Physicians and CIS working together: extending into the Community

Catherine Dickens & Antonia Dawson 2006

Physicians and CIS working together: extending into the Community

This presentation will cover involving

physicians in taking CIS into the

community:

Doctor/GP Practice

Library

Mobile Vehicle

Taking CIS into the Community

The need for CIS in the Community

People are living longer with cancer (Summerton N 1999 Diagnosing Cancer in Primary Care).

Most people would prefer to get treatment and support at home.(Adewyuyi-Dalton R, et al 1998 Psycho-onc. Vol 7(5).

Recent survey showed 80% of people with common cancers first present to GP. (Family Practice Journal Date 2004 Vol 19 (6).

NHS survey showed 90% respondents wanted better health information (NHS Dec 2003)

The need for CIS linked to GP/Community and hospital (Smith C, Dickens C 2005 EJCC)

People from the community visiting CIS based in hospital

GP based CIS

The Hadleigh Doctor’s Practice CIS was set up by a nurse in 1999.

“I see her as a link person between carer, GP, hospital, oncologist….she’s accepted by hospital staff as part of their team and she’s also at the heart of our team. She managed to improve communication between the patient and their consultant.” Tim Howard, GP Hadleigh Practice.

Library based CIS

•In 2001 public libraries in England and Wales had 290 million visits •The library is run by information professionals•It may be easier to offer services to ‘hard to reach groups’.•A CIS nurse based in the library can provide support and information.

•People can visit to get information or borrow books, leaflets in written/audio formats to make informed choices•Easier for local people as a part of a wider range of services

Library based CIS

•Health enquiries in public libraries are growing in volume.

•Libraries are safe, neutral and accessible places open to all.

•Provide a range of expertise to many local people.

•A purpose broader than health.

•Link to GP and space in library.•CIS nurse specialist and volunteers.

(Artemis Consulting 2004)

Library based CIS

Mobile CIS

Mobile CIS

Mobile CIS

40% men visitors30% have cancer40% friends/relatives

Want to know about:Cancer diagnosisPreventionTreatment and side effectsDiet

(Macmillan Mobile Centre Report 2004)

Helping people talk with physicians and health care staff with more confidence.Getting local health care staff involved and knowing about CISUpdating health care staff on range of pamphlet and materials available.Time to look at internet.

SummaryNeeds assessmentClear aims & objectives as part of strategic planWritten policiesBeing part of a recognisable GP management structureSpace for CISSteering management committeeResources – booklets etc

Integrated CIS able to refer onAdministrative supportBudgetPhone & computer equipmentInduction & ongoing trainingStaffing primarily a cancer trained nurse.Audit & evaluation for improvementPhysician to champion CIS

Physicians and CIS working together: extending into the Community

Websites

www.Breastcancercare.org.ukwww.Breakthrough.org.ukwww.Cancerbacup.orgwww.Cancerhelp.org.ukwww.cancernorth.nhs.uk/homewww.Macmillan.org.ukwww.NHSdirect.orgwww.icisg.org