We care for a large number of cancer patients each year and we aim to deliver a high quality, individualised, comprehensive and patient-focused service, by taking into account non-medical needs, alongside medical treatment for all our patients and their families throughout their care.
CUH is a regional centre for rarer types of cancer and is also the local hospital for patients living in the Cambridge area. Adult cancer patients are seen across the CUH campus within all specialties and services. Treatment for children is managed by the Paediatric Haematology and Oncology department in the hospital.
Examples of some of the Cancer Services at CUH include:
- The Department of Oncology - treats cancers of the solid organs, such as lungs or liver, using:
- Chemotherapy - which uses anti-cancer drugs to either destroy or control the growth of cancer cells and/or,
- Radiotherapy - which uses high energy radiation to treat a variety of cancers
- The Department of Haematology - treats cancers of the blood, such as leukaemia, as well as non-cancerous blood disorders with a combination of oral chemotherapy and blood products.
- The Cambridge Breast Unit - offers a Breast Screening Service as well as providing referral clinics for patients with breast symptoms. The rapid diagnosis clinic for both, “symptomatic” and “screening”, aims for same day assessment encompassing consultation with a clinician and if needed, imaging and further investigation. The unit provides multi-disciplinary breast disease management including surgery.
- Gynaecological Oncology - The Gynaecological Oncology specialty provides cancer care focusing on the diagnosis and treatment of cancers affecting women's reproductive organs, such as the uterus.
- The Department of Urology - provides all diagnostics and treatments for both malignant and non-malignant urinary tract conditions.
- Cancer Support Service - a multi-disciplinary team provides advice and support for different cancers, financial support, emotional issues and a wide range of other challenges, as well as individualised support to fully address each patient's concerns.
- Palliative care - offers specialist advice and support both on symptom and total care of patients with life-limiting illness.
The provision of services to patients is closely linked with the:
- University of Cambridge Department of Oncology and Haematology, which ensures that high-quality cancer care is underpinned by research excellence.
- Cambridge Cancer Trials Centre (CCTC), which collaborates with external pharmaceutical companies to improve the outcome for patients with cancer, or at risk of developing cancer, by designing and conducting excellent clinical trials and studies,
- Cancer Research UK (CRUK) Cambridge Centre, which is the collaboration of scientists and clinicians from CUH NHS Foundation Trust, the University of Cambridge, independent research institutes, and pharmaceutical and biotechnology industries in the Cambridge area.
Welcome to Cancer Services
Link: https://youtu.be/u-O49GzXTFs
Video transcript - Welcome to Cancer services
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Hi, everyone. I'm Hannah Brown.
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One of the senior nurses
working here in Cancer Services.
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It's my pleasure to
welcome you to this film.
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Cambridge University Hospitals
is a family of hospitals,
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comprising Addenbrooke's and the Rosie.
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Throughout this film, you may
hear the hospital referred to
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as Addenbrooke’s or CUH.
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No one wants to have a cancer diagnosis,
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but we hope to make the
experience of treatment
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as good as it can possibly be for you
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or your relative or friend.
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Here at Cambridge University Hospitals,
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we care for thousands of people
a year diagnosed with cancer
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and we are proud to provide
some of the best care
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and most advanced
treatments in the country.
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We are the regional centre
for rarer types of cancer
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and also the local hospital
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for those living in the Cambridge area.
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We offer cutting edge research
options for many people.
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Treatments offered here include surgery,
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radiotherapy, chemotherapy,
immunotherapies,
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stem cell transplantation,
and even newer treatments,
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for example, CAR-T therapy.
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Our teams are highly
trained and specialised
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and you're in safe hands here at CUH.
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A cancer diagnosis
certainly causes disruption
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and we try to minimise
this wherever possible.
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For example, by offering
telephone or video appointments
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and blood tests locally
whenever appropriate
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and offering some chemotherapy
treatments in the community.
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You can ask your care
team about these options.
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The multidisciplinary team
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includes allied healthcare professionals
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such as physiotherapists and dietitians
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with specialist cancer knowledge.
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Clinical nurse specialists
work in all specialty teams
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and will be one of your
main points of contact
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throughout your treatment.
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Your clinical nurse
specialist will be an expert
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in their field and will provide
support and advice for you.
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We have a fantastic Cancer
Support Service here at CUH,
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who works closely with the
multidisciplinary teams
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to provide holistic care for
people living with cancer
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and their families.
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We work with a range of
partners including Macmillan,
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Maggie's Centre and Cancer
Research UK amongst others,
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which enables collaborative working
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to meet unique needs of each patient.
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We take pride in listening to our patients
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and aim to ensure that any
service changes involve patients,
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so please do feedback to
us about how we are doing.
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We're really excited about plans
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to continually improve our services
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and patient involvement is key
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to getting these changes right.
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We hope the information in this film
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about our current services and facilities
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will help you navigate your way
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about the hospital and
offer some useful advice.
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Thank you.
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I'm Paul, one of the patients working
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with the staff at CUH.
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Getting to hospital may
feel challenging at first,
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however, there are lots of options
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for travelling available to and from CUH.
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There are many routes
leading to the hospital,
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including Hills Road, Long
Road, Trumpington Road
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and Addenbrooke's Road.
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They all have dedicated cycle lanes
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as well as off-road paths,
some of their length.
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The bike racks are available
to use around the campus
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and the closest to Oncology
Haematology Outpatients
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is located next to Clinic 14,
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the Eye Clinic on Robinson Way.
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Addenbrooke's Hospital
has its own bus station
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at the Hills Road entrance to the site
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where the majority of buses
pick up and drop off people.
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There are further stops
around the biomedical campus,
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however, the closest to the
Oncology Haematology Outpatients
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is the Addenbrooke's bus station.
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The Cambridge Railway
Station is an easy walk
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or short bus ride away from the hospital.
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It takes approximately 10 minutes by bus
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or 30 minutes walking to get to CUH.
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There are taxi available
outside of the train station
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which can take you to CUH if needed.
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There are also a number of
local taxi firms operating
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around the hospital site
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and these include Panther Taxis,
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A1 Cabco, or Cambcab.
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You can contact them directly
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or ask the reception team to
order one for you if necessary.
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When travelling by car, the
hospital is well signposted
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from most parts of Cambridge.
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If driving from outside of
Cambridge, there is easy access
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to the campus via Addenbrooke's Road
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signposted from Junction 11 on the M11.
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There are two main multi-story
car parks available
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for patients and visitors at CUH,
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Car Park 1 and Car Park 2.
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Cancer patients receiving
chemotherapy or radiotherapy
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can park in the disabled bays
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on any level in Car Parks 1 and 2
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as they're also designated
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for cancer patients receiving treatment.
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Other disabled parking bays
around CUH are only available
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to blue badge holders.
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If you are asked for
evidence, all you need to do
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is present your appointment details.
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Car Parks 1 and 2 each
operate a pay on foot system
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where customers make their payment
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for the period of time they have parked
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when exiting the carpark.
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Patients can take their carpark ticket
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to Oncology Haematology Outpatients
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or Radiotherapy reception
to receive a daily
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or weekly stamp that enables them
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to be charged a discounted rate.
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The stamped car park ticket
will then need to be taken
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to the customer service
desk in Car Parks 1 or 2
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for processing.
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If you are a blue badge holder,
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parking is free in both car parks.
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You'll however, also need to
get your carpark ticket stamped
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and take it along with your blue badge
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to the carpark customer
service desk for authorisation
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before you leave.
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If you have any further
questions about car parking,
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you can speak to the customer service team
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located on the ground
level in both car parks.
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There is a free courtesy
bus available to use
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running every 30 minutes
from Car Parks 1 and 2.
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The bus can drop and collect
you from the main entrances.
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The Oncology Haematology
Outpatients entrance
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is one of the stops
included on the schedule.
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Please ask at any reception
desk for instructions.
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Another option for car parking
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and travelling to and from hospital
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is one of the many Park and Ride services
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available around Cambridge.
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The closest Park and Ride site to CUH
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is located on Babraham
Road or Trumpington,
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but you may find it easier
to use one of the other sites
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depending on the direction
you're travelling from.
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You may also be eligible for reimbursement
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of fuel and parking costs
via a Macmillan Grant.
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Please visit the Cancer
Support Information Service
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or ask your cancer navigator
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or healthcare professional
for more information.
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Patients are normally
expected to make their own way
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to and from hospital for
non-emergency tests and treatments.
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However, this may not be possible
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if you have a medical
condition that prevents you
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from travelling on public
transport or in taxis.
