Stratified Breast Pathways Catherine Neck Macmillan Cancer Rehabilitation

Stratified Breast Pathways Catherine Neck Macmillan Cancer Rehabilitation/ Recovery Package Project Lead 27 th January 2017

Recovery Package & Stratified Pathway Recommendations: • ‘Cancer Taskforce is working with Macmillan to roll out the ‘Recovery Package’… a set of actions that ensure the individual needs of all people going through cancer treatment are met by tailored support and services’ • ‘We know that risk stratified pathways for breast cancer patients can not only improve care for patients after treatment, but create more efficient pathways that can reduce unnecessary hospital appointments’

• By March 2017, NHS England, through Cancer Alliances, will drive the spread of riskstratified pathways, including supported selfmanagement, for breast cancer, including assessing the role of commissioning incentives to encourage implementation • In subsequent years we will focus energy of rolling out this approach to other cancer sites

SWAG Cancer Alliance • Living With & Beyond Cancer (LWBC) working group • Aiming to deliver Taskforce recommendations on a local level • Sub-groups focussing on content and quality of Recovery Package delivery across Alliance (HNA, TS and H&WB events) • Stratified Pathway review – aim to standardise approaches to follow-up across the Alliance

Review of Current Pathways • Call for examples of current pathways including evidence of any stratification across both SWAG and Peninsula Cancer Alliances • Trusts at different stages but breast further ahead of other cancer sites • Examples where teams have fully stratified breast pathways • Others moving toward this

Future: • Can we agree to an Alliance-wide approach to stratification in breast cancer? • What steps are needed? • Comments please……….