Nottingham cancer survivor thanks home test for ‘second chance at life’

An Eastwood mum has been successfully treated for colorectal cancer thanks to a simple test GPs can order in Nottingham and Nottinghamshire.

Wendy Lyons was just 45 when she was diagnosed with the disease after visiting her GP with what she thought were symptoms of a possible infection. Her GP referred her for urgent blood tests and recommended she complete a home testing kit called a ‘FIT’ test to rule out cancer.

NHS bowel cancer screening is currently only offered to people aged 55 or over, as this is when people are more likely to get bowel cancer. But patients in Nottingham and Nottinghamshire can be tested when they are much younger if their GP finds unexplained bowel symptoms.

FIT (Faecal Immunochemical Test) is a stool test that detects hidden quantities of blood in poo that could indicate bowel cancer. If blood is found, patients are referred for an urgent bowel investigation to establish a diagnosis. When cancer is found early, treatments are more effective.

Nottingham was the first place in England to offer FIT tests in primary care. The simple test helped Wendy to get treated before cancer spread to other parts of her body.

While I was on holiday I noticed I was getting out of breath on hills I used to climb up easily. So when I got back I booked in to see my GP thinking I either had an infection or maybe was starting with the menopause. That visit to my GP saved my life and I’d really like to thank him for what he did.

After I dropped in the home test I was booked in for a colonoscopy pretty quickly and got the results straight after.

It felt like someone hit me in the chest when the doctor confirmed it was cancer. From that moment the same fear stayed with me every minute of every day, until I was treated.

Wendy Lyons

Wendy was diagnosed with early-stage I cancer and scheduled for surgery. The operation was performed at Nottingham City Hospital via robotic surgery, an industry leading procedure available at just a handful of cancer centres in the country.

The technology provides a surgeon with a three-dimensional view of the operating area and robotic instruments that allow highly accurate surgery to be performed.

Offering the FIT test in primary care has a range of advantages for patients but the most important thing is that we are starting to diagnose younger patients than would be picked up by the national screening programme.

We are finding more early cancer in patients that are using this test. At the same time the test helps to rule out cancer in people who have very low risk. This means people are not referred unnecessarily for urgent invasive tests, like a colonoscopy.

When caught early bowel cancer is almost always treatable and cure rates are much higher.

Mr Ayan Banerjea, Colorectal Surgeon at Nottingham University Hospitals NHS Trust

The surgery was a complete success for Wendy, who has been free of cancer since the operation. She said:

I was ecstatic when I got the all-clear. I felt like I could fly.

I’m just really thankful that the doctors were able to catch the disease so early. It’s given me a second chance at life

The NHS Long Term Plan pledges to diagnose 3 in 4 cancers at an early stage by 2028. It also commits to improving public awareness of the signs and symptoms of cancer, and helping GPs to refer patients for diagnostic tests more easily.

FIT tests provide GPs with a powerful tool to help diagnose colorectal cancer earlier. Almost 80 per cent of tests come back negative, which means that hundreds of patients every year avoid invasive tests that can cause complications as well as pain and discomfort.

Elderly mum avoids hospital as Call for Care delivers urgent support

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Wendy Neville’s mum, Brenda Northing, suffers from dementia and also has heart failure, diabetes and chronic kidney disease.

[/vc_column_text][/vc_column_inner][vc_column_inner offset=”vc_col-lg-7″][vc_column_text]Wendy says that the local Call for Care service helped her mum avoid repeated stays in hospital by providing the right care and treatment in her home.

Call for Care is a clinical navigation system, run by Nottinghamshire Healthcare, for health and social care professionals in mid Nottinghamshire.

It can help healthcare workers to find the most appropriate service for patients with complex needs and is linked in with a range of services in the community.

This care can be organised within two hours and often helps patients to begin recovery before they reach a crisis.[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class=”u-cms–section m-0 pt-0″ css=”.vc_custom_1561797136443{background-color: #f6f6fa !important;}”][vc_column][vc_row_inner el_class=”container”][vc_column_inner offset=”vc_col-lg-offset-1 vc_col-lg-10″][vc_column_text]

Wendy’s story

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Wendy looked after her 84-year-old mum, Brenda, who lived alone in Mansfield. She said:

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Elaine Watts, a Palliative Nurse Specialist, cared for Brenda, helping her with her conditions and extra medications. Elaine said…

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Within 15 minutes of the referral to Call for Care, an Assistant Care Practitioner arrived at Brenda’s home to assess her and agreed that she was not safe to be at home by herself.   The Call for Care team contacted Social Services and arranged for emergency care at Bluebell Lodge, a care home in Sutton-in-Ashfield.   Brenda moved to the care home the same day.

