Supportive Oncology at BSUH - Transforming Care for Cancer Patients
Supportive Oncology at BSUH, led by Dr. Ollie Minton, focuses on providing holistic care for cancer patients in their last year of life. The program aims to enhance patient outcomes, reduce hospital admission costs, and improve quality of life through evidence-based interventions. Baseline data analysis reveals insights into patient demographics, common tumour groups, and admissions patterns. Additionally, case studies exemplify the proactive and comprehensive approach to managing cancer patients through early identification, coordinated care, and follow-up support.
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Presentation Transcript
Supportive Oncology at BSUH Dr Ollie Minton
National Picture 29% NHS spending is on patients in the last year of their life 1:3 of the adult inpatient population is in the last year of their life 1:10 is in their last admission Supportive and palliative care intervention is evidenced to reduce cost of hospital admission by 14-24%
Baseline Data Analysed July 2018 - June 2020 ICD 10 codes Primary any cancer Secondary palliative care 375 patients, 405 patient spells Average length of stay 10-12 days Upper and Lower GI most common tumour group admitted, although large cohort in other
Oncology groups were formed according to the table below, formed according to the methodology created by the North Mersey Macmillan project. The quantity of admissions for each patient was counted to show how often a patient has multiple admissions or not. The results show that the majority have only one admission. Admission count: Count of admissions (across both years) 1 2 3 4+ Number of admissions for each patient 349 22 4 0 Primary diagnosis 1st Spell July 2018 - June 2019 July 2019 - June 2020 Total 38 21 124 15 207 - Lung Breast Lower & Upper GI Prostate Other Total 25 15 66 9 100 215 13 6 58 6 107 190
Case Study 1 46y male, 1 month of early morning headaches presenting to UCC CT brain: mass, cerebral oedema with midline shift, likely brain tumour referred to medics Needed urgent MRI brain and discussion in Neuro MDT Proactively identified via Medway PAS Able to expedite scan to same-day imaging Liaised with AOS for urgent review
Case Study 2 64y female, recent admission with new diagnosis of lung primary with brain metastases Discharged on Dexamethasone weaning regime, with outpatient EBUS and Oncology clinic follow-up Referred by Oncology for clinical review in interim before OP appointment Seen on EACU for symptom / clinical review, also able to review incidental knee haematoma and provide further prescription for PPI
Ongoing aims Use PROMs to identify patients in virtual follow up Specific changes for oncology day ward review Avoid admissions Earlier recognition of likely disease progression / response Business as usual