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Where necessary hospital
transport can be provided
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for both inpatient stays
and outpatient appointments.
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You can contact your transport provider
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to see if you are eligible
for patient transport service.
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If you are unsure who your
transport provider is,
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please contact either your GP surgery,
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the clinic you are attending
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or the Transport Office
at Addenbrooke's Hospital.
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For more information about getting
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to Addenbrooke's Hospital,
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please visit the CUH website.
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I'm Helene, one of the patient
representatives working
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with Cancer Directorate staff at CUH.
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The check in process here
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at Oncology Haematology
Outpatients reception
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is very easy and straightforward.
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When you first approach
the reception desk,
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you will be greeted by a receptionist.
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You will then be asked
to provide your name,
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date of birth, first line
of address and postcode,
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phone number, GP practice,
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and details of your next of kin.
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The receptionist will then
ask if you are an NHS patient
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and what country you have lived
in for the last 12 months.
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You may also be asked if you
have had any COVID symptoms
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in the past seven to ten days.
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The order of questions being asked depends
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on each individual receptionist.
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Patients can now also check
all their details online
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via MyChart before attending
their clinic appointment.
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In this situation, the
receptionist will only ask you
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to confirm your name and date of birth
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and may also ask if you
have had any COVID symptoms
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in the past seven to ten days.
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After confirming all the details,
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the reception team will check
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if you require blood to be taken.
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If this is the case,
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you will be given a ticket with a number
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and remain in the waiting area.
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Once the number is announced,
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you will then go to the blood room
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and have the bloods taken.
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The waiting time for
blood results can vary
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and can sometimes take longer than usual
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due to the volume of
requests received at the lab.
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The specialist team
will however inform you
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if the wait for the results
is longer than usual.
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Lastly, the reception team will ask you
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to get your height and weight
taken in the clinic entrance
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by one of the healthcare assistants.
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This is for the clinical team to use
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as a baseline measurement
for routine monitoring
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and to ensure accurate medication dosage
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can then be given to you if necessary.
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Being a patient myself,
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I have a piece of advice
for other patients.
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Please do not hesitate
to ask or check again
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with the reception staff members,
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if there is something
you are unsure about.
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The reception team is
always happy to help.
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Hi, I'm Andy.
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I'm one of the patients working
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with the Cancer Directorate
staff here at the CUH.
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Once you've checked in at the
Oncology Haematology reception,
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you'll most likely remain in
the waiting area on level two
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until you are called for your appointment.
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There are two wheelchair
accessible toilets available to use
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and a small coffee shop if
you need any refreshments
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while you're waiting.
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The Cancer Assessment Unit is located
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directly opposite the reception.
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The Radiotherapy department is located
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ahead of the Oncology
Haematology waiting area.
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You'll go past the blood test room
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on your way to Radiotherapy reception.
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There are small waiting areas available
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at the Radiotherapy department
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and one of them is located
opposite the reception.
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Reception staff will advise
you which area is best for you
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to use depending on your treatment.
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You can also view all the waiting areas
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and treatment rooms on the CUH website
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using the Radiotherapy virtual tour.
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Going back down the corridor
from the Radiotherapy,
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the Cancer Support Information
Service pod is located
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00:12:25,800 --> 00:12:27,400
on the left hand side
242
00:12:27,400 --> 00:12:30,240
next to Oncology Haematology waiting area.
243
00:12:31,480 --> 00:12:34,760
The team has resources in various formats
244
00:12:34,760 --> 00:12:37,760
on a wide range of cancer related issues
245
00:12:37,760 --> 00:12:40,680
and will be happy to
assist you as necessary.
246
00:12:42,120 --> 00:12:46,600
There are also two additional
wheelchair accessible toilets
247
00:12:46,600 --> 00:12:48,320
next to the information pod
248
00:12:48,320 --> 00:12:50,440
available for you to use if needed.
249
00:12:51,960 --> 00:12:54,000
The Concourse and the Food Court
250
00:12:54,000 --> 00:12:56,240
are approximately three minutes walk
251
00:12:56,240 --> 00:12:59,280
from the Cancer Support
Information Service.
252
00:12:59,280 --> 00:13:01,360
You'll need to go up to
the end of the corridor
253
00:13:01,360 --> 00:13:05,200
from the information pod, turn
left onto the main corridor
254
00:13:05,200 --> 00:13:08,880
and continue straight ahead
towards the main hospital area
255
00:13:08,880 --> 00:13:10,280
following the signage.
256
00:13:11,800 --> 00:13:13,920
The Concourse will be on your right.
257
00:13:17,520 --> 00:13:20,720
When entering the area,
you'll find a variety of shops
258
00:13:20,720 --> 00:13:23,400
offering different services such as Costa,
259
00:13:23,400 --> 00:13:26,000
Marks and Spencers and the hairdressers
260
00:13:26,000 --> 00:13:29,760
surrounding the seating
area in the middle.
261
00:13:29,760 --> 00:13:33,000
Continuing straightforward,
you'll enter the Food Court
262
00:13:33,000 --> 00:13:36,480
with additional eating and
drinking areas such as Starbucks,
263
00:13:36,480 --> 00:13:38,320
Burger King and Wellspring.
264
00:13:41,160 --> 00:13:43,680
Turning right from the concourse however,
265
00:13:43,680 --> 00:13:46,560
will take you to the main
hospital reception area
266
00:13:46,560 --> 00:13:50,120
located in front of the
main hospital entrance.
267
00:13:50,120 --> 00:13:51,720
To go back to the Outpatients,
268
00:13:51,720 --> 00:13:54,600
you'll need to turn left
when exiting the Concourse.
269
00:13:54,600 --> 00:13:58,480
You'll then continue along
the corridor, go to the right,
270
00:13:58,480 --> 00:14:01,920
then to the left, and then
the main Outpatients corridor
271
00:14:01,920 --> 00:14:03,000
will be ahead of you.
272
00:14:04,240 --> 00:14:05,400
When walking down,
273
00:14:05,400 --> 00:14:09,160
you will see the Oncology
Haematology Outpatients corridor
274
00:14:09,160 --> 00:14:11,040
on your right, taking you back
275
00:14:11,040 --> 00:14:13,960
to the Oncology Haematology waiting area.
276
00:14:13,960 --> 00:14:17,640
If you however, continue down
the main Outpatients corridor,
277
00:14:17,640 --> 00:14:21,120
this will take you to the main
Outpatients reception area.
278
00:14:21,120 --> 00:14:24,840
The Outpatients pharmacy will
be immediately on your left.
279
00:14:24,840 --> 00:14:28,280
You'll also find a coffee shop,
and the Amigo store here
280
00:14:28,280 --> 00:14:30,280
as well as the transport desk
281
00:14:30,280 --> 00:14:33,160
right next to the main
Outpatients reception.
282
00:14:34,400 --> 00:14:38,160
There is a CUH Directions
mobile app available
283
00:14:38,160 --> 00:14:40,560
for patients and visitors to use,
284
00:14:40,560 --> 00:14:43,400
which helps finding your
way around the hospital,
285
00:14:43,400 --> 00:14:45,960
making it easier to locate clinics,
286
00:14:45,960 --> 00:14:49,400
wards, and other facilities
on the CUH campus.
287
00:14:56,640 --> 00:14:59,560
Every patient we see here
at Addenbrooke's Hospital
288
00:14:59,560 --> 00:15:03,240
is individually discussed at
a multidisciplinary meeting
289
00:15:03,240 --> 00:15:05,400
or MDT for short.
290
00:15:05,400 --> 00:15:07,560
This is where all of the different doctors
291
00:15:07,560 --> 00:15:09,800
specialising in your cancer type
292
00:15:09,800 --> 00:15:13,080
and a number of different
specialists involved in your care
293
00:15:13,080 --> 00:15:16,720
will review scans, biopsies
and your specific needs
294
00:15:16,720 --> 00:15:19,320
and recommend a treatment plan for you.
295
00:15:19,320 --> 00:15:21,560
You will not be able
to attend this meeting,
296
00:15:21,560 --> 00:15:23,880
however your key worker or clinician
297
00:15:23,880 --> 00:15:25,240
will discuss the plan with you
298
00:15:25,240 --> 00:15:27,800
in a face-to-face outpatient appointment,
299
00:15:27,800 --> 00:15:32,240
‘Attend Anywhere’ video
appointment or via the telephone.
300
00:15:32,240 --> 00:15:36,280
Often the clinical nurse
specialist will be your key worker.
