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Provision of surgical voice restoration in England: questionnaire survey of speech and language therapists

Published online by Cambridge University Press:  03 July 2013

P J Bradley ,
P Counter ,
A Hurren  and
H C Cocks
P J Bradley*
Affiliation:
Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Nottingham University Hospitals, Queen's Medical Centre Campus, Nottingham, UK
P Counter
Affiliation:
Department of Otolaryngology, Queen Alexandra Hospital, Portsmouth, UK
A Hurren
Affiliation:
Department of Speech and Language Therapy, Sunderland Royal Hospital, UK
H C Cocks
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Sunderland Royal Hospital, UK
*
Address for correspondence: Professor Patrick J Bradley, 10 Chartwell Grove, Mapperley Plains, Nottingham NG3 5RD, UK E-mail: [email protected]
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Abstract

Aim:

To conduct a questionnaire survey of speech and language therapists providing and managing surgical voice restoration in England.

Method:

National Health Service Trusts registering more than 10 new laryngeal cancer patients during any one year, from November 2009 to October 2010, were identified, and a list of speech and language therapists compiled. A questionnaire was developed, peer reviewed and revised. The final questionnaire was e-mailed with a covering letter to 82 units.

Results:

Eighty-two questionnaires were distributed and 72 were returned and analysed, giving a response rate of 87.8 per cent. Forty-four per cent (38/59) of the units performed more than 10 laryngectomies per year. An in-hours surgical voice restoration service was provided by speech and language therapists in 45.8 per cent (33/72) and assisted by nurses in 34.7 per cent (25/72). An out of hours service was provided directly by ENT staff in 35.5 per cent (21/59). Eighty-eight per cent (63/72) of units reported less than 10 (emergency) out of hours calls per month.

Conclusion:

Surgical voice restoration service provision varies within and between cancer networks. There is a need for a national management and care protocol, an educational programme for out of hours service providers, and a review of current speech and language therapist staffing levels in England.

Keywords

VoiceLaryngectomySpeech TherapyEnglandHealth ServicesOtorhinolaryngologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 8 , August 2013 , pp. 760 - 767
Copyright
Copyright © JLO (1984) Limited 2013 

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References

1Department of Health: The NHS Cancer Plan. In: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4009609 [26 July 2012]Google Scholar
2National Institute for Health and Care Excellence: Supportive and Palliative Care: the Manual. In: http://guidance.nice.org.uk/CSGSP/Guidance/pdf/English [26 July 2012]Google Scholar
3British Association of Head and Neck Oncologists. British Association of Head and Neck Oncologists Standards 2009. London: British Association of Head and Neck Oncologists, 2009Google Scholar
4Department of Health: The NHS Cancer Plan. In: http://www.doh.gov.uk/cancer/cancerplan.htm [29 August 2012]Google Scholar
5National Institute of Clinical Excellence: Improving supportive and palliative care for adults with cancer: The Manual. In: http://www.nice.org.uk/nicemedia/live/10893/28816/28816.pdf [15 August 2012]Google Scholar
6Department of Health: Cancer Reform Strategy. In: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_081007.pdf [19 August 2012]Google Scholar
7National Cancer Action Team: National Cancer Peer Review Programme. In: http://www.cquins.nhs.uk/?menu=contact-us [18 August 2012]Google Scholar
8National Cancer Action Team: Supporting and Improving Commissioning of Cancer Rehabilitation Services: Guidelines. In: http://www.ncat.nhs.uk/sites/default/files/work-docs/NCAT_Rehab_Commissioning.pdf [18 August 2012]Google Scholar
9Department of Health. Improving Outcomes: A Strategy for Health. London: Department of Health, 2011Google Scholar
10Arden Cancer Networks: Cancer Rehabilitation Workforce. In: http://www.the3ccancernet.org.uk/downloads/May%202012%20AHP%20and%20Rehab%20FINAL.pdf [11 August 2012]Google Scholar
11National Cancer Action Team: Cancer and Palliative Care Rehabilitation Workforce Project: A Review of the Evidence. In: http://ncat.nhs/sites/default/files/NCAT_Rehab_EvidenceReview.pdf [17 August 2012]Google Scholar
12National Cancer Action Team: National Cancer Rehabilitation Workforce: Comparative Report 2012. In: http://ncat.nhs.uk/sites/default/files/workdocs/National_Rehab_Workforce_Report_2012.pdf [24 July 2012]Google Scholar
13National Cancer Action Team: Rehabilitation Care Pathway Head and Neck Cancer 2009. In: http://ncat.nhs.uk/our-work/living-with-beyond-cancer/cancer-rehabilitation [24 July 2012]Google Scholar
14Taylor-Goh, S, ed. RCSLT Clinical Guidelines: 5.13 Head & Neck Cancer. Bicester: Speechmark Publishing, 2005Google Scholar
15Prosthetic Surgical Voice Restoration (SVR): the role of the speech and language therapist. In: http://rcslt.prg/docs/svr_policy_document [17 August 2012]Google Scholar
16Bradley, PJ, Zutshi, B, Nutting, CM. An audit of clinical resources available for the care of head and neck patients in England. Clin Oncol 2005;17:604–9CrossRefGoogle ScholarPubMed
17Hughes, C, Homer, J, Bradley, PJ, Nutting, C, Ness, A, Persson, M et al. An evaluation of current services available for people diagnosed with head and neck cancer in the UK (2009 – 2010). Clin Oncol 2012;24:187–92CrossRefGoogle ScholarPubMed
18Oozeer, NB, Owen, S, Perez, BZ, Jones, G, Welch, AR, Paleri, V. Functional status after total laryngectomy: cross-sectional survey of 79 laryngectomees using the Performance Status Scale for Head and Neck Cancer. J Laryngol Otol 2009;124:412–16CrossRefGoogle ScholarPubMed
19NHS Information Centre: National Head and Neck Cancer Audit 2010 (DAHNO 5). In: www/ic.nhs.uk/webfiles/services/NCASP/audits%20and%20reports/WEB%20Version%20NHS%20Head%20Neck%20Cancer%20AuditAMENDE [26 June 2011]Google Scholar