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An integrated care systems model approach for speech and language therapy head and neck cancer services in England: service development and re-design in Cheshire and Merseyside.
Sheldrick, Heulwen; Houghton, Lisa; Fleming, Catriona; Crane, Julie.
  • Sheldrick H; The Clatterbridge Cancer Centre, Liverpool.
  • Houghton L; Aintree University Hospital, Liverpool.
  • Fleming C; The Clatterbridge Cancer Centre.
  • Crane J; Sohool of Health Sciences, University of Liverpool, Liverpool, UK.
Curr Opin Otolaryngol Head Neck Surg ; 30(3): 177-181, 2022 Jun 01.
Article in English | MEDLINE | ID: covidwho-1874056
ABSTRACT
PURPOSE OF REVIEW The incidence of head and neck cancer (HNC) is increasing globally and changes in treatment mean that patients are living longer with the condition. It is recognised that while there have been improvements at the diagnostic phase of the pathway, follow-up and on-going care can be fragmented and inequitable. Integrated care models (ICMs) are acknowledged as beneficial. The National Health Service in England is moving to a model whereby services are being re-organised to integrated care systems. This paper reviews the literature and discusses potential models of care to enhance speech and language therapy (SLT) provision for patients with HNC in line with the emerging ICS. RECENT

FINDINGS:

The COVID-19 pandemic has provided an opportunity to review service provision and SLT teams quickly adapted to offering remote support. Discussions are currently on-going to explore the potential for patient initiated follow-up via the PETNECK 2 trial and the Buurtzorg 'neighbourhood model' holds promise.

SUMMARY:

ICMs put the patient at the centre of care and have reported benefits for experience of care and clinical outcomes. Navigating organisational structures is complex. The Buurtzorg model provides a practical and theoretical framework to support organisational change.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Delivery of Health Care, Integrated / COVID-19 / Head and Neck Neoplasms Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: Curr Opin Otolaryngol Head Neck Surg Journal subject: Otolaryngology Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Delivery of Health Care, Integrated / COVID-19 / Head and Neck Neoplasms Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: Curr Opin Otolaryngol Head Neck Surg Journal subject: Otolaryngology Year: 2022 Document Type: Article