FACET European Journal of Cancer Care

1
FACET - European Journal of Cancer Care June 2002
Policies and Practice developing a vision for
the future
L. BARNISH1, RGN, ONC CERT, BSC (HONS), MSC

• Introduction
• How can policies influence clinical practice?
• How can policies be used in the ongoing
  development of cancer services?
• How can a vision be developed for cancer
  services?

Slide One
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notes
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FACET - European Journal of Cancer Care June 2002
Policies and Practice developing a vision for
the future (continued)
Example 1. A model for the consultation phase
Draft standards reviewed by Lead Cancer Nurse
Slide Two
Changes to service could be made slowly with a
view to improving the services rather than in a
rush to pass peer review process
Content of standards discussed with Clinical
Nurse Specialists
All staff comments were included when comments
to the draft were sent to the Department of Health
Standards become familiar to clinical staff
Standards were used during usual development of
services
Difficulties in meeting standards noticed early
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FACET - European Journal of Cancer Care June 2002
Policies and Practice developing a vision for
the future (continued)

• Outcomes at the consultation phase
• Implementation of the changes was difficult
• Reading documents in isolation is of limited
  value, clinical staff need to be involved in
  discussions at hospital level
• Clinical staff have vital contributions to make
  at all levels
• Instigating policy objectives
• Informing the design and content
• Ensuring local implementation.

Slide Three
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notes
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FACET - European Journal of Cancer Care June 2002
Policies and Practice developing a vision for
the future (continued)

• Example 2. The use of policy documents
• Some policy documents relate specifically to
  areas of clinical practice e.g. Clinical Outcomes
  Guidance (UK)
• A multiprofessional perspective on the local
  implementation is essential if comprehensive
  holistic local services are to be provided.
• This input is required at the early stages of
  implementation when service redesign and funding
  is being agreed.

Slide Four
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notes
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5
FACET - European Journal of Cancer Care June 2002
Policies and Practice developing a vision for
the future (continued)

• So how is all this relevant?
• Senior clinical professionals have a
  responsibility to strive to improve services for
  patients.
• This can be made easier by
• Using political levers
• By supporting the development of junior staff
  and their involvement in the local interpretation
  and implementation of policy

Slide Five
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notes
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FACET - European Journal of Cancer Care June 2002
Policies and Practice developing a vision for
the future (continued)

• Some points to consider
• Do you have a vision for your service?
• Can it be clearly articulated to others?
• Is it written down?
• Who else knows about it?
• How does it fit with your organisations goals?
• How long into the future does it reach?

Slide Six
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notes
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FACET - European Journal of Cancer Care June 2002
Policies and Practice developing a vision for
the future (continued)

• Developing the vision for your service
• What local influences do you have to consider
  when developing a vision for the service to your
  patients?
• What are the individuals ideas in your team?

Slide Seven
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notes
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FACET - European Journal of Cancer Care June 2002
Policies and Practice developing a vision for
the future (continued)

• What are the influences for this vision?
• Patients feedback and comments
• Local networking with colleagues
• Perceptions of service shortfalls
• Your own ideas and personal interests
• Recent educational initiatives

Slide Eight
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notes
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FACET - European Journal of Cancer Care June 2002
Policies and Practice developing a vision for
the future (continued)
Is your vision driven by what you believe your
patients should receive or is it restricted by
what you believe to be possible?
Slide Nine
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notes
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FACET - European Journal of Cancer Care June 2002
Policies and Practice developing a vision for
the future (continued)

• Factors that may restrict the vision
• Consider the factors that are restricting your
  vision
• Are difficulties perceived, tested, real?
• What assumptions have been made?
• How creative is the vision
• How restricted is it by existing processes?

Slide Ten
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notes
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11
FACET - European Journal of Cancer Care June 2002
Policies and Practice developing a vision for
the future (continued)

• Using policy documents to support and guide your
  vision
• Consider your responsibility for being proactive
  in this process
• Benefits include
• New ideas
• Ensures consistency and relevance of your ideas
• Added support to your vision
• The access of funds (possibly)
• Your own professional development.

Slide Eleven
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notes
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12
FACET - European Journal of Cancer Care June 2002
Policies and Practice developing a vision for
the future (continued)

• Making the job more manageable (and less
  daunting)
• Use your local people resources
• Visit the web pages regularly
• Read the Cancer Action Team Newsletter (UK)
• Review documents in small discussion groups
• Remember
• Revisit your vision regularly
• update it
• concentrate on those bits that are currently
  trendy you may find you get more support

Slide Twelve
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notes
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13
FACET - European Journal of Cancer Care June 2002
Policies and Practice developing a vision for
the future (continued)
Literature and other information
sources Department of Health (1996-2001)
Clinical Outcomes Guidance Documents. Department
of Health. London. Department of Health (2000)
The NHS Cancer Plan a plan for investment, a
plan for reform. Department of Health.
London. Department of Health Expert Advisory
Group on Cancer to the Chief Medical Officers of
England and Wales (1995) A policy framework for
commissioning cancer services. Department of
Health. London. Munroe, A. (2001) The Calman-Hine
Report its causes and consequences. European
Journal of Cancer Care. 10(3) 213-219. National
Patients Access Team (2000) Cancer Services
Collaborative Twelve Months On. National Health
Service Executive. London. NHS Executive (2000)
Cancer Information Strategy. Department of
Health. London. NHS Executive (2001) Manual of
Cancer Service Standards. Department of Health.
London. NHS Information Authority with the
National Cancer Director (2000) Towards a Cancer
Information Strategy. Cancer Information Strategy
Team, NHS Information Authority.
Winchester. www.doh.gov.uk/cancer
Slide Thirteen
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notes
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