19.07.2012 - East Midlands Cancer Network

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Chemotherapy Administration policy - nursing group To be discussed at nursing group later in the afternoon as to whether the administration policy should be a shared network document or developed at a local level. The EMCN Cytotoxic Policy doesn’t cover the administration of chemotherapy in detail. CDF Audits All trusts had now made returns for 2011-12 with funding to support the process from the CDF. There is a template in use to provide prospective data going forwards. Peer Review Support. CC still to discuss with network team the feasibility of supporting this. Chemotherapy Training & Assessment Framework for Nurses see To be held over to next meeting following the nursing meeting. 4. Peer Review: Visits anticipated in January for NUH Derby Lincolnshire and ?Sherwood Forest. All trusts anticipating Acute Oncology visit. With regards to local self assessment and timescales no issues were raised. Medical training documentation was held to the next meeting as there were no medical staff at the meeting. 5. Errors and Prevention: Some centres reported having implemented the switch to sub cutaneous bortezomib, others plan to shortly, with some awaiting the drug to be licensed by the subcutaneous route. Production problems relating to different strength of solution were discussed. NUH reported an error with the route of administration which is being investigated and will be discussed further at the next meeting. It was noted that an IV/sub cut route now falls into a “never event” category in the same way intrathecal/IV does. The group agreed it was very useful to share the issues discussed at the meeting and take the issues highlighted back to local centres still to implement subcutaneous bortezomib. KGH reported an error with chemotherapy prescribing of intrathecal chemotherapy which was discussed by the group. 6. Capacity Modelling: Di Ryan gave a very instructive presentation on the work undertaken around productive oncology at NUH as part of the “better for you” initiative. The project has been underway for 7 months and is still at an early stage. The 5 step plan includes Set Up and Plan, Discovery, Design and Trial, Implementation and Roll out and Embed and Sustain. Whilst challenging the project has enabled a complete review of the service with detailed data collection and analysis. Many ideas have been “designed and trialed” some of which have worked and others have returned for further review. Chemotherapy Suite Standards were agreed by all after discussion but are still to be achieved. Many working practices have Nursing meeting EMCN Chemotherapy Group Minutes 19.07.12 2/4
changed but there is still much to be done. Patients are very interested in the project and read the information boards. Considerable time ensuring by in from all staff groups has been essential to delivering the project. Haematology at NUH are keen to see the project roll out to them. DR agreed to share her presentation on powerpoint which could not be show for technical reasons. Di agreed to feedback on progress in 6 to 9 months time. 7. E prescribing EMCN has invested £965,000 across the region to support E-prescribing (in addition to DH central funding). ULHT have tendered and are assessing responses. CC to meet ULHT at end of July. Derby are progressing but still to go live. The IT department is very supportive of this part of the project at Derby. Burton has two thirds of the colorectal regimens ready to go live. Breast and lung live. Still issues with consultant cover. CC to follow up with local leads. Northants project struggling to secure IT engagement. Andy Harvey and CC working with trusts to progress. NUH and SFH are progressing with IT issues almost resolved. There appears to be an issue remaining with regards to information governance agreement between the sites. Paediatrics are recruiting at UHL but NUH still awaiting trust sign off to proceed. EMCN are following this up and the link between sites with regards to IT. 8. Mandatory Dataset The mandatory dataset return has been made by 4 sites-Burton, NUH UHL and NGH. There has been joint working between the 3 sites using ChemoCare to enable as many fields as possible and in a consistent format. The dataset has still not been published but CC shared some of the key findings. It is hoped data will be available in early August. The cost of upgrading ChemoCare to deliver the dataset has been discussed and CC awaits further information and a specification from CIS Oncology. For trusts not yet submitting data CC has heard of plans from ULHT. There is less clarity around how this will be delivered from Derby, and potentially SFH and KGH as the E prescribing system is unlikely to deliver by September 2012. CC to approach trusts for an update. 9. Non Protocol Chemotherapy returns CC reported the submission for 2011-12 has been filtered to remove protocols now within the EMCN algorithm. There are a few algorithms outstanding for completing including melanoma and EMCN Chemotherapy Group Minutes 19.07.12 3/4 CC CC CC CC
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19.07.2012 - East Midlands Cancer Network

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