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Greater Manchester Cancer
GM Prehab4Cancer & Rehab ProgrammeDr John Moore - [email protected] Clinical Director Greater Manchester Cancer Prehab4Cancer & Rehab ProgrammeZoe Merchant - [email protected] Lead / Specialist OT
Objective
Partners in delivery
Expected Benefits
Patient Cancer Path
References
GM Cancer will be the first regional system in the UK to introduce large scale prehabilitation as a standard of care for cancer patients.
Through transformation funding GM Cancer Prehab will support more than 1,000 patients per year undergoing cancer interventions (major surgery, chemotherapy and radiotherapy) through freely accessible preparation and recovery physical activity, nutritional and well-being packages across GM over the next 2 years.
MethodologyTo deliver this system change, GM Cancer Prehab will work with local healthcare providers, community GM Active leisure services, GM Macmillan Users, Health Innovation Manchester and the Manchester Allied Health Sciences. GM Cancer Prehab will be co-designed utilising advice from national and international multimodal experts who will facilitate collaboration, innovation and study within the programme. This will be complemented by a strong drive to digitally enhance and record patient prehabilitation and recovery outcomes.
• Reduced morbidity from treatment• Improved short-term and long-term survival • Improved PROMs and PREMs• Reduced healthcare and social costs • Improved family and carer satisfaction
The importance of preparation ‘Prehabilitation’ and active recovery pathways in cancer are being increasingly recognised by cancer patients and healthcare providers around the world.1,2,3. The elements of physical activity, nutritional management and psychological support appear core to improving patients’ outcomes and quality of life.
1. Silver JK (2015) Cancer prehabilitation and its role in improving health outcomes and reducing health care costs. Seminars in Oncology Nursing, 31 (1) .2. Bloom E (2017) Prehabilitation evidence and insight review. Macmillan Cancer