Eight adult survivorship prototype sites (14 tumour specific teams) and ten children and young peoples test sites have worked with us to develop and test stratified pathways of care. The poster submissions included in this publication were presented at the NCSI conference event on 28 March 2012 and represent only some of the learning and the excellent work from the teams and sites participating in this programme. (Published May 2012)

1. NHS
CANCER
NHS Improvement
Cancer
DIAGNOSTICS
HEART NHS Improvement - Cancer
Sharing the learning through posters;
LUNG
the work of the National Cancer Survivorship
Initiative (NCSI) test sites, supported by
STROKE
NHS Improvement (2012)

3. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
Introduction
The National Cancer Survivorship Initiative (NCSI) was Without the hard work, commitment and expertise from all
launched in September 2008 and is a partnership between our clinical leads and advisors, our cancer network service
the Department of Health, Macmillan Cancer Support and improvement colleagues, local project teams and most
NHS Improvement. The aim of the national initiative is to importantly our cancer patient survivors who have worked
improve models of aftercare provided for those patients with us during this initiative this publication would not
surviving cancer, many of whom will need a range of have been possible.
clinical and non-clinical services to enable them to live a
happy, healthy normal life after their initial treatment for We thank them for their contribution and we hope readers
cancer. find the content interesting and informative.
Eight adult survivorship prototype sites (14 tumour specific For further information you can access the NCSI website
teams) and ten children and young peoples test sites have www.ncsi.org.uk and the NHS Improvement website
worked with us to develop and test stratified pathways of www.improvement.nhs.uk/cancer
care that are tailored to individual needs with the focus on
providing the right support in the right place by the right
person and encouraging self management where
appropriate to do so.
The poster submissions included in this publication were Gilmour Frew
presented at the NCSI conference event on 28 March 2012 Director - Cancer
and represent only some of the learning and the excellent
work from the teams and sites participating in this Patricia Morris
programme. They are presented in two sections Adult and Director - Cancer
Children and Young People with the winner and highly
commended entries at the start of each chapter. Anne Wilkinson
National Improvement Lead - Cancer
Delegates on the day were then given the opportunity to
nominate the winning posters. The winners were then Judi Tapp
presented with an award and certificate by Professor Sir National Improvement Lead- Cancer
Mike Richards to congratulate them on their winning
poster design.
Children and young people national test sites Adult Survivorship test sites
• The Leeds Teaching Hospitals NHS Trust • Brighton and Sussex University Hospitals NHS Trust
• The Christie NHS Foundation Trust • Guys and St Thomas’ Hospital NHS Foundation Trust
• Birmingham Children's Hospital NHS Foundation Trust • The Hillingdon Hospitals NHS Foundation Trust
• Sheffield Teaching Hospitals NHS Foundation Trust • Hull and East Yorkshire Hospitals NHS Trust
• University Hospitals Bristol NHS Foundation Trust • Ipswich Hospital NHS Trust
• The Royal Marsden NHS Foundation Trust (RMH) • North Bristol NHS Trust
• Great Ormond Street Hospital for Children • Luton and Dunstable Hospital NHS Foundation Trust
NHS Trust (GOSH) • Salford Royal NHS Foundation Trust
• Cambridge University Hospitals NHS Foundation Trust
• Royal Alexandra Children's Hospital (Brighton)
• CLIC Sargent
www.improvement.nhs.uk 3

4. ADULT TEST SITE
Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
POSTERS
National Cancer Survivorship Initiative: Living
with and beyond cancer - Adult Pathway
Over the past four years work has commenced with patients, NHS clinical teams and third sector
organisations to test care and support for those living with and beyond cancer. This work has culminated in
the development and pilot testing of pathways of care tailored to individual needs in four tumour types
(breast, colorectal, lung, prostate) with the aim of improving quality, reducing unnecessary hospital
attendances and moving the focus of post treatment care from the disease and treatment to health and
wellbeing.
This interactive generic pathway demonstrating examples of care and support from testing work and also
signposting to other relevant sources of information.
To access the pathway go to:
www.improvement.nhs.uk/cancer/survivorship/
adult_survivorship_pathway
Scan the QR code for quick
and easy access to the adult
survivorship pathway
4 www.improvement.nhs.uk

5. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
ST
TR L
N RIS :
H TO
A B R
U
IT H NE
SP RT N
S
O NO WI
L
H
www.improvement.nhs.uk 5

