Improving outcomes for people living with and beyond cancer

michelle_lloyd-cropped-lightenedMichelle Lloyd has worked within the NHS for 25 years. Here she explains what her role as a Macmillan Person-Centred Care Project Manager involves, and why it is her most rewarding role to date.

Hi, My name is Michelle Lloyd and I am the Macmillan Person-Centred Care Project Manager within Cwm Taf University Health Board.

I have been in post since April 2015. It is such a valuable role.  It’s really busy with so many exciting areas.  I am almost in my 25th year of working within the NHS and I can honestly say that this is the most rewarding role I have undertaken!  I feel lucky here within Cwm Taf UHB to be part of the Patient Care and Safety Team.

I report directly to the Assistant Director of Nursing who is also the Lead for Cancer Nursing. My placement within the nursing structure has been so valuable as it gives me direct access to our wonderful Specialist Cancer Nurses and Acute Oncology Nurses who are of paramount importance in implementing Person-Centred Care here within Cwm Taf UHB.

I am very grateful for the support of Alun Tandy, Macmillan Development Manager and the support given by Gillian Knight, Macmillan Lead Nurse/South Wales Cancer Network who is a key source of advice and support to me and many of our Specialist Cancer Nurses.

I really have great access to senior cancer services staff including the Lead Cancer Clinician, Mr Sandeep Berry who I work closely with.  Being an integrated member of the Cancer Services Structure has enabled me to raise the profile of person-centred care in such an effective way.

Macmillan Cancer Support define person-centred care as “ensuring that the needs of the person living with cancer are always at the heart of how services are planned, not the needs of the service providers”.

One way, adopted within Cwm Taf UHB of embedding person-centred care is through the Macmillan Recovery Package. The package details a series of key interventions which, when delivered together, can greatly improve outcomes for people living with and beyond cancer.  It is Central to Macmillan Cancer Support’s objective of achieving it’s ‘9 Outcomes’:

macmillan 9 outcomes

Cancer is moving from a disease where mortality was often the norm to one where more people can expect to live healthy and active lives for many years after their treatment is over.  This presents the NHS with new challenges particularly around ensuring that patient’s needs are holistically assessed and met via a Care Plan and that patients receive accurate information which helps with self-management.

The Recovery Package is made up of the following elements:

  • A Holistic Needs Assessment (HNA) and care planning at key points of the care pathway.
  • A Treatment Summary completed at the end of each acute treatment phase and sent to the patient and the GP.
  • A Cancer Care Review completed by the GP or practice nurse to discuss the person’s needs. The review should happen within six months of the GP practice being notified that the person has a cancer diagnosis, but this should be the start of an ongoing conversation required across the cancer care pathway.

Significant progress has already been made towards the implementation of the Macmillan Recovery Package here within Cwm Taf UHB especially in implementing Holistic Needs Assessment and Care Plans.  The Holistic Needs Assessment addresses the physical, emotional, practical, spiritual, psychological, social and financial needs of cancer patients helping to ensure that that the care delivered is person-centred.


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