Dr Tom Roques, Norfolk & Norwich University Hospital

09/01/2013
Performance status
www.pallimed.org/2008/09/physician-patient-disagreement-about.htmlabout.html
What can we do -
selection?
Meticulous staging to exclude those with metastases from curative
RT
Formal QA of MDTs - dummy patients at MDT, review of blind cases,
revalidation
Need to develop much better tools to select patients on basis of
functional status (overall and organ specific)
Good outcomes data collection by individual clinician - especially in
patients with high rates of metastases
Listen to others – CNSs, radiographers etc. Do they think the
treatment plan is correct
Collaborative oncologist discussion of NPs once seen. Pre planning
meetings
10