The big idea
The original aim of this project was the development of an IT system driven virtual clinic, which aims to provide remote support, assessment and information to empower men receiving long term prostate cancer follow-up and promote self-management.
When the CNS started in post, it was established that first there needed to be a review of the current service and systems in order to understand service demands and the resources available. In addition, the team agreed that ensuring there was consistency within prostate cancer follow-up across the service was an important step before the virtual clinic could be introduced.
The team felt it important to ensure that men with similar disease profiles and risk factors were being assigned to the same follow-up care and a total of 21 evidence based risk stratified pathways of follow-up care were developed, agreed and implemented.
During the project it was identified that IT software initially identified to run the remote monitoring clinic had limited functionality and was not suitable for the virtual clinic. The CNS developed an administrator led service which used the current IT systems available. The model had clearly defined follow-up pathways, guidance on escalation and with clinical support and could provide the remote service until the Trusts IT team had completed development of their current Patient Pathway Management (PPM) system to incorporate a pathway driver.