st and largest Teenage Cancer Unit in the

country

Children & Young People’s Cancer Service

• Past: patients receive cancer

treatment as an inpatient

• Memorial Sloan Kettering (in

US) have pioneered Ambulatory Care:

– Patients receive chemotherapy in hospital day care setting – Patients stay over night in a residential setting (not a hospital)

What is ambulatory care?

• http://uclh.madewithlovehq.com/13-

19/stories/ambulatory-service/ Paul’s House How do we achieve this?

• Independence
• Keeps families together
• Normalises life during

treatment

• Choice and control over

treatment

• Increased Privacy
• Works with our

philosophy of care

Advantage to our patients

• Treatment given when needed
• Less reliance inpatient facilities (which

saves money)

• Better quality of patient experience
• Freeing up inpatient beds to look after

more inpatients Advantage to us

• Paul’s House opened (Sept 2010)
• Purchased back pack
• Trained nurses
• Changed clinical protocol
• Working closely with Paul’s House with

regard to environment and infection control

• 1st ambulatory patient May

What have we achieved this year?

• Patient and staff understanding concept
• Patient and family confidence to ambulate
• Worry of over burdening families with need

to self care

• Capacity in Paul’s House
• Patients desire to ambulate directly to

home Challenges

The future - Cancer Centre

• New model of care for young patients with

cancer

• Improved experience for patients and families
• Excellent example of working in partnership

with charitable organisations

• A step to normalising cancer care

Summary