Nurse Awards

Recognition for innovative bladder cancer pathway and care plan

A nurse-developed pathway and care plan that is improving the care of patients with non-muscle-invasive bladder cancer has been shortlisted in the Cancer Nursing category of the RCNi Nurse Awards 2016.

Christine TalboysChristine Talboys. Picture credit: Chris Balcombe

The award, sponsored by Macmillan Cancer Support, recognises nurses whose initiatives have led to better care for patients with cancer.

Christine Talboys, who works at Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, created a new approach to telling patients their histology results and a tailored care plan.

Previously there was no standardised pathway to inform patients of their results, with some receiving a telephone call and others a letter. Some were not even told their diagnosis but given another date to come to the clinic.

Christine decided to streamline procedures in response to verbal complaints and concerns raised by patients who responded to the National Cancer Patient Experience Survey.

Christine TalboysChristine Talboys and patient. Picture credit: Chris Balcombe

A clinical nurse specialist team now manages the pathway and books newly diagnosed patients directly into a nurse-led results clinic following a multidisciplinary team discussion.

Before the initiative, only 33% of patients were able to recall the grade of their cancer and 72% were aware of the stage. Since introducing the personalised care plan, 100% of patients know their grade and 94% can recall the stage of their tumour.

The new scheme has reduced the time from histology to the patient being informed of their diagnosis from 17 to 13 days, with work ongoing to bring this down further. The care plans are being adopted by other trusts.

Christine says: ‘I am particularly proud of the care plan that we developed as it is focused solely on patients with non-muscle-invasive bladder cancer and is less confusing for them.

‘The plan gives patients a clear and easy-to-read explanation of their condition and what the ongoing follow-up is likely to entail. It also contains health promotion advice on the importance of not smoking, and can be tailored to individual patients.’

About the sponsor

Macmillan Cancer SupportMacmillan Cancer Support

Cancer can affect someone’s whole life. Macmillan provides practical, financial and emotional support from the time of diagnosis, during treatment and increasingly after cancer. Macmillan Support Line is a free, confidential service for anyone affected by cancer. Specialist teams can help with questions about treatment, fears and worries, or financial support. Call 0808 8080000 Monday to Friday, 9am-8pm. Free information booklets provide accurate and clear information on a range of subjects, and the Macmillan information and support centres offer face-to-face support. The online community connects people when they may feel alone. For more information visit macmillan.org.uk/patientsupport