Establishment of a Managed Service Network for Children's

CancerAnnie Ingram

8th December 2009

What are we trying to achieve?

• Tiered and integrated model of cancer services - specialist centres with shared patterns of care NIHCE

• ‘…delivered as a network across four sites in Scotland…’ Cabinet Secretary, 2008

• Uniformity of care, as close to home as possible.• Support the continued development of the MCN…&

pilot the creation of a Managed Service Network;• Full range of specialist services in Edinburgh &

Glasgow, including BMT;• Effective shared care. NDP,2009

• Improve outcomes for Children and Young People

The Proposed Model

Principal Treatment

Centre

Principal Treatment

Centre

SharedCare

SharedCare

SharedCare

SharedCare

What have we done so far…

• Self assessment – NICHE• National discussion on approach• CATSCAN• Investment in local services

What’s different?

MSN Neurosurgery

• Improve services• Continue to provide

services locally• Uniform standards• Clear referral

pathways• Identify sub-specialist

centres

Proposed MSN Children's cancer

• Improve services • Operate as MDT – all

patients• Invest in PTC• Invest in shared care• Uniform standards• Clear referral

pathways• Sub-specialisation

Emerging model

Managed Service Network

OperationalManagement

GroupMDT CATSCAN

Clinical Governance & Quality

Next steps

• Establish Project Board - towards National MSN

• Memorandum of Understanding - context for Project Board

• Project Board - learning from the Neurosurgery MSN

• Project Board - Independent Chair

• Links - adult cancer groups