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Call for Care has supported over 9000 patients since November 2015. Patients and their families have seen positive outcomes as a result of a reduced length of stay in hospital, avoided attendance at ED and avoided admission to the ward from ED.

 

Call for Care is open for calls seven days a week, 8am – 8pm, from health and social care professionals across Mid Nottinghamshire who need an alternative to admission or conveyance to hospital for their patients.   The service is for those over the age of 18 and registered with a GP in Mansfield, Ashfield, Newark and Sherwood.

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Partnership case study: MSK Services

In the last two years health partners across Mansfield, Ashfield, Newark and Sherwood have worked together to introduce a new way of caring for patients with muscle, bone or joint conditions (known as MSK services).

A patient was referred into the MSK service with foot pain. Through assessment it was determined that the patient required an ultrasound-guided injection.

In the old system that person could have waited up to 12 weeks because we would have had to refer the patient back from community physiotherapy to the GP who would have referred the patient into the see the consultant, who in turn would have referred the patient into radiology for the ultrasound-guided injection.

Now because of the improved working relationships across the MSK service, following their assessment of the patient, the Advanced Physio Practitioners can ask the surgeon to refer the patient directly to radiology for the test, without the surgeon needing to see the patient.

The new system is built on much better relationships between organisations and teams and the service is streamlined and quicker for patients.

It has led to an 11.5% reduction of new outpatient appointments, a 10.2% reduction in day-cases and a 9.2% in planned admissions. The service will save over  £3m in the first 18 months of being operational.

New role at GPs improving patient safety

Ten practices in Mid Nottinghamshire now have a clinical pharmacist as part of their team.

The unique role improves patient safety by ensuring that people understand how to take their medication as prescribed as well as review medication after discharge from hospital.

By providing drug information and advice in plain language clinical pharmacists can help prevent Adverse Drug Events (or ‘ADEs’) that can cause significant harm and require treatment in hospital.

They can also identify patients who are most at risk of taking medicines incorrectly. This means they can target those most likely to benefit from a review.

Within consultations they devote time to help patients learn how to self-care and give them confidence and information to take responsibility for their medication.

1000s of patients recovering from operations able to get care closer to home at GP practices rather than hospital

The new wound care and suture removal service was introduced in December 2017 and is now available to all patients in Mansfield and Ashfield.

Patients recovering from an operation or with wounds that need regular dressing can access the care they need at a number of local GP practices and not necessarily the one they are registered with.

When patients are discharged from hospital following an operation they can sometimes require a few appointments a week to get dressings changed. This could cause a lot of discomfort and inconvenience for patients to travel to hospital. But now patients across Mid Nottinghamshire can access a range of wound care services in the local community.

Local patients have attended almost 14,000 appointments in wound and suture removal clinics since the service launched.

About 4,900 of these would have previously taken place in hospital.

This saves hospital resources for the most unwell patients whilst offering care closer to home for most people.

Mid-Nottinghamshire hospital Trust and leisure Trust working together to help patients get fit for surgery

Sherwood Forest Hospitals and Mansfield District Leisure Trust are helping patients hit the exercise room before the operating room to give their surgery the best chance of success.

The new innovative scheme is set to improve the health and fitness of patients who are undergoing planned surgery by giving them the opportunity to be referred to Mansfield District Leisure Trust’s Healthy Life Programme. Research has shown that patients who are fit and healthy often have better surgical outcomes.

Led by Consultant Anaesthetist at Sherwood Forest Hospitals, Dr Rebecca Barker, and Sister Kelly Crutchely, who is part of the Pre-operative Assessment Team, any patient who is booked in to have an operation can ask to be referred to the programme, but there will be a particular focus on elderly patients.

“When patients are coming into hospital for surgery, it’s really important that they are as fit and healthy as they can be in order to have the best possible outcome from their surgery. We want to help our patients get the best results possible and help them to help themselves so we’ve partnered with Mansfield District Leisure Trust to offer this beneficial programme. Getting fit just six weeks before an operation has been shown to reduce the likelihood of complications during and after surgery.

We’re really keen to promote this new initiative to as many patients as possible waiting to undergo surgery. A patient’s commitment to recover, even before going into surgery, plays a large factor in their recovery. The fitter you are going into surgery, the quicker and easier recovery will be and the quicker patients can be back in their own homes recovering.

Dr Rebecca Barker, Consultant Anaesthetist at Sherwood Forest Hospitals

We are delighted to partner up with Sherwood Forest Hospitals on this important scheme. Helping local people be better prepared physically for upcoming operations is vital work, and something we are extremely proud to be involved in.

