UCLH Cancer Centre

Membersmeet – 4th January 2011
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

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 m 2
• Designed around the
needs of patients
• Innovative art work
• First PET MRI in UK
• Day care not overnight
• Opening 2 April 2012

Floor by floor in the cancer centre
5th
Private patients
Squire Garden
4th
Staff Conference Facilities
Haematology Day Care
3rd
2nd
Aseptic Production
Teenage and Young Adult Service
Chemotherapy Day Care
1st
Cancer Centre Outpatient Service
GF
Macmillan Support
& Information Service
Shop & Cafe
Dispensary
-1
Phlebotomy
Imaging (PET-MRI, MR|I, CT, U/S, X-ray)
Theatres and
procedures
Basement
Plant/Services

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
Macmillan Support and Information Service
Diagnosis
Treatment Ongoing care End of life care
2‐week clinics in
cancer centre for
lung, prostate,
breast, head and
neck, haematology
Other diagnoses in
main hospital
All treatments in
Cancer Centre
except major
surgery or
patients
requiring 24‐hour
care
Monitoring,
support,
survivorship,
further treatment
In cancer centre
and at home

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 services
5,367 funded professionals
£131 million benefits obtained for
78,000 people
3.4 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
• Integrated with every MDT
• Needs assessment
• Head of Service apponted
• Based in the Cancer Centre
reaching across UCLH &
outside
• Living room
• Psychology &
communications skills
• Allied Health
Professionals
• Complementary therapy
• Patient information

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”

Questions please
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