301
00:15:36,280 --> 00:15:40,520
Your clinical nurse specialist
is your voice at the MDT
302
00:15:40,520 --> 00:15:43,320
and they will feedback information to you
303
00:15:43,320 --> 00:15:46,200
which will enable you to
make informed decisions
304
00:15:46,200 --> 00:15:48,720
about your care and treatment.
305
00:15:48,720 --> 00:15:51,520
We understand that coming
to a busy department
306
00:15:51,520 --> 00:15:54,560
can be daunting, particularly
as you may already be
307
00:15:54,560 --> 00:15:56,800
feeling anxious about your appointment.
308
00:15:56,800 --> 00:15:59,480
We however, recommend
bringing someone with you
309
00:15:59,480 --> 00:16:02,760
for your first appointment.
Someone who can provide support
310
00:16:02,760 --> 00:16:05,480
and help with writing down information
311
00:16:05,480 --> 00:16:08,560
and assisting you with any
questions you may have.
312
00:16:08,560 --> 00:16:11,880
We also suggest you bring
a pen and a notebook
313
00:16:11,880 --> 00:16:15,400
and perhaps a folder or
envelope to store your letters
314
00:16:15,400 --> 00:16:18,520
and information given to you
in the clinic appointment.
315
00:16:18,520 --> 00:16:22,200
Sometimes it may be necessary
to send you for further scans
316
00:16:22,200 --> 00:16:24,320
or investigations on the day.
317
00:16:24,320 --> 00:16:26,280
Attending in comfortable clothes
318
00:16:26,280 --> 00:16:28,680
therefore may be easier for you,
319
00:16:28,680 --> 00:16:32,480
such as a wireless bra or
T-shirt instead of a shirt.
320
00:16:33,440 --> 00:16:36,320
You may meet several different
healthcare professionals
321
00:16:36,320 --> 00:16:38,280
at the hospital, all involved
322
00:16:38,280 --> 00:16:40,160
in different parts of your care.
323
00:16:40,160 --> 00:16:43,200
We are all here to help
you and your family.
324
00:16:50,720 --> 00:16:53,400
Surgery is one of the most
commonly used treatments
325
00:16:53,400 --> 00:16:54,200
for cancer.
326
00:16:54,200 --> 00:16:55,640
If identified early enough,
327
00:16:55,640 --> 00:16:58,640
surgery can be a curative
way of treating cancer
328
00:16:58,640 --> 00:17:01,560
often without the need
for any further treatment.
329
00:17:01,560 --> 00:17:04,440
Sometimes however, surgery
needs to be used together
330
00:17:04,440 --> 00:17:08,760
with other treatments, such as
radiotherapy or chemotherapy
331
00:17:08,760 --> 00:17:11,880
to give the best chance of long-term cure.
332
00:17:11,880 --> 00:17:15,240
At CUH, cancer patients
are often seen by surgeons
333
00:17:15,240 --> 00:17:18,600
as the first specialist
regarding their cancer treatment.
334
00:17:18,600 --> 00:17:21,880
Prior to that, however, the
patient will have been discussed
335
00:17:21,880 --> 00:17:25,680
in a multidisciplinary meeting
to consider the best way
336
00:17:25,680 --> 00:17:28,560
of treating their particular cancer type.
337
00:17:28,560 --> 00:17:31,280
Very often a biopsy will be recommended
338
00:17:31,280 --> 00:17:33,960
to identify the lump is in fact cancerous
339
00:17:33,960 --> 00:17:36,240
and needs further treatment with surgery.
340
00:17:36,240 --> 00:17:38,880
If surgery has been
recommended, the next step
341
00:17:38,880 --> 00:17:41,640
is to assess the patient's
fitness for an operation.
342
00:17:41,640 --> 00:17:43,960
Depending on the location of the cancer
343
00:17:43,960 --> 00:17:45,720
and the body part affected,
344
00:17:45,720 --> 00:17:49,800
surgery can be relatively
minor or extremely major.
345
00:17:49,800 --> 00:17:52,080
This will be discussed
with the patient in detail
346
00:17:52,080 --> 00:17:54,360
to ensure they understand the procedure
347
00:17:54,360 --> 00:17:57,240
and that they are fit enough
to proceed with surgery.
348
00:17:57,240 --> 00:18:00,480
These assessments are often
undertaken in conjunction
349
00:18:00,480 --> 00:18:03,560
with the anaesthetic teams
in the pre-assessment clinic
350
00:18:03,560 --> 00:18:06,840
before confirming that
surgery will take place.
351
00:18:06,840 --> 00:18:09,960
At the pre-assessment clinic,
which usually takes place
352
00:18:09,960 --> 00:18:12,080
in the Addenbrooke's Treatment Centre
353
00:18:12,080 --> 00:18:14,880
a detailed assessment of the
patient's medical background
354
00:18:14,880 --> 00:18:17,200
will be completed as well as assessment
355
00:18:17,200 --> 00:18:20,920
of the heart and lungs and
blood tests to ensure fitness.
356
00:18:20,920 --> 00:18:22,800
Surgery can either be undertaken
357
00:18:22,800 --> 00:18:25,200
using traditional open surgical approaches
358
00:18:25,200 --> 00:18:28,080
where a large cut is
made to access the organs
359
00:18:28,080 --> 00:18:30,120
or by using keyhole approaches
360
00:18:30,120 --> 00:18:33,560
where only small incisions
in the skin are made.
361
00:18:33,560 --> 00:18:35,440
The keyhole method can be undertaken
362
00:18:35,440 --> 00:18:37,880
using standard keyhole surgery instruments
363
00:18:37,880 --> 00:18:41,320
or by using robotic surgery platforms.
364
00:18:41,320 --> 00:18:42,800
This approach will allow
365
00:18:42,800 --> 00:18:45,360
for a more rapid recovery from surgery.
366
00:18:46,560 --> 00:18:49,400
The location of the surgery will either be
367
00:18:49,400 --> 00:18:51,360
in the Addenbrooke's Treatment Centre
368
00:18:51,360 --> 00:18:54,040
or in the main surgery complex located
369
00:18:54,040 --> 00:18:56,640
in the central part of the hospital.
370
00:18:56,640 --> 00:18:59,440
On the surgery day, you
will most likely attend
371
00:18:59,440 --> 00:19:02,040
the Addenbrooke's Treatment
Centre early in the morning
372
00:19:02,040 --> 00:19:03,720
to check in for your surgery.
373
00:19:03,720 --> 00:19:06,640
You will then be seen by the
anaesthetist and the surgeon
374
00:19:06,640 --> 00:19:08,880
and will change into a theatre gown.
375
00:19:08,880 --> 00:19:10,360
When it's time for your operation,
376
00:19:10,360 --> 00:19:13,600
you will most likely walk
into the theatre by yourself.
377
00:19:13,600 --> 00:19:16,200
The anaesthetic and surgical
team will welcome you
378
00:19:16,200 --> 00:19:18,120
and undertake safety checks.
379
00:19:18,120 --> 00:19:20,000
They will then administer the anaesthetic
380
00:19:20,000 --> 00:19:21,360
before the operation.
381
00:19:23,160 --> 00:19:26,160
After surgery, you will
return to the recovery area
382
00:19:26,160 --> 00:19:28,920
to ensure it's safe for you
to be transported to a ward
383
00:19:28,920 --> 00:19:30,640
to recover from your operation.
384
00:19:32,680 --> 00:19:34,200
Some surgeries will allow us
385
00:19:34,200 --> 00:19:36,640
to discharge you home
on the day of surgery
386
00:19:36,640 --> 00:19:38,880
or after only 24 hours,
387
00:19:38,880 --> 00:19:41,120
whereas bigger, more invasive operations
388
00:19:41,120 --> 00:19:43,480
may require a length of inpatient stay.
389
00:19:43,480 --> 00:19:45,000
During the inpatient stay,
390
00:19:45,000 --> 00:19:47,200
you will often meet physiotherapists
391
00:19:47,200 --> 00:19:48,800
and occupational therapists
392
00:19:48,800 --> 00:19:50,680
who will ensure you are back on your feet
393
00:19:50,680 --> 00:19:52,200
and able to get home.
394
00:19:52,200 --> 00:19:54,160
Your convalescence will continue at home
395
00:19:54,160 --> 00:19:56,680
and you'll be discharged
with appropriate medications
396
00:19:56,680 --> 00:19:59,080
in order to allow smooth recovery.
397
00:19:59,080 --> 00:20:01,320
Generally, the results of your operation
398
00:20:01,320 --> 00:20:04,240
will tell us the detail of the
cancer that has been removed.
