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An audit of clinical resources available for the care of head and neck cancer patients in England

Published online by Cambridge University Press:  08 March 2006

P J Bradley ,
B Zutshi  and
C M Nutting
P J Bradley
Affiliation:
National Clinical Leads for Head and Neck Cancer, Cancer Services Collaborative – Improvement Partnership
B Zutshi
Affiliation:
National Clinical Leads for Head and Neck Cancer, Cancer Services Collaborative – Improvement Partnership
C M Nutting
Affiliation:
National Clinical Leads for Head and Neck Cancer, Cancer Services Collaborative – Improvement Partnership
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Abstract

Objective: To undertake a postal survey of cancer networks to define the services available for the diagnosis, treatment and support of patients with head and neck cancer in England.

Findings: Thirty-four cancer networks are now responsible for the delivery of head and neck cancer services in England and 52 cancer units responded to our questionnaire. Multidisciplinary team working was evident in all centres. However such team working was not always fully staffed, especially in areas of national staff shortages such as pathology, radiology, dietetics and speech therapy. Rapid referral pathways were present for initial assessment of patients but clinically significant delays were identified in the provision of complex investigations, in access to intensive care beds and for oncological care – especially radiotherapy.

Conclusions: Major changes in service configuration are likely to be required if the current national targets of time to diagnosis and treatment are to be met.

Keywords

Delivery of Health CareHealth ResourcesHead and Neck NeoplasmsRadiologyPathologyRadiotherapyInterdisciplinary Communication
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 119 , Issue 8 , August 2005 , pp. 620 - 626
Copyright
© 2005 Royal Society of Medicine Press

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