Greater Manchester Cancer GM Prehab4Cancer & Rehab Programme Dr John Moore - [email protected] Clinical Director Greater Manchester Cancer Prehab4Cancer & Rehab Programme Zoe Merchant - [email protected] Programme Lead / Specialist OT Objective Partners in delivery Expected Beneﬁts Patient Cancer Path References GM Cancer will be the ﬁrst regional system in the UK to introduce large scale prehabilitation as a standard of care for cancer patients. Through transformation funding GM Cancer Prehab will support more than 1,000 patients per year undergoing cancer interventions (major surgery, chemotherapy and radiotherapy) through freely accessible preparation and recovery physical activity, nutritional and wellbeing packages across GM over the next 2 years. Methodology To deliver this system change, GM Cancer Prehab will work with local healthcare providers, community GM Active leisure services, GM Macmillan Users, Health Innovation Manchester and the Manchester Allied Health Sciences. GM Cancer Prehab will be co-designed utilising advice from national and international multimodal experts who will facilitate collaboration, innovation and study within the programme. This will be complemented by a strong drive to digitally enhance and record patient prehabilitation and recovery outcomes. • Reduced morbidity from treatment • Improved short-term and long-term survival • Improved PROMs and PREMs • Reduced healthcare and social costs • Improved family and carer satisfaction The importance of preparation ‘Prehabilitation’ and active recovery pathways in cancer are being increasingly recognised by cancer patients and healthcare providers around the world.1,2,3. The elements of physical activity, nutritional management and psychological support appear core to improving patients’ outcomes and quality of life. 1. Silver JK (2015) Cancer prehabilitation and its role in improving health outcomes and reducing health care costs. Seminars in Oncology Nursing, 31 (1) . 2. Bloom E (2017) Prehabilitation evidence and insight review. Macmillan Cancer Support: London. 3. GM Cancer (2017) Achieving world-class cancer outcomes: Taking charge in Greater Manchester 2017-2021. Cancer Diagnosis Preparation Cancer Intervention Recovery Living With and Beyond Cancer Patient and Family Education Surgery School Chemo-Radiotherapy School Physical activity Increase and then maintain fitness during treatment and into recovery Mental Wellbeing Patient and Family support Dietary optimisation and support Nutritional Management

GM Prehab4Cancer & Rehab Programme - Greater Manchester … · Innovation Manchester and the Manchester Allied Health Sciences. GM Cancer Prehab will be co-designed utilising advice

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Page 1: GM Prehab4Cancer & Rehab Programme - Greater Manchester … · Innovation Manchester and the Manchester Allied Health Sciences. GM Cancer Prehab will be co-designed utilising advice

Greater Manchester Cancer

GM Prehab4Cancer & Rehab ProgrammeDr John Moore - [email protected] Clinical Director Greater Manchester Cancer Prehab4Cancer & Rehab ProgrammeZoe Merchant - [email protected] Lead / Specialist OT

Objective

Partners in delivery

Expected Benefits

Patient Cancer Path

References

GM Cancer will be the first regional system in the UK to introduce large scale prehabilitation as a standard of care for cancer patients.

Through transformation funding GM Cancer Prehab will support more than 1,000 patients per year undergoing cancer interventions (major surgery, chemotherapy and radiotherapy) through freely accessible preparation and recovery physical activity, nutritional and well-being packages across GM over the next 2 years.

MethodologyTo deliver this system change, GM Cancer Prehab will work with local healthcare providers, community GM Active leisure services, GM Macmillan Users, Health Innovation Manchester and the Manchester Allied Health Sciences. GM Cancer Prehab will be co-designed utilising advice from national and international multimodal experts who will facilitate collaboration, innovation and study within the programme. This will be complemented by a strong drive to digitally enhance and record patient prehabilitation and recovery outcomes.

• Reduced morbidity from treatment• Improved short-term and long-term survival • Improved PROMs and PREMs• Reduced healthcare and social costs • Improved family and carer satisfaction

The importance of preparation ‘Prehabilitation’ and active recovery pathways in cancer are being increasingly recognised by cancer patients and healthcare providers around the world.1,2,3. The elements of physical activity, nutritional management and psychological support appear core to improving patients’ outcomes and quality of life.

1. Silver JK (2015) Cancer prehabilitation and its role in improving health outcomes and reducing health care costs. Seminars in Oncology Nursing, 31 (1) .2. Bloom E (2017) Prehabilitation evidence and insight review. Macmillan Cancer Support: London.3. GM Cancer (2017) Achieving world-class cancer outcomes: Taking charge in Greater Manchester 2017-2021.

Cancer Diagnosis

Preparation

Cancer Intervention

Recovery

Living With andBeyond Cancer

PatientandFamilyEducationSurgerySchoolChemo-RadiotherapySchool

PhysicalactivityIncreaseandthenmaintainfitnessduringtreatmentandintorecovery

MentalWellbeingPatientandFamilysupport

NutritionalWellbeingDietaryoptimisationandsupport

Nutritional Management