399
00:20:04,240 --> 00:20:06,640
Approximately six weeks after the surgery,
400
00:20:06,640 --> 00:20:08,240
you will return to the clinic to be seen
401
00:20:08,240 --> 00:20:10,400
by the operating surgeon and their team.
402
00:20:10,400 --> 00:20:13,160
They will check whether
everything has healed nicely
403
00:20:13,160 --> 00:20:14,400
and whether all blood tests
404
00:20:14,400 --> 00:20:16,640
and other assessments are satisfactory.
405
00:20:16,640 --> 00:20:18,880
A decision will then
be made about the need
406
00:20:18,880 --> 00:20:22,080
for further treatment and
the method of follow-up.
407
00:20:22,080 --> 00:20:23,240
Throughout your treatment
408
00:20:23,240 --> 00:20:25,320
for the vast majority of cancer types,
409
00:20:25,320 --> 00:20:28,040
you will have access to
a cancer nurse specialist
410
00:20:28,040 --> 00:20:31,360
who will be your first point
of contact to ask questions
411
00:20:31,360 --> 00:20:33,880
or raise concerns that you might have
412
00:20:33,880 --> 00:20:36,160
either before or after the surgery.
413
00:20:42,400 --> 00:20:45,280
Radiotherapy is a treatment
where radiation is used
414
00:20:45,280 --> 00:20:46,400
to kill cancer cells.
415
00:20:46,400 --> 00:20:49,080
It may be used in early stages of cancer
416
00:20:49,080 --> 00:20:51,280
or after it has started to spread.
417
00:20:51,280 --> 00:20:54,600
It can also be used to make
other treatments more effective,
418
00:20:54,600 --> 00:20:57,720
reduce the risk of cancer
coming back after surgery
419
00:20:57,720 --> 00:21:00,640
or relieve symptoms if
a cure is not possible.
420
00:21:02,080 --> 00:21:04,600
At CUH radiotherapy is delivered
421
00:21:04,600 --> 00:21:06,880
using either a linear accelerator
422
00:21:06,880 --> 00:21:09,600
or the insertion of radioactive implants
423
00:21:09,600 --> 00:21:12,640
otherwise known as brachytherapy.
424
00:21:12,640 --> 00:21:15,640
Most patients require a planning
CT scan at the beginning
425
00:21:15,640 --> 00:21:17,400
of their radiotherapy journey.
426
00:21:17,400 --> 00:21:19,360
This is used to create a bespoke plan
427
00:21:19,360 --> 00:21:21,840
for each individual person.
428
00:21:21,840 --> 00:21:25,800
There is usually a waiting
between planning scan
429
00:21:25,800 --> 00:21:27,120
and the first treatment.
430
00:21:27,120 --> 00:21:30,240
This is because it takes a
significant amount of time
431
00:21:30,240 --> 00:21:33,120
to create the plan and to quality check it
432
00:21:33,120 --> 00:21:36,120
to ensure the best plan is
offered to each patient.
433
00:21:36,120 --> 00:21:39,040
We have a number of different
treatment machines available
434
00:21:39,040 --> 00:21:43,240
at CUH and we will choose
the best one for you
435
00:21:43,240 --> 00:21:44,760
based on your diagnosis.
436
00:21:45,600 --> 00:21:47,280
You may be required to attend
437
00:21:47,280 --> 00:21:49,440
for a single treatment appointment
438
00:21:49,440 --> 00:21:52,160
or be asked to come back Monday to Friday
439
00:21:52,160 --> 00:21:55,080
for a number of weeks
including bank holidays.
440
00:21:55,080 --> 00:21:59,360
We also open our service up
on a Saturday if required.
441
00:21:59,360 --> 00:22:03,040
Treatment appointments last
around 10 to 20 minutes each
442
00:22:03,040 --> 00:22:05,520
and are delivered by a
team of radiographers.
443
00:22:05,520 --> 00:22:07,680
This involves positioning the patient
444
00:22:07,680 --> 00:22:10,920
using bespoke equipment,
position verification
445
00:22:10,920 --> 00:22:13,800
using x-ray imaging and treatment delivery
446
00:22:13,800 --> 00:22:15,720
using high energy x-rays.
447
00:22:17,560 --> 00:22:19,680
Some patients require preparation
448
00:22:19,680 --> 00:22:21,840
before they have radiotherapy,
449
00:22:21,840 --> 00:22:25,080
such as drinking water to
achieve a full bladder.
450
00:22:25,080 --> 00:22:27,200
The team will advise if this is required
451
00:22:27,200 --> 00:22:30,720
when attending for the
planning CT appointment.
452
00:22:30,720 --> 00:22:32,840
Radiotherapy side effects are specific
453
00:22:32,840 --> 00:22:34,440
to the area being treated.
454
00:22:34,440 --> 00:22:37,200
Common side effects include tiredness
455
00:22:37,200 --> 00:22:38,560
and reddening of the skin.
456
00:22:38,560 --> 00:22:42,480
We would expect these to start
after a few days of treatment,
457
00:22:42,480 --> 00:22:44,320
peaking around one to two weeks
458
00:22:44,320 --> 00:22:46,680
after the last treatment is delivered.
459
00:22:46,680 --> 00:22:50,760
Each patient may however react
differently to radiotherapy
460
00:22:50,760 --> 00:22:53,960
and your treatment team will
discuss any side effects
461
00:22:53,960 --> 00:22:55,720
with you if they occur.
462
00:22:56,640 --> 00:22:59,880
For more information and
virtual tour of the department,
463
00:22:59,880 --> 00:23:03,480
you can visit the Radiotherapy
page on the CUH website.
464
00:23:10,840 --> 00:23:12,960
As part of a cancer treatment plan,
465
00:23:12,960 --> 00:23:15,440
patients may require drug treatments
466
00:23:15,440 --> 00:23:17,320
commonly known as chemotherapy.
467
00:23:17,320 --> 00:23:19,880
Chemotherapy is one of the type of drugs
468
00:23:19,880 --> 00:23:21,240
used to treat cancer.
469
00:23:21,240 --> 00:23:24,480
Other treatments such as
immunotherapies, hormones
470
00:23:24,480 --> 00:23:27,560
and targeted therapies
are also regularly used.
471
00:23:27,560 --> 00:23:30,080
Treatment options
recommended to each patient
472
00:23:30,080 --> 00:23:33,040
are individualised based
on the type of cancer,
473
00:23:33,040 --> 00:23:36,560
genetics, patient's
wishes and risk factors.
474
00:23:36,560 --> 00:23:40,560
These treatments can be
given before or after surgery
475
00:23:40,560 --> 00:23:42,280
or alongside radiotherapy.
476
00:23:44,040 --> 00:23:46,960
The type of treatment by
a patient will be decided
477
00:23:46,960 --> 00:23:49,200
following a discussion between the patient
478
00:23:49,200 --> 00:23:50,480
and their clinical team.
479
00:23:50,480 --> 00:23:54,160
The patient can be accompanied
by their family or friends
480
00:23:54,160 --> 00:23:57,080
or anybody they'd like if they wished.
481
00:23:57,080 --> 00:23:59,760
Treatment drugs can be
given in different ways.
482
00:23:59,760 --> 00:24:01,560
Some are given as tablets,
483
00:24:01,560 --> 00:24:04,480
some as a fluid into the
vein called intravenous
484
00:24:04,480 --> 00:24:06,440
and injections into the skin
485
00:24:06,440 --> 00:24:09,480
or in a pump which may
need to be taken home.
486
00:24:09,480 --> 00:24:11,160
The way the treatment is given depends on
487
00:24:11,160 --> 00:24:12,560
how the research has shown
488
00:24:12,560 --> 00:24:15,240
it is most effective at
treating your disease.
489
00:24:15,240 --> 00:24:18,240
It is most common to
receive treatment in blocks
490
00:24:18,240 --> 00:24:19,600
known as cycles.
491
00:24:19,600 --> 00:24:21,920
The length for cycles is measured in weeks
492
00:24:21,920 --> 00:24:24,360
and it depends on the type of drugs given.
493
00:24:24,360 --> 00:24:27,240
When on treatment, a patient
will have regular appointments
494
00:24:27,240 --> 00:24:29,880
with their clinical team to
ensure they are well enough
495
00:24:29,880 --> 00:24:31,000
to continue with the treatment
496
00:24:31,000 --> 00:24:34,560
or to assess if any
changes need to be made.
