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Acute Oncology Service (AOS)

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Acute Oncology Service (AOS). Monday – Friday 8am – 4pm Bleep: 946 T: 020 8401 3000 x5726 F: 020 8401 3513. Croydon Healthcare Services. Population of 346,000 65 years and over (13.8%) 85 years and over (1.9%) 61 GP practices Croydon University Hospital 572 beds

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slide1

Acute Oncology Service (AOS)

Monday – Friday

8am – 4pm

Bleep: 946

T: 020 8401 3000 x5726

F: 020 8401 3513

croydon healthcare services
Croydon Healthcare Services
  • Population of 346,000
  • 65 years and over (13.8%)
  • 85 years and over (1.9%)
  • 61 GP practices
  • Croydon University Hospital 572 beds
  • Member London Cancer Alliance
slide3

Diagnostics

Disease sites

  • Lung
  • Upper GI
  • Lower GI
  • Breast
  • Gynaecology
  • Urology
  • Skin
  • Haematology

Cancer MDM

Treatment

Cancer MDM

Palliative care

gp referrals
GP referrals
  • 61 GP practices
  • 6786 urgent referrals suspected cancer (2012/ 2013)
  • Conversion rate 9.82 (4th highest LCA)
  • 1678 new cancer registrations (2011)
muo cns
MUO CNS
  • To provide support and information to patient
  • To improve coordination of diagnostic pathway
  • To speed time to diagnosis
  • Source of expertise for GPs and

colleagues

consultant oncologist job plan
Consultant Oncologist Job plan
  • Started in the Trust in November 2012
  • Joined in December 2012 by Dr Jill Noble
  • Work between RMH (Breast Unit) and CUH (Acute Oncology Service and Breast Unit)
  • RMH employed- similar consultant posts at Kingston Hospital and Epsom and St Helier
what we can offer
What we can offer
  • Cancer expertise
    • Diagnostics
    • Treatment complications
    • Disease complications
  • Liaison with Cancer Center where necessary
our aims
Our aims
  • Earlier diagnosis
  • Correct management quicker
  • Shorter inpatient stays
  • Ambulatory pathways
  • Closer to home
  • Referral to cancer center where necessary
  • Referral to palliative care where appropriate
  • IMPROVED PATIENT EXPERIENCE
  • Education
    • Patient
    • Staff-hospital and community
  • Research
    • CADIAS
case study 1
Case Study 1
  • 55 year old lady
  • History of breast cancer
  • Presents with nausea and vomiting
  • Results:
  • Calcium level is elevated at 3
  • Imaging show she has new bone and liver metastases (secondary breast cancer)
slide13

Treatment:

  • IV fluids and bisphosphonates
  • Biopsy to confirm metastatic cancer
  • Referral to RMH for ongoing outpatient management
case study 2
Case Study 2
  • 70 year old man
  • Admitted with a cough and a swollen face
  • Results:
  • CXR - widened mediastinum
  • CT - lung mass, enlarged lymph nodes obstructing superior vena cava
slide15

Treatment

  • High dose steroids to reduce swelling
  • Referred to respiratory for stenting
  • Discussion at CUH MDT (video-linked to RMH)
  • Offered radiotherapy
case study 3
Case Study 3
  • 22 year old man
  • Admitted with back ache
  • Investigations
  • Examination and blood tests reveal no abnormalities
  • CT scan - large retroperitoneal mass
slide17

Differential diagnoses include sarcoma, lymphoma, germ cell tumour (amongst others)

Treatment

  • His imaging is IEPed to RMH to be discussed at the sarcoma meeting
  • He is transferred as an inpatient to have surgery
future developments
Future developments
  • Ambulatory care facility to avoid admission
  • Outpatient clinic
  • Trust wide dissemination protocols and pathways
  • Trust wide education programme
  • Joint teaching with CUH and RMH
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