Enhancing Physiotherapy Services for Head and Neck Cancer Patients
Providing targeted physiotherapy interventions for head and neck cancer patients is crucial in improving outcomes post-surgery and post-treatment. This project aims to identify unmet needs, streamline services, and prioritize follow-up care to enhance patient recovery and reduce complications.
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Presentation Transcript
Kate Cave Band 6 Head and Neck Cancer Physiotherapist at UHBW
One year scoping project. Band 6 Physiotherapist 0.5 whole time equivalent (WTE). Identify the unmet Physiotherapy needs of Head and Neck Cancer (H&NC) patients at University Hospitals Bristol and Weston (UHBW) NHS Foundation Trust.
UHBW now offers Prehab for UHBW and Royal United Hospital (RUH) H&NC patients undergoing surgery at UHBW. Improved resource management to prevent duplication of H&NC Prehab provision by UHBW and RUH. Generic Prehab Vs H&NC specific Prehab.
Inconsistent outpatient Physiotherapy follow up for H&NC patients post-op since 2017. Now all H&NC patients should be reviewed by outpatient H&NC Physiotherapist post major surgery. Positive feedback from patients re-presenting regarding current Physiotherapy service provision. Limited resources requiring relatively short term interventions. Now all H&NC patients should be reviewed by outpatient H&NC Physiotherapist post major surgery. April to November 2021 Head and Neck Cancer Physiotherapy caseload April to November 2021 Head and Neck Cancer Physiotherapy caseload Now seeing patients sooner post-op. Reducing risk of secondary complications and anecdotally improving patients outcomes. Reduced demand on Physiotherapy musculoskeletal (MSK) outpatients service. 120 100 80 60 40 20 0 Total number of H&NC Physiotherapy referrals Requiring outpatient H&NC Physiotherapy Follow Up Referred to MSK Physiotherapy outpatients
Multidisciplinary Allied Health Professional and H&NC Clinical Nurse Specialist Macmillan Support Clinic Follow Up clinic. Previously no routine Physiotherapy input for H&NC patients post chemo-radiotherapy or radiotherapy. Now routine review by H&NC outpatient Physiotherapist post treatment. Onward referrals to Bristol Royal Infirmary MSK Physiotherapy outpatients now prioritised for Urgent New Patient appointment (if received within 6 weeks of completion of treatment). H&NC patients are receiving Physiotherapy input routinely and sooner then ever before.
Continued scoping project until April 2022. Permanent Band 6 0.5 WTE H&NC Physiotherapist from April 2022. Need to be realistic about what the service can offer to meet H&NC patients Physiotherapy needs with limited resources, despite aspiring to do more.