497
00:24:34,560 --> 00:24:35,720
As part of this,
498
00:24:35,720 --> 00:24:38,400
most patients will also
have blood tests taken.
499
00:24:40,440 --> 00:24:42,000
Depending on the treatment,
500
00:24:42,000 --> 00:24:45,840
it is possible to receive drug
therapies in different areas.
501
00:24:45,840 --> 00:24:49,080
Most patients are seen in
one of our cancer day units
502
00:24:49,080 --> 00:24:52,680
or GP outreach sites, where
treatments are also given
503
00:24:52,680 --> 00:24:54,480
by CUH cancer nurses.
504
00:24:54,480 --> 00:24:58,080
The Oncology Day Unit can
be found off Robinson Way
505
00:24:58,080 --> 00:24:59,640
and accessed through the Oncology
506
00:24:59,640 --> 00:25:02,280
and Haematology Outpatients main entrance
507
00:25:02,280 --> 00:25:04,440
or from inside the main hospital
508
00:25:04,440 --> 00:25:06,240
through the Outpatients department.
509
00:25:07,840 --> 00:25:09,760
The Haematology Day Unit is located
510
00:25:09,760 --> 00:25:11,880
opposite the main hospital entrance.
511
00:25:11,880 --> 00:25:13,640
The GP outreach sites, however,
512
00:25:13,640 --> 00:25:15,720
are only available for certain treatments
513
00:25:15,720 --> 00:25:18,480
and will be discussed with
you in clinic if appropriate.
514
00:25:24,520 --> 00:25:26,680
The Acute Oncology and Haematology Service
515
00:25:26,680 --> 00:25:29,200
provides telephone support
for cancer patients,
516
00:25:29,200 --> 00:25:32,680
who are currently receiving
treatment, such as radiotherapy,
517
00:25:32,680 --> 00:25:34,960
chemotherapy, or immunotherapy
518
00:25:34,960 --> 00:25:37,560
under the care of an
oncologist or haematologist.
519
00:25:37,560 --> 00:25:41,520
The phone line is open 24
hours a day, seven days a week
520
00:25:41,520 --> 00:25:45,480
and can be used by patients,
loved ones or professionals.
521
00:25:45,480 --> 00:25:47,640
We provide emergency support for patients
522
00:25:47,640 --> 00:25:50,040
who are struggling with
symptoms of their disease
523
00:25:50,040 --> 00:25:52,440
or complications from
the treatment itself.
524
00:25:52,440 --> 00:25:56,760
This support is given by trained
cancer nurses and doctors.
525
00:25:56,760 --> 00:26:00,120
Where possible, we aim to
keep you out of the hospital
526
00:26:00,120 --> 00:26:02,000
if this is a safe option for you.
527
00:26:03,040 --> 00:26:06,360
When it is advised that a
patient needs to attend hospital,
528
00:26:06,360 --> 00:26:09,120
we aim to do this via the
Cancer Assessment Unit
529
00:26:09,120 --> 00:26:11,240
or CAU for short.
530
00:26:11,240 --> 00:26:13,760
The Cancer Assessment Unit can be accessed
531
00:26:13,760 --> 00:26:16,960
via the Oncology and Haematology
Outpatients main entrance
532
00:26:16,960 --> 00:26:18,720
on Robinson Way.
533
00:26:18,720 --> 00:26:21,960
The CAU is a nine bedded unit used as space
534
00:26:21,960 --> 00:26:25,080
to assess and treat
patients needing urgent care
535
00:26:25,080 --> 00:26:28,320
due to a complication of
their cancer or treatment.
536
00:26:28,320 --> 00:26:31,160
These patients may stay
in the unit for the day
537
00:26:31,160 --> 00:26:33,960
and then go home, or be admitted to a ward
538
00:26:33,960 --> 00:26:36,000
if requiring a longer stay.
539
00:26:36,000 --> 00:26:37,520
When admission is necessary,
540
00:26:37,520 --> 00:26:40,560
the CAU team will liaise
with the senior clinical team
541
00:26:40,560 --> 00:26:42,680
to ensure the process is as smooth
542
00:26:42,680 --> 00:26:45,200
and as easy for you as possible.
543
00:26:45,200 --> 00:26:48,520
All CUH cancer patients
receiving non-surgical care
544
00:26:48,520 --> 00:26:50,640
are given a red emergency card
545
00:26:50,640 --> 00:26:53,760
containing the 24 hour
helpline contact numbers
546
00:26:53,760 --> 00:26:56,760
for oncology and haematology patients.
547
00:26:56,760 --> 00:26:59,880
This is for you to contact the
clinical team when necessary,
548
00:26:59,880 --> 00:27:02,840
so please ensure you always
carry the card with you.
549
00:27:09,400 --> 00:27:11,760
Finding out you or someone
close to you has cancer
550
00:27:11,760 --> 00:27:13,960
can be a very difficult
and confusing time.
551
00:27:13,960 --> 00:27:15,320
Whether you're here for treatment
552
00:27:15,320 --> 00:27:17,000
or supporting a family or friend,
553
00:27:17,000 --> 00:27:19,240
our Cancer Support
Service are here for you.
554
00:27:19,240 --> 00:27:22,000
Our base is in Oncology
Haematology Outpatients
555
00:27:22,000 --> 00:27:24,120
and we satellite to other
parts of the hospital
556
00:27:24,120 --> 00:27:26,000
such as the Addenbrooke's Treatment Centre
557
00:27:26,000 --> 00:27:27,160
and the Main Concourse.
558
00:27:29,160 --> 00:27:32,120
Our team can come to see you
on the wards or day units
559
00:27:32,120 --> 00:27:33,920
and you and your family
can drop into the service
560
00:27:33,920 --> 00:27:35,400
for support or information.
561
00:27:35,400 --> 00:27:38,400
Our cancer support advisors
are available Monday to Friday
562
00:27:38,400 --> 00:27:39,800
and you do not need an appointment.
563
00:27:39,800 --> 00:27:42,080
You may be assigned a cancer
navigator from our service
564
00:27:42,080 --> 00:27:43,800
alongside your clinical team.
565
00:27:43,800 --> 00:27:45,360
They'll contact you to offer support
566
00:27:45,360 --> 00:27:47,200
and access to services
that may be important
567
00:27:47,200 --> 00:27:49,160
to you at different points.
568
00:27:49,160 --> 00:27:51,480
Receiving a cancer diagnosis
can affect many parts of your
569
00:27:51,480 --> 00:27:53,400
and your family's life.
570
00:27:53,400 --> 00:27:56,040
We can help with the wealth
of information available,
571
00:27:56,040 --> 00:27:58,480
on financial support, work,
572
00:27:58,480 --> 00:28:01,080
emotional support and
services closer to home.
573
00:28:03,720 --> 00:28:07,080
Our Cancer Patient Information
Pack is also available
574
00:28:07,080 --> 00:28:09,000
and can be picked up from
our information service
575
00:28:09,000 --> 00:28:10,400
or through your clinical team.
576
00:28:10,400 --> 00:28:12,160
We can provide you with
a digital copy as well
577
00:28:12,160 --> 00:28:13,560
if you prefer.
578
00:28:13,560 --> 00:28:16,560
The pack contains practical
information about the department,
579
00:28:16,560 --> 00:28:18,560
such as parking and services available
580
00:28:18,560 --> 00:28:20,400
on the Addenbrooke's campus.
581
00:28:20,400 --> 00:28:22,360
We work closely with
Maggie's Centre Cambridge,
582
00:28:22,360 --> 00:28:24,440
who are based on the Addenbrooke's site.
583
00:28:24,440 --> 00:28:27,120
Maggie's offer a quieter space
away from the busy department
584
00:28:27,120 --> 00:28:29,200
to seek support and information.
585
00:28:29,200 --> 00:28:31,320
You can meet others or
just simply have quiet time
586
00:28:31,320 --> 00:28:33,840
with a cup of tea and a calming space.
587
00:28:33,840 --> 00:28:36,160
They offer support groups
and information sessions,
588
00:28:36,160 --> 00:28:37,760
psychological support,
589
00:28:37,760 --> 00:28:39,600
and have their own
benefits advisor as well.
590
00:28:39,600 --> 00:28:41,160
The centre is open Monday to Friday
591
00:28:41,160 --> 00:28:43,320
and no appointment is needed.
592
00:28:43,320 --> 00:28:45,520
You can find out more
information on our service
593
00:28:45,520 --> 00:28:46,760
at the Addenbrooke's website
594
00:28:46,760 --> 00:28:49,720
or pop along to our base in
Oncology Haematology Outpatients
595
00:28:49,720 --> 00:28:51,440
and speak to a member of the team.