Healthy Life has been a real success story for the Trust in Mansfield, and our dedicated fitness teams have helped hundreds of local people get and stay healthy, improving their quality of life.

Geoff Waller, Chair of Mansfield District Leisure Trust

The programme gives patients access to four Mansfield Leisure Centres including specialised support, gym, swim and classes at a reduced price for up to six months.

Partnership projects improving residents’ lives shortlisted for national awards

Two schemes where partners from across Mid-Nottinghamshire worked together to improve the lives of residents have been shortlisted for a national award.

The projects which empower those with Learning Disabilities and those who need help from multiple organisations across Mansfield, Ashfield, Newark and Sherwood have been shortlisted for the prestigious Health Service Journal (HSJ) Patient Safety Awards.

The awards celebrate the best examples of outstanding patient safety in NHS organisations nationwide and especially reward projects that demonstrate clear improvements for patients.

Learning Disabilities Initiative of the Year;

For the Empowering the Delivery of Holistic Care for people with Learning Disabilities project. The work has educated and raised awareness amongst people with learning disabilities, their carers and families about looking after themselves when they have an infection, spotting the signs of sepsis and looking for signs of deterioration. The success of the scheme relies on the team at Sherwood Forest Hospitals NHS Foundation Trust working with partner organisations to improve the health and wellbeing of this patient group.

Best Partnership Solution Improving Patient Safety;

For the High Volume Service User Programme that Sherwood Forest Hospitals NHS Foundation Trust   created in partnership with health, social care and blue light services partners in the region. The project focuses on identifying individuals that are frequent users across multiple services and working with them to help tackle the underlying reasons behind the high usage helping reduce attendances and deliver better outcomes for the individuals.

Congratulations to all the team members from all the organisations who have been involved in this important work.

Finalists will find out if they have won at an award ceremony in Manchester on Tuesday 2 July. Good luck!

Chair of first-wave ICS introduces national NHS leadership event

Leaders of healthcare systems across the country attended a development session aimed at promoting the benefits of integrated care earlier this month.

David Pearson, Chair of the Nottingham and Nottinghamshire Integrated Care System, introduced the workshop on 6 March, which was attended by the Secretary of State for Health and Social Care, the Rt Hon Matt Hancock MP and Simon Stevens, Chief Executive Officer of NHS England.

The aim of the STP/ICS Leaders’ Development Day was to raise awareness of the benefits of integrated care, and to discuss key issues related to integration such as population health management and primary care networks.

David Pearson was appointed as Chair of the first-wave integrated care system in Nottingham and Nottinghamshire after retiring from his executive job as Nottinghamshire County Council Director of Adult Social Care and Deputy Chief executive.

He started work in the new role on 5 March, and shared his experience and ambitions for the new role at the leader’s Workshop.

It was an honour to introduce the workshop and to share in productive discussions with some of the most influential figures involved in shaping healthcare services nationally. In many ways the agenda of the session reflected the job of leaders. It was extremely helpful to discuss the value of local collaboration as well as to understand the ways in which we can further unlock potential. We have a once-in-a-generation opportunity to build a local NHS and care system that supports communities and individuals to lead healthy lives.

We also want to harness the expertise and commitment of NHS workers in order to make the very most of our collective resources. The challenge ahead of us is to focus on building long term solutions whilst making sure that the public experience the best performance, most effective use of resources and the best quality through the extraordinary workforce in health and social care.

David Pearson had been the lead of Nottingham and Nottinghamshire ICS, and previously the patch’s
sustainability and transformation partnership, since 2016.

He has been a prominent advocate of social care funding reform and of health and social care integration. More recently he has served as a member of a panel of experts advising government on its forthcoming social care green paper.

Nottingham and Notts was one of the first STPs designated as an “integrated care system”, and was the first to appoint a managing director, Wendy Saviour.

It was an honour to introduce the workshop and to share in productive discussions with some of the most influential figures involved in shaping healthcare services nationally. In many ways the agenda of the session reflected the job of leaders. It was extremely helpful to discuss the value of local collaboration as well as to understand the ways in which we can further unlock potential. We have a once-in-a-generation opportunity to build a local NHS and care system that supports communities and individuals to lead healthy lives.

We also want to harness the expertise and commitment of NHS workers in order to make the very most of our collective resources. The challenge ahead of us is to focus on building long term solutions whilst making sure that the public experience the best performance, most effective use of resources and the best quality through the extraordinary workforce in health and social care.