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These should be shared across patient, family/carer and professional staff.

Recommendation 3 : Ensure that senior clinicians who have received advanced level training and assessed as effective communicators undertake communication of significant news. All staff should be able to respond appropriately to patients’ and carers’ questions in the first instance before referring to a senior colleague.

Action

Lead

Timescale

Salford Health Economy to develop and implement appropriate communication skills training.

Co-ordinated in the first instance by the Supportive and Palliative Care Educator Facilitator appointed in November 2005, and evaluated over a three year period.

Need to ensure that appraisal of senior clinicians includes communication skills training which is defined as part of CPD/PDP.

LIO Palliative Care/Lead Cancer Nurse/Lead Cancer Clinician/Education Subgroup

Supportive and Palliative Care Education Facilitator (AcuteTrust/PCT)  

Clinician Directors/Lead Cancer Nurse Hospital & Primary Care

April 2010

September 2007

September 2008

Recommendation 4 : Ensure that the outcome of consultations in which key information is discussed is recorded in patients’ notes and communicated to other professionals involved in their care. Patients should be offered a permanent record of the consultation.

Action

Lead

Timescale

Currently for cancer this occurs as a quality outcome measure within the Manual of Cancer Measures14 and needs to be applied to other advanced life-limiting diseases across all care sectors.

Governance standards for NHS and Voluntary Sector providers

Cancer Peer Review Process.

April 2008

Recommendation 5 : Develop policies at local (Cancer Network/provider organisation/team) level, which provide details of the information to be routinely offered at different stages of the patients’ journey.

Ensure that patients and carers have easy access to a range of high-quality information, materials about cancer and other advanced life-threatening illnesses. Any written information provided should be culturally appropriate to individuals with audio/visual impairment or learning disabilities, and regardless of age and gender.

Action

Lead

Timescale

To locally implement Network Patient Information Strategy, including Tumour Specific Protocols.

Collaborative working with service users to inform the development of these policies and incorporate within the information needs of patients with other advanced life-threatening illnesses.

Tumour specific MDT’s

Information and Communication Subgroup LSG/GMCCN Group.

Cancer Information Leads/Managers/Lead Nurses  of Hospital & Primary Care Trusts

April 2008

September 2007

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