596
00:28:58,240 --> 00:29:01,600
Here at Addenbrooke's
there's a strong commitment
597
00:29:01,600 --> 00:29:05,200
to listen to patient's
recommendations and suggestions.
598
00:29:05,200 --> 00:29:08,280
Some aspects of the
treatment you will receive
599
00:29:08,280 --> 00:29:11,920
are the direct result of
previous patients and carers
600
00:29:11,920 --> 00:29:13,560
asking for changes.
601
00:29:14,520 --> 00:29:19,080
I am involved in the Cancer
Patient Partnership Group
602
00:29:19,080 --> 00:29:21,800
or CPPG for short.
603
00:29:23,280 --> 00:29:26,320
We're a friendly group
of patients and carers
604
00:29:26,320 --> 00:29:28,480
with lived experience of cancer.
605
00:29:29,520 --> 00:29:32,920
We work as equal partners
with healthcare staff
606
00:29:32,920 --> 00:29:36,400
to deliver improvements in cancer care.
607
00:29:36,400 --> 00:29:39,720
We want to make sure that any change
608
00:29:39,720 --> 00:29:43,200
or improvement in cancer
services starts from
609
00:29:43,200 --> 00:29:48,120
what matters most to the
people who use those services.
610
00:29:48,120 --> 00:29:51,800
Patients themselves are in
the best position to decide
611
00:29:51,800 --> 00:29:54,960
what works and what doesn't,
612
00:29:54,960 --> 00:29:57,840
and it's vital that the
patient voice is heard.
613
00:29:59,320 --> 00:30:04,080
The CPPG has the opportunity
to attend meetings
614
00:30:04,080 --> 00:30:06,000
with the leading cancer specialists
615
00:30:06,000 --> 00:30:09,360
and hospital managers to
ensure that patient concerns
616
00:30:09,360 --> 00:30:12,400
and suggestions are on the agenda.
617
00:30:12,400 --> 00:30:16,200
We are involved in the design
of patient information sheets
618
00:30:16,200 --> 00:30:19,560
and letters, patient waiting areas,
619
00:30:19,560 --> 00:30:22,280
reviewing the quality of hospital food
620
00:30:22,280 --> 00:30:25,400
and expanding holistic all round care
621
00:30:25,400 --> 00:30:30,480
such as dietary advice,
exercise, and physiotherapy.
622
00:30:30,960 --> 00:30:34,480
We have also been involved in research
623
00:30:34,480 --> 00:30:37,320
and the development of a medical device
624
00:30:37,320 --> 00:30:41,400
that will give early warning
of neutropenic sepsis
625
00:30:41,400 --> 00:30:45,520
vital for patients whose immune
systems are weakened by treatment.
626
00:30:47,000 --> 00:30:50,280
But patients can bring
any topic to the meetings.
627
00:30:51,120 --> 00:30:55,560
Please feel free to
check out our CPPG page
628
00:30:55,560 --> 00:30:58,200
on the CUH website
629
00:30:58,200 --> 00:31:02,040
or ask any of your healthcare
team for contact details.
630
00:31:03,240 --> 00:31:07,960
We meet once every two months,
either online or in person.
631
00:31:07,960 --> 00:31:11,720
Travel and parking
expenses will be reimbursed
632
00:31:11,720 --> 00:31:13,840
if you decide to get involved.
633
00:31:19,760 --> 00:31:23,200
More information about
Cancer Services at CUH
634
00:31:23,200 --> 00:31:25,720
is available on the CUH website
635
00:31:25,720 --> 00:31:28,040
under the Cancer Services section.
636
00:31:28,040 --> 00:31:30,600
The details and a contact telephone number
637
00:31:30,600 --> 00:31:32,840
to your clinical nurse specialist
638
00:31:32,840 --> 00:31:36,120
will be provided to you at
your first consultation.
639
00:31:37,320 --> 00:31:40,160
The clinical nurse specialist
will make every effort
640
00:31:40,160 --> 00:31:42,240
to clarify any information
641
00:31:42,240 --> 00:31:45,000
and discuss matters important to you.
642
00:31:45,000 --> 00:31:48,560
However, you can contact them
should you have any worries
643
00:31:48,560 --> 00:31:51,400
or need further information
when staying at home.
644
00:31:51,400 --> 00:31:53,400
You may have to leave a message,
645
00:31:53,400 --> 00:31:56,120
but they or another member
of the specialist team
646
00:31:56,120 --> 00:31:58,920
will get back to you as soon as possible.
647
00:31:58,920 --> 00:32:02,400
If you are unsure who your
clinical specialist nurse is,
648
00:32:02,400 --> 00:32:05,640
you can contact the
Cancer Support Service.
649
00:32:05,640 --> 00:32:08,080
You can also contact your navigator
650
00:32:08,080 --> 00:32:10,320
or the cancer support advisors
651
00:32:10,320 --> 00:32:13,800
to help you with any non-clinical queries.
652
00:32:13,800 --> 00:32:15,400
In emergencies, you should ring
653
00:32:15,400 --> 00:32:19,520
the 24 hour emergency number,
not your specialist nurse
654
00:32:19,520 --> 00:32:23,440
so you can talk to someone
and obtain immediate advice.
655
00:32:23,440 --> 00:32:26,880
Always carry your emergency
contact number with you
656
00:32:26,880 --> 00:32:28,920
along with your hospital number.
657
00:32:28,920 --> 00:32:32,280
You can also give this
emergency contact information
658
00:32:32,280 --> 00:32:34,560
to your close family members.
659
00:32:34,560 --> 00:32:36,600
Besides, you can also register
660
00:32:36,600 --> 00:32:41,000
with the electronic patient
record system called MyChart,
661
00:32:41,000 --> 00:32:43,800
which enables patients to securely access
662
00:32:43,800 --> 00:32:46,120
parts of their health record held
663
00:32:46,120 --> 00:32:49,880
within the hospital's electronic
patient record system.
664
00:32:49,880 --> 00:32:53,120
MyChart will allow you
to access information
665
00:32:53,120 --> 00:32:57,240
such as upcoming and
past appointment details,
666
00:32:57,240 --> 00:33:00,920
clinical correspondence, test results,
667
00:33:00,920 --> 00:33:04,680
medications, and also
enable you to communicate
668
00:33:04,680 --> 00:33:08,200
with your treating team if
this function is available
669
00:33:08,200 --> 00:33:11,480
within the clinical
specialty caring for you.
670
00:33:11,480 --> 00:33:14,640
MyChart is designed to
improve communication
671
00:33:14,640 --> 00:33:18,600
between patient and clinical
teams and enables patients
672
00:33:18,600 --> 00:33:21,920
to be more involved and
informed about their care.
673
00:33:21,920 --> 00:33:26,000
Once signed up, you'll be able
to access your information
674
00:33:26,000 --> 00:33:28,640
via MyChart from your smartphone,
675
00:33:28,640 --> 00:33:32,520
tablet device, or from
a computer or laptop.
676
00:33:32,520 --> 00:33:34,680
Thank you for taking your time to watch
677
00:33:34,680 --> 00:33:38,400
our Welcome to Cancer Services
Patient Information film.
Cancer patient information pack
The cancer patient information pack is suitable for any cancer patient being seen anywhere in the Trust and at any stage of the cancer pathway.
The pack includes practical and generic cancer patient information to support you and your family through your cancer pathway. It's available from your treating team or through the cancer support service.
We are a multidisciplinary service
The Cancer Services team is a multidisciplinary service, working closely with colleagues in other disciplines throughout the Trust and also at specialist designated centres across the region.
The multidisciplinary teams meet regularly to discuss patients’ care and treatment plans. They advise on patient treatment recommendations, which are then discussed with patient at their clinic appointment by the appropriate clinical team.
Finding out you have symptoms that may require further investigation, can be very daunting and might make you feel scared or worried about what’s going to happen next. Please take a look at our film below, which aims to explain the purpose and need of a Multidisciplinary Team approach and discussion.
CUH Multi Disciplinary Team
Link: https://youtu.be/pYxKRfEgojM
Multi Disciplinary Team video transcript
00:00:21 - 00:00:22
Hi everyone.
00:00:22 - 00:00:23
My name is Claire.
00:00:23 - 00:00:24
I am the operations manager
00:00:24 - 00:00:28
for cancer working here at Cambridge University Hospitals.
