A Day in the Life of………

……….…a Clinical Network Group Chairman

Sir Peter Blake

Woke up, fell out of bedDragged a comb across my headFound my way downstairs and drank a cupAnd looking up I noticed I was lateFound my coat and grabbed my hatMade the bus in seconds flat

Found my way upstairs and had a smokeAnd somebody spoke and I went into a dream

A Day in the Life. Lennon and McCartney

Buy In

•Access to high cost drugs

•Chemotherapy Organisation

•Shared guidelines

Merseyside & Cheshire Haematology Cancer Network

Population 2.3mIsle of Man

• NICE IOG Published 2004

• Multidisciplinary haemato-oncology teams which serve populations of 500,000 or more

• Results of tests should be interpreted by experts who provide a specialised service at network level

• Rapid-access diagnostic services for patients with lymphadenopathy

• Clinical nurse and palliative care specialists to have central roles in haemato-oncology teams

Sensible configuration may look like this:

*Knowsley PCT is part of both North Liverpool & St Helens & Knowsley LHCs

Leukaemia

SMDT

Lymphoma

SMDT

Myeloma

SMDT

North Cheshire & St Helens &

Knowsley LHCs (population 640,000)

Wirral & West Cheshire LHCs

(population 610,000)

Central & South Liverpool LHCs

(population 480,000 + tertiary

referral)

Southport, Formby & West Lancs & North Liverpool &

Sefton LHCs (population

550,000 incl Knowsley PCT*) )

= existing arrangements

Recommendation 1: MDT serve population > 500,000

Haematology Histopathology

Cytogenetics---Genetics

Immunology

Haematopathology

Agenda

• Peer Review

• High Cost Therapies

• Chemotherapy

• Nursing and Pharmacy Groups

• Patient advocates

• National Cancer Research Network

• Guidelines, policies etc

Street Scene, Pendlebury, Manchester. LS Lowry

Examples of Roles

• Guideline writing review

• High Cost Drug submissions

• Chairmanship of Special Interest Groups

• Performance Criteria

• Representation on other groups

I read the news today oh boyFour thousand holes in Blackburn, LancashireAnd though the holes were rather smallThey had to count them allNow they know how many holes it takes to fill the Albert Hall

A Day in the Life Lennon and McCartney