Managing change: developing a specialist nursing service for patients with secondary breast cancer

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Managing change: developing a specialist nursing service for patients with secondary breast cancer

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Since July 2015 Macmillan breast care nurses (BCNs) at The Christie NHS Foundation Trust, Manchester, have specialised in the care of patients with secondary breast cancer. The service had previously managed patients with primary and secondary breast cancer, but had become unsustainable due to staffing levels and increasing numbers of patients. This article describes how the Christie Macmillan BCNs changed the focus and delivery of their service. It examines the literature on the urgent needs of patients with secondary breast cancer, outlines the background to, and rationale for the new service, describes how patients who are receiving primary chemotherapy are signposted to other services for support, and describes the redesign and development process of the new service.

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