00:00:28 - 00:00:30
I would like to welcome you to this film,
00:00:30 - 00:00:32
which will aim to explain the purpose
00:00:32 - 00:00:35
and need of a multidisciplinary team approach
00:00:35 - 00:00:38
and discussion for patients suspected of cancer.
00:00:38 - 00:00:40
Finding out you have symptoms
00:00:40 - 00:00:44
that may require further investigation can be very daunting
00:00:44 - 00:00:45
and might make you feel scared
00:00:45 - 00:00:48
or worried about what's going to happen next.
00:00:48 - 00:00:51
You'll be placed on what healthcare professionals
00:00:51 - 00:00:53
call a pathway,
00:00:53 - 00:00:55
which is designed to get you the right care
00:00:55 - 00:00:56
as quickly as possible.
00:00:56 - 00:00:58
This doesn't automatically mean
00:00:58 - 00:01:00
you have a serious condition.
00:01:00 - 00:01:02
It ensures that you are monitored closely
00:01:02 - 00:01:06
and moved through the system to give you peace of mind
00:01:06 - 00:01:09
or if necessary, to begin treatment promptly.
00:01:09 - 00:01:12
During the film, you may hear the term MDT,
00:01:12 - 00:01:16
which stands for "Multidisciplinary Team."
00:01:16 - 00:01:19
MDT is a group of health and care staff
00:01:19 - 00:01:23
who are members of different organisations and professions.
00:01:23 - 00:01:26
They meet and work together to make recommendations
00:01:26 - 00:01:29
for the responsible clinician to discuss with the patient.
00:01:29 - 00:01:34
Support is available for you and your family at every step.
00:01:34 - 00:01:36
Our teams are highly trained and specialised,
00:01:36 - 00:01:39
and you are in safe hands here at CUH.
00:01:39 - 00:01:41
No decision will be made about your care
00:01:41 - 00:01:43
and treatment without you.
00:01:44 - 00:01:47
If you present yourself at your GP surgery
00:01:47 - 00:01:50
with symptoms suggestive of a serious condition
00:01:50 - 00:01:54
or health issue indicative of cancer, your GP may refer you
00:01:54 - 00:01:57
for further specialist investigations.
00:01:57 - 00:02:01
This is called an urgent suspected cancer referral.
00:02:01 - 00:02:04
This pathway is designed to fast-track your appointment
00:02:04 - 00:02:07
with a specialist to ensure you receive a diagnosis
00:02:07 - 00:02:11
as early as possible, or you may have been invited
00:02:11 - 00:02:14
to take part in one of the national screening programmes
00:02:14 - 00:02:17
for breast, cervical, or bowel cancer.
00:02:17 - 00:02:20
If your results indicate a suspicion of cancer,
00:02:20 - 00:02:22
you will again have been fast-tracked
00:02:22 - 00:02:26
for further investigation to confirm or exclude cancer.
00:02:26 - 00:02:29
You can also be referred for investigations
00:02:29 - 00:02:33
by other specialties or department within the hospital
00:02:33 - 00:02:34
or referred by your local hospital
00:02:34 - 00:02:37
for a second opinion, specialist advice
00:02:37 - 00:02:39
or for specialist treatment
00:02:39 - 00:02:43
that is not necessarily available in your local hospital.
00:02:43 - 00:02:46
Equally, a clinician can upgrade you onto a cancer pathway
00:02:46 - 00:02:49
if you haven't been referred through one of these routes,
00:02:49 - 00:02:53
and if they are concerned your symptoms might be serious.
00:02:53 - 00:02:56
After your referral has been received at CUH,
00:02:56 - 00:02:58
the specialist team may see you in clinic
00:02:58 - 00:03:02
or may refer you for investigations before seeing you.
00:03:02 - 00:03:05
These investigations may include blood tests,
00:03:05 - 00:03:10
imaging like x-rays or scans, or biopsy.
00:03:10 - 00:03:11
The results will be used
00:03:11 - 00:03:15
to identify if the symptoms are an abnormality
00:03:15 - 00:03:18
and if this is in fact cancerous,
00:03:18 - 00:03:21
and to inform the specialist team of your condition.
00:03:21 - 00:03:24
This will also help the MDT discussion
00:03:24 - 00:03:27
to consider the best way of treating your cancer type
00:03:27 - 00:03:30
and to determine next steps in your care.
00:03:30 - 00:03:33
Although, there is no set of standard investigations
00:03:33 - 00:03:36
for patients suspected of cancer,
00:03:36 - 00:03:39
each specialty may request different types
00:03:39 - 00:03:41
of investigations, depending on the location
00:03:41 - 00:03:45
of the abnormality and the body part affected.
00:03:45 - 00:03:47
There are national best-practice pathways
00:03:47 - 00:03:50
that detail which tests could be carried out
00:03:50 - 00:03:54
and how quickly to diagnose most forms of cancer.
00:03:54 - 00:03:56
Once the results are available,
00:03:56 - 00:03:58
these are collated together
00:03:58 - 00:04:01
by one of our MDT coordinators,
00:04:01 - 00:04:04
whose role is to ensure essential information
00:04:04 - 00:04:06
is available for the MDT discussion.
00:04:14 - 00:04:16
The MDT meeting will consist
00:04:16 - 00:04:20
of healthcare experts including physicians, surgeons,
00:04:20 - 00:04:25
oncologists, radiologists, histopathologists,
00:04:25 - 00:04:29
and clinical nurse specialists known as a CNS,
00:04:29 - 00:04:32
who specialise in specific cancer types.
00:04:32 - 00:04:36
Other professionals like physiotherapists, dietitians,
00:04:36 - 00:04:39
or occupational therapists may also be involved
00:04:39 - 00:04:42
in the MDT discussion to address various aspects
00:04:42 - 00:04:45
of any care required.
00:04:45 - 00:04:48
Each MDT member has a different role to play
00:04:48 - 00:04:51
providing diagnostic, surgical,
00:04:51 - 00:04:55
medical, practical, or emotional input.
00:04:56 - 00:05:00
The MDT coordinator's role at the MDT meeting
00:05:00 - 00:05:04
is to facilitate and coordinate patient referrals
00:05:04 - 00:05:08
through the MDT and to support the MDT chair,
00:05:08 - 00:05:11
who is responsible for the management
00:05:11 - 00:05:13
and running of the MDT.
00:05:14 - 00:05:18
At the MDT meeting, the histopathologist,
00:05:18 - 00:05:22
who is a doctor specialising in analysing biopsy samples,
00:05:22 - 00:05:26
determines your exact tissue diagnosis,
00:05:26 - 00:05:30
will discuss these results, if you've had one completed,
00:05:30 - 00:05:34
and the radiologist will bring up any scans,
00:05:34 - 00:05:39
such as x-rays, CT scans or MRI
00:05:39 - 00:05:41
to present any abnormal findings.
00:05:42 - 00:05:47
This will initiate a discussion between all members,
00:05:47 - 00:05:50
to consider different treatment options available
00:05:50 - 00:05:54
and to formulate appropriate recommendations.
00:05:54 - 00:05:58
Your case will also be discussed at an MDT meeting
00:05:58 - 00:06:01
at each appropriate stage of your treatment plan
00:06:01 - 00:06:05
and maybe re-discussed if there are any changes
00:06:05 - 00:06:08
in your diagnosis or progression.
00:06:08 - 00:06:13
The MDT may also suggest any further tests
00:06:13 - 00:06:17
that need to be carried out, making appropriate referrals
00:06:17 - 00:06:19
to specialist services
00:06:19 - 00:06:21
or which clinical trials might be suitable
00:06:21 - 00:06:23
for consideration.
00:06:24 - 00:06:28
The MDT recommendations will be agreed
00:06:28 - 00:06:31
and finalised at the meeting,
00:06:31 - 00:06:34
and the clinical team will document these
00:06:34 - 00:06:37
in our patient record system, called Epic.
00:06:38 - 00:06:41
Often local hospitals refer patients
00:06:41 - 00:06:45
to a special MDT discussion at CUH.
00:06:45 - 00:06:46
If this is the case,
00:06:46 - 00:06:50
the local team will dial into the MDT meeting
00:06:50 - 00:06:53
and summarise your results.
00:06:53 - 00:06:56
CUH is a tertiary centre,
00:06:56 - 00:07:00
meaning that regional patient cases can come to us
00:07:00 - 00:07:02
to receive appropriate treatment,
00:07:02 - 00:07:05
which may not necessarily be available
00:07:05 - 00:07:07
in their local hospitals.
