Dr Kirit Ardeshna – Consultant Haematologist & Clinical Lead for the Cancer Centre

Martin Lerner – Divisional Manager, Cancer Division

Lisa Godfrey – Programme Director, Macmillan Cancer Support

Kara Gelb – Project Manager, transforming patient experience

Membersmeet – 4th January 2011

Why build the Cancer Centre

• UCLH Board commitment to cancer services

• Patient environment

• Holistic care

Key facts about the Cancer Centre

• £100 million investment• 14,000 m2

• Designed around the needs of patients

• Innovative art work• First PET MRI in UK• Day care not overnight• Opening 2 April 2012

Squire Garden5th

Staff Conference Facilities Haematology Day Care

Aseptic Production

Teenage and Young Adult Service

Chemotherapy Day Care

Cancer Centre Outpatient Service

Plant/Services

Macmillan Support & Information Service

Shop & Cafe Dispensary

Phlebotomy Imaging (PET-MRI, MR|I, CT, U/S, X-ray) Theatres andprocedures

4th

3rd

2nd

1st

GF

-1

Basement

Floor by floor in the cancer centre

Private patients

Ground floor

• Spacious entrance hall

– Welcome– Living room– Information

• Café, shop• Pharmacy

Lower Ground Floor

• Phlebotomy & laboratory• Imaging - CT, MRI, Ultrasound,

PET-MRI, plain X-ray• Procedures Suite• Theatre• Macmillan Support and

Information Service(counselling, benefits advice, therapy, complementary therapy, lifestyle classes, dietary advice)

First floor

• Outpatients

• Improved outpatient experience– Check and Track– Scheduling system – Patients Portal– Reduced clinic waits

Second floor

• Adult chemotherapy– Day case– Ambulatory care

• Entertainment/WiFi

• No/reduced waits

Third floor

• Dedicated Teenage & Young Adults area• Outpatients and treatment for 13 - 24 yr olds • Recreation and support area• Ambulatory care - Paul’s House

Fourth floor

• Haematology Outpatients• Includes patients with non

malignant haematological conditions

• Day care facilities– Blood transfusions– Patients assessments– Procedures– Stem cell collection– Plasma exchanges

Fifth floor

• Open air roof garden for all patients

Private patients

Improving the patient journey

• 1400 new cancer patients a year start their cancer journey at UCLH

• About 2000 new cancer patients a year start their journey at another hospital and will get much of their treatment at UCLH

Services in the Cancer Centre

Diagnosis

2‐week clinics in 

cancer centre for 

lung, prostate, 

breast, head and 

neck, haematologyOther diagnoses in 

main hospital

Treatment

All treatments in 

Cancer Centre 

except major 

surgery or 

patients 

requiring 24‐hour 

care

End of life care

In cancer centre 

and at home

Ongoing care

Monitoring, 

support, 

survivorship, 

further treatment

Macmillan Support and Information Service

A day in the Cancer Centre

300 outpatient consultations

50 patient receiving chemotherapy

150 patients and carers visiting the support and information service

80 scans and other diagnostic tests

60 haematology and surgical and other minor procedures

Macmillan Cancer Support 2010

£ 128.5 million – fundraised in 2010£96.7 million – spent on services5,367 funded professionals £131 million benefits obtained for 78,000 people3.4 million unique users accessed the help-lines

Perceptions of Macmillan

Macmillan UCLH Partnership

• Two organisations with national reputations for innovation in cancer services

• £10 million contribution from Macmillan

• UCH Macmillan Cancer Centre

• Learning laboratory for innovations

• The best possible patient experience with patient voice at the centre of all that we do

Macmillan UCLH Partnership

• Support and Information Service

• Patient Experience Board

• Workforce

• GP liaison

• Patient information

• Volunteer service

• Patient environment

• Supported self-management after treatment

• Training and learning development

• Evaluation

Support & Information Service

• Living room

• Psychology & communications skills

• Allied Health Professionals

• Complementary therapy

• Patient information

• Integrated with every MDT

• Needs assessment

• Head of Service apponted

• Based in the Cancer Centre reaching across UCLH & outside

The challenge

Governing body report

• 18 in depth interviews with patients at the end of their cancer treatment at UCLH

• Overall the interviewees reported very positively on their experience of care. Recommendations should be considered in the context of a range of such positive feedback about a generally very high quality service

• Availability of clinical nurse specialists especially to patients who are tertiary referrals

• Role and profile of Macmillan amongst cancer patients particularly given the charity’s significant involvement in the new ambulatory cancer centre

Brain Cancer feedback

“All in all, please remember, patients are human beings, just like the staff, we have feelings and are trying to have as much of a life as possible. We sit there working out what out of our life dreams we can actually now expect to be able to do. What kind of a future can we plan now? We have families that we love and want to protect, just like anyone, we walk away from appointments evaluating every word that was said to us and that affects us and those around us profoundly on a daily business. Everything that is said to us means so much.”

Campaign: “Making a Difference Together”

Dr Kirit Ardeshna – Consultant Haematologist & Clinical Lead for the Cancer Centre - building

Martin Lerner – Divisional Manager, Cancer Division – services provided in the cancer centre

Lisa Godfrey – Programme Director, Macmillan Cancer Support – Macmillan’s involvement

Kara Gelb – Project Manager, transforming patient experience – UCLH campaign

Questions please