6. RE ITA X :
- B SP SSE ED
ST O U D
U Y H S EN
ST S
A L
Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
TR SIT N & M
H R O M
N IVE HT CO
N IG Y
BR HL
IG
H
S
U
6 www.improvement.nhs.uk

7. ST O S :
U TA X
U H SU ED
G S
- L SPI SE
N L
Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
S SIT N ND
N VER HTO ME
TR Y &
N G M
U BRI CO
I
H
www.improvement.nhs.uk 7

8. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
8 www.improvement.nhs.uk

9. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
www.improvement.nhs.uk 9

10. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
10 www.improvement.nhs.uk

11. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
www.improvement.nhs.uk 11

12. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
12 www.improvement.nhs.uk

13. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
www.improvement.nhs.uk 13

14. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
14 www.improvement.nhs.uk

15. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
www.improvement.nhs.uk 15

16. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
16 www.improvement.nhs.uk

17. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
www.improvement.nhs.uk 17

18. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
18 www.improvement.nhs.uk

19. CYP TEST SITE
Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
POSTERS
National Cancer Survivorship Initiative: Teenage
and Adult Aftercare Pathway
These Children and Young People Cancer Survivorship aftercare pathways have been produced and
endorsed as clinical good practice following an extensive consultation process with input from clinical
experts and cancers survivors.
These defined pathways demonstrate the evidence emerging from three years of testing and prototyping
with clinical teams and cancer patient survivors.
To access the pathway go to:
www.improvement.nhs.uk/cancer/survivorship/pathway
Scan the QR code for quick
and easy access to theteenage
and adult aftercare pathway
www.improvement.nhs.uk 19

20. TR AL
ST
N ’S H :
AT O M
Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
EN NG ER
N IT
U
D H A
IO SP
FO DR MI N
N
H IL IR I
N CH B W
U
S
20 www.improvement.nhs.uk

21. :
ED
D S B SITY ND
Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
U TAL ER ME
ST
TR L
N O
U
IO IST
FO I IV M
H O U CO
AT R
LY
S SP N
H
IG
N
H
N H
www.improvement.nhs.uk 21

22. C
ST G OM
RE RE M
CH A
IL ET T EN
22
D H O
RE O RM DE
N SP O D
N ITA N :
H
S L D
TR FO
U R
ST
www.improvement.nhs.uk

23. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
www.improvement.nhs.uk 23

24. Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
24 www.improvement.nhs.uk

25. Adult test site poster presenations
Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
from Professor Sir Mike Richards
ADULTS WINNER:
North Bristol Hospital
NHS Trust - Breast
Team. Dany Bell - Lea
d Cancer Nurse
MMENDED:
ADULTS HIGHLY CO rsity Hospitals
Brighton and Sussex Unive
NHS Trust - Breast Team
nsultant Oncologist
Richard Simcock - Co
www.improvement.nhs.uk 25

26. CYP test site poster presenations
Sharing the learning through posters; the work of the National Cancer Survivorship Initiative (NCSI)
from Professor Sir Mike Richards
CYP WINNER:
Birmingham Children’
s Hospital NHS
Foundation Trust - Dr
Helen Jenkinson
ENDED:
CYP HIGHLY COMM
ildren
Bristol Royal Hospital for Ch
Ruth Elson - After Care Specialist
26 www.improvement.nhs.uk

28. NHS
CANCER
NHS Improvement
DIAGNOSTICS
HEART
LUNG
STROKE
NHS Improvement
NHS Improvement’s strength and expertise lies in practical service improvement. It has over a
decade of experience in clinical patient pathway redesign in cancer, diagnostics, heart, lung and
stroke and demonstrates some of the most leading edge improvement work in England which
supports improved patient experience and outcomes.
Working closely with the Department of Health, trusts, clinical networks, other health sector
partners, professional bodies and charities, over the past year it has tested, implemented, sustained
and spread quantifiable improvements with over 250 sites across the country as well as providing
an improvement tool to over 2,000 GP practices.
NHS Improvement
3rd Floor | St John’s House | East Street | Leicester | LE1 6NB
Telephone: 0116 222 5184 | Fax: 0116 222 5101
www.improvement.nhs.uk
Delivering tomorrow’s
Publication Ref: NHSImp Cancer 0001 - May 2012
©NHS Improvement 2012 | All Rights Reserved
improvement agenda
for the NHS