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Overview of the balance of current service provision

The NICE Guidance ‘Improving Supportive and Palliative Care for Adults with Cancer provides a clear framework, together with recommendations on the types of services, which should be both commissioned and delivered to meet the needs of local people.

The NICE Guidance focuses on the following thirteen topic areas and this section will follow the same structure.

Co-ordination of care

User involvement

Face to face communication


Psychological services

Social support

Spiritual support services

General palliative care services including care of dying patients

Specialist palliative care services

Rehabilitation services

Complementary therapy services

Services for families and carers including bereavement services

Workforce development

Co-ordination of Care   

People with supportive and palliative care needs require the appropriate services and support at different stages of their ‘patient pathway’ and from a diverse range of service providers in their own home, in hospices, Care Homes, and hospitals (both Acute and Mental Health).However, effective co-ordination across care settings and within organisations continually presents a challenge to both providers and commissioners of NHS and Social Care services.

The NICE Guidance describes the level of co-ordination expected both at Cancer Network level, as well as at local operational level across all care providers and commissioners. It also emphasises that co-ordination should be undertaken in partnership with users and carers of the service.

The operational aspects of the co-ordination of care will be a consistent theme throughout the future strategic framework

The strategic coordination and development of Supportive and Palliative Care is undertaken by the Greater Manchester and Cheshire Cancer Network (GMCCN) which covers a population of 3.2m served by twelve NHS Hospital Trusts, located on 15 Acute Hospital Sites with five Mental Health Trusts, nine hospices (12 sites) and 11 PCTs (10 in Greater Manchester and 1 in Cheshire).  

Historically Salford and Trafford have worked collaboratively. A Supportive and Palliative Care Local Strategy Group (LSG), lead the local work. The LSG membership consists of representatives from local providers and commissioners, including the Voluntary Sector and User and Carer representation


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