Macmillan Senior Cancer Care Co-ordinator

2 weeks ago


Sleaford, United Kingdom NHS Lincolnshire Integrated Care Board Full time

The Macmillan Senior Cancer Care Co-ordinator will be responsible for supporting staff groups to embed the Personalisation Model of delivery into their practice. The post holder will be a professional who will work closely with staff groups to ensure that the LWC programme is delivering on key performance objectives in implementing Personalised stratified Follow up Pathways. Work closely with the CNSs, Acute Cancer Care Co-ordinators and Macmillan Information and Support Service (MCISS) in ULHT, offering support as appropriate. The post holder will participate in regular MDTs with the MCISS team, ULHT Cancer Care Coordinators, and Living with Cancer teams to update, report complex cases and develop actions.

The post holder will be required to have regular contact with other internal and external stakeholders, such as primary care, social care, third sector and GPs. Develop a network of key contacts that they work closely with and understand the referral routes to other services. Support staff in completing holistic needs assessment and develop individual care plans for each patient referred into services. Support staff in managing complex cases as assessed through triage, referring patients into appropriate services.

Support staff with caseload management, identifying appropriate step up/step down points whilst working with a patient, reviewing regularly. Evaluate outcome of service delivery. Signpost staff groups to other sources of support as appropriate, such as other Healthcare Professionals, websites, written information etc. Help to coordinate appointments with other services for efficiency and patient experience.

Liaise with community locality teams to ensure a seamless service for patients and smooth transition through the cancer pathway. To identify patient and carer general information needs and accessing and signposting to the Macmillan Cancer Information & Support Centre, countywide services, social prescribing and other local support and information routes. Work with staff groups to co-ordinate care to facilitate safe and effective transition between services to provide seamless support for people. Develop good working relationships across the cancer pathway.

Develop partnerships with other local health and wellbeing services and understand referral mechanisms. Support staff groups to be able to: Identify indication of need or changes in need through telephone contact and face to face appointments and be able to respond appropriately. Advise patients on individual self-care management support and education as necessary. Delivery of patient and carer advice and education, identification of appropriate training e.g., HOPE.

Provide Level 2 psychological support to patients/carers. Encourage and support healthy lifestyle choices, identify and refer to support in community. Make scheduled catch-up calls to patients to check on health and wellbeing and any emerging / on-going needs. Service development Contribute to the development of the Living with Cancer programme of work.

Support the development of the personalisation programme of work. Work with ULHT to ensure the sustained delivery of an acute treatment pathway that reflects best practice in supporting people living with cancer. Work with ULHT to develop a proactive approach to supporting people living with cancer. Work with primary care providers, Primary Care Networks and Community Locality Teams to develop a proactive approach to supporting people living with cancer, implementing personalised care and support and personalised stratified follow up pathways which will ensure that actions are taken in a timely manner to mitigate risks and where required support rapid recovery.

Work with wider neighbourhood networks and the Voluntary and Community sector to develop a proactive approach to supporting people living with cancer, implementing personalised stratified care and support. Support the work across the system to support people living with cancer whose treatment is not curative. Collaborate with cancer services, system wide, to ensure LWC programme is embedded in other organisations work and led and championed to ensure delivery. Ensure that people LWC are placed at the centre of shaping, designing and developing the programme by extensive engagement and involvement.

Collaborate with the Lincolnshire Cancer Co-production Groups. Physical resource To be a flexible member of the team able to respond to the changing needs of the patient, carer and their community population. To provide a vital link between, primary care, community care and acute care. To attend CNS forums to develop a working relationship and promote learning.

To meet regularly with the Macmillan Information and Support Services To carry out administrative duties required by the role. To support staff groups to review patients in community settings, providing basic counselling and support as necessary. To order equipment and supplies. To achieve the agreed competencies



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