Greater Manchester Cancer HNA and Care Planning Progress

Greater Manchester Cancer HNA and Care Planning Progress so far; trajectory to full implementation; e. HNA barriers and successes; care plans Lindsey Wilby Macmillan Project Manager – Living with and Beyond Cancer 5 th December 2018

Benefits of HNA https: //youtu. be/6 WOlz. Ur. WFj. Y

Holistic Needs Assessment: Macmillan concerns checklist

Greater Manchester Cancer It can feel like an uphill struggle…

Greater Manchester Cancer e. HNA training webinar: https: //vimeo. com/207469651/ 205 b 8498 d 4

Greater Manchester Cancer Benefits of e. HNA • It is patient led, and patients can prioritise their individual concerns. • As the process is electronic it is much easier to audit and analyse activity data for reporting, or to identify local service needs. • Data can be used to monitor the number of assessments done, and care plans provided, as well as those patients who have declined an assessment. • The care plan can be emailed to the patient and their GP for future reference. • It can also be used by the nursing staff to evidence the depth of care and support they provide to their patients. • Data will be shared across GM…eventually

Concerns identified Patient information sheets for all the HNA concerns are being developed by Macmillan. Currently available are: • • • • Constipation Diarrhoea Eating, appetite and taste Education Heartburn and indigestion Hot flushes or sweating Memory or concentration Nausea or vomiting Pain or discomfort Sleep problems Tired, exhausted or fatigued Work (employment) Worry, fear or anxiety https: //www. macmillan. org. uk/about-us/health-professionals/programmes-andservices/recovery-package/resources. html

Benefits of Care Planning • Refocusing on what is important – without a care plan the HNA can just be a tick box exercise • Regard for patient’s viewpoint • Ability to prioritise concerns • Patient has a written record of the plan which they can refer to/share with other HCPs • Individualised, high quality care • Supports self-management

Greater Manchester Cancer Progress across GM • 9 out of 10 sites are signed up to e. HNA; with varying degrees of implementation • c. 2000 HNAs per quarter are captured by current data reporting across GM – but we know that more than that are being carried out • NHSE metrics will give us more data • Aiming for “full” implementation by March 2020 • Aiming for all HNAs to result in a care plan? Or at least a “personal action plan”?

Greater Manchester Cancer Challenges Culture Time • nurses sometimes say “I already do this; I don’t need a new tool to tell me how to assess my patients” • for nurses (and others) to devote to HNA Hardware • availability of tablets or other interfaces in clinic Connectivity • with Trust Wi. Fi; does the Wi. Fi reach the clinic? Compatibility • with Trust systems (e. HNA/Somerset) Care plans Other • what does good look like? • ? ? ?

Greater Manchester Cancer Solutions – how to overcome these challenges? • Culture • Time • Hardware • Connectivity • Compatibility • Other