00:07:07 - 00:07:10
Patients are not permitted to attend the MDT meeting,
00:07:10 - 00:07:14
partly due to the number of patients discussed
00:07:14 - 00:07:17
and patient confidentiality.
00:07:17 - 00:07:21
However, the CNS either from CUH
00:07:21 - 00:07:23
or from other hospitals,
00:07:23 - 00:07:25
who may have previously met the patient,
00:07:25 - 00:07:29
will act as the patient's voice at the MDT.
00:07:29 - 00:07:33
Where possible, they will ensure your views
00:07:33 - 00:07:37
and wishes are highlighted and considered.
00:07:37 - 00:07:40
The frequency of MDT meetings varies,
00:07:40 - 00:07:42
depending on cancer type.
00:07:47 - 00:07:51
After an MDT meeting, you will have an opportunity
00:07:51 - 00:07:55
to discuss the outcome with a member of the specialist team.
00:07:55 - 00:07:58
This will often be the CNS
00:07:58 - 00:08:00
or the specialist clinician,
00:08:00 - 00:08:03
either at CUH or your local hospital,
00:08:03 - 00:08:06
who will discuss your MDT outcome
00:08:06 - 00:08:11
and recommendations in a face-to-face outpatient appointment,
00:08:11 - 00:08:15
via a video appointment or telephone.
00:08:15 - 00:08:18
You can then decide which option
00:08:18 - 00:08:20
is the most suitable for you.
00:08:20 - 00:08:24
You will then be contacted by a member of our admin team
00:08:24 - 00:08:26
to schedule any appointments.
00:08:26 - 00:08:30
This is likely to be via a phone call,
00:08:30 - 00:08:34
and so please be aware, CUH calls will be anonymised
00:08:34 - 00:08:38
and therefore the call will be from an unknown ID.
00:08:38 - 00:08:43
So please ensure you keep your contact details up to date.
00:08:43 - 00:08:45
If having a face-to-face outpatient appointment
00:08:45 - 00:08:48
is your preferred option, you will most likely
00:08:48 - 00:08:51
need to attend one of our outpatient clinics.
00:08:51 - 00:08:55
For more information about attending the CUH campus,
00:08:55 - 00:08:59
please see our Cancer Services pages
00:08:59 - 00:09:01
of the CUH website,
00:09:01 - 00:09:04
where you will also find helpful information
00:09:04 - 00:09:05
and a welcome video.
00:09:07 - 00:09:09
Once you have arrived at the hospital
00:09:09 - 00:09:10
for your clinic appointment,
00:09:10 - 00:09:15
you can check in at the reception desk or via the MyChart.
00:09:16 - 00:09:18
After confirming all necessary details,
00:09:18 - 00:09:21
you should remain in the waiting area.
00:09:21 - 00:09:23
This is where a member of the clinical
00:09:23 - 00:09:26
or the support team will call you in
00:09:26 - 00:09:28
and take you to one of our clinic rooms
00:09:28 - 00:09:29
for your consultation.
00:09:31 - 00:09:34
You can be accompanied by a family member
00:09:34 - 00:09:39
or friend if you wish, who will be able to provide support
00:09:39 - 00:09:41
and help you with writing down information
00:09:41 - 00:09:45
and assisting with any questions you may have.
00:09:45 - 00:09:49
You may find it useful to jot down questions beforehand
00:09:49 - 00:09:53
to help you remember anything important you wish to ask.
00:09:53 - 00:09:55
Sometimes you may have already been admitted
00:09:55 - 00:09:58
to one of our wards at CUH,
00:09:58 - 00:10:01
when you're told the results of your tests
00:10:01 - 00:10:05
and MDT outcome. You will still have the opportunity
00:10:05 - 00:10:08
to discuss treatment options with a specialist clinician.
00:10:14 - 00:10:16
At the start of your appointment,
00:10:16 - 00:10:19
you will be greeted by the consultant
00:10:19 - 00:10:23
and your CNS, who will introduce themselves to you.
00:10:23 - 00:10:24
They will then proceed
00:10:24 - 00:10:28
with discussing the recommendations reached by the MDT.
00:10:28 - 00:10:32
The consultant and your CNS will make every effort
00:10:32 - 00:10:35
to clarify any information
00:10:35 - 00:10:38
and discuss matters important to you.
00:10:38 - 00:10:42
This is to ensure you can make an informed decision
00:10:42 - 00:10:45
about your treatment and care.
00:10:45 - 00:10:47
You'll be encouraged to write down
00:10:47 - 00:10:49
any essential information,
00:10:49 - 00:10:54
however, the details and a contact telephone number
00:10:54 - 00:10:57
for your CNS will be provided to you
00:10:57 - 00:10:59
at your clinic appointment.
00:10:59 - 00:11:02
You can contact them should you have any worries
00:11:02 - 00:11:06
or need further information after your appointment.
00:11:06 - 00:11:09
You may need to leave a message, but they,
00:11:09 - 00:11:12
or another member of the team will get back to you
00:11:12 - 00:11:14
as soon as possible.
00:11:14 - 00:11:18
You may also be able to contact your clinical team
00:11:18 - 00:11:21
via MyChart messaging,
00:11:21 - 00:11:25
if this function is available within the clinical specialty
00:11:25 - 00:11:28
caring for you. The team will respond
00:11:28 - 00:11:31
to you within 10 working days.
00:11:31 - 00:11:35
If there are multiple treatment options available,
00:11:35 - 00:11:40
you may be given some time to consider what is best for you.
00:11:40 - 00:11:42
Your CNS will contact you
00:11:42 - 00:11:46
to further discuss your options if necessary,
00:11:46 - 00:11:50
or will liaise with the booking team who will contact you
00:11:50 - 00:11:54
to arrange a follow-up appointment to finalise your decision
00:11:54 - 00:11:56
and next steps.
00:11:56 - 00:11:57
At your clinic appointment,
00:11:57 - 00:12:01
you may also be given a consent form to sign
00:12:01 - 00:12:05
to avoid any delays with starting your treatment.
00:12:05 - 00:12:10
Sometimes it may be necessary to send you for further scans
00:12:10 - 00:12:13
or investigation on the day.
00:12:13 - 00:12:15
Often, at the end of your appointment,
00:12:15 - 00:12:19
you'll be provided with the Cancer Patient Information Pack,
00:12:19 - 00:12:22
which contains practical information
00:12:22 - 00:12:25
such as parking, way finding
00:12:25 - 00:12:29
and services available on the CUH campus.
00:12:29 - 00:12:32
You may also be assigned a cancer navigator,
00:12:32 - 00:12:35
who will contact you to offer you support
00:12:35 - 00:12:39
and access to services that may be important
00:12:39 - 00:12:43
to you at different stages of your care.
00:12:43 - 00:12:45
All decisions and detailed summary
00:12:45 - 00:12:47
of your clinic appointment will be recorded
00:12:47 - 00:12:50
in our patient record system
00:12:50 - 00:12:53
and the summary of your treatment plan will be shared
00:12:53 - 00:12:56
with you and your GP,
00:12:56 - 00:12:59
who will be kept informed about your treatment and care.
00:13:01 - 00:13:03
Thank you for watching.
00:13:03 - 00:13:05
We hope this film has helped you to understand
00:13:05 - 00:13:07
some of the most important information
00:13:07 - 00:13:09
about the MDTs and your possible pathways.
00:13:10 - 00:13:12
If you have any further questions,
00:13:12 - 00:13:15
please contact your CNS on the telephone number
00:13:15 - 00:13:18
provided to you at your consultation.
00:13:18 - 00:13:20
If you however, have any non-clinical questions
00:13:20 - 00:13:23
or concerns, you can contact your cancer navigator,
00:13:23 - 00:13:25
the support advisors,
00:13:25 - 00:13:28
or visit the Cancer Support Service Information pod
00:13:28 - 00:13:31
located in Oncology Outpatients on level 2.
00:13:31 - 00:13:34
Additionally, if you would like more information
00:13:34 - 00:13:36
about Cancer Services at CUH,
00:13:36 - 00:13:37
please visit the CUH website.
Supporting you and your family
Support is available for you and your family at every step. Our teams are highly trained and specialised, and you are in safe hands here at CUH. No decision will be made about your care and treatment without you.
Where to find About cancer services
We are located off the outpatient corridor on level 2 between the outpatient entrance and main concourse area. We also have our own access off Robinson Way, via car park B.
As an outpatient you may also be seen at one of our satellite clinics for chemotherapy.
Contact About cancer services
All enquiries and appointments: For all enquiries and appointments please call 01223 216551
