http://youtu.be/5Lw7pu9l6I8

Holistic Needs Assessment and Care Planning –

Helping People Take Control

• Name Jackie Rowe

• Title Electronic HNA Team

• Date November 2013

National Cancer Survivorship Initiative

Agenda

1. The Macmillan Recovery Package

2. Holistic Needs Assessment (HNA) and Care Planning

3. Supporting Electronic HNA’s and Care Planning.

4. Top Tips for Implementing HNA’s

The number of people living with cancer is set to double by 2030

Source: Maddams J, Utley M, Møller H. Projections of cancer prevalence in the United Kingdom, 2010-2040. Br J Cancer 2012; 107: 1195-1202.

The Recovery Package

Taking action to improve outcomes (2013)

Holistic Needs Assessment (HNA) & Care Planning

HNA Practical GuideA range of practical advice:• Getting started • Skills and knowledge• Tools to support the assessment process • The assessment conversation • The care plan • Examples of practice

Available at:www.ncsi.org.uk

Moving forward – The Future of A&CP

eHNA Process

Patients Clinicians

My Care Plan Website

MacmillanClinical Store

(*HealthUnlocked)

N3 Servers

Patient Information

Store

Questionnaire answers

Completed Care Plan

Aggregated data

*Macmillan Cancer Support has commissioned HealthUnlocked to provide a web-based platform for delivery of the eHNA: including software development hosting and support.

Each site will enter into a provider agreement to support the appropriate information governance and data sharing protocols to fully support this information flow.

Macmillan Interface

Response & Patient Consent

Creating the Care Plan

Summary Data

Breakdown of data

Patients identified improvements in:

Relationship with cliniciansIdentifying issues Ease of understandingEnabling thinking Releasing anxiety Contact details Feeling of wellbeing Gain perspective

“Felt cared for”

What Patient Told us:

Helped me – 91%

Made me feel listened to – 96%

Answered all my questions – 97%

Tips for implementing in clinical practice

Ensure everyone understand the idea of HNA and why it needs to be done.

Consider existing processes and see how HNA can be built on these, avoid duplication or addition workload.

Consider practicalities – IT, capacity in clinical areas, job plans, cohort of patients.

Consider the patient pathway and identify key stages that HNA can be

implemented and who is best placed to do the assessment.

.

Tips for implementing in clinical practice

Consider the best environment and whether patients have enough time available with the person undertaking the assessment.

Start small – discuss how it went – clinical supervision / steering group / MDT

.

Thank You

Contact Details: eHNA@Macmillan.org.uk

Resources• www.be.macmillan.org.uk • www.ncsi.org.uk• www.dh.gov.uk• www.nhsiq.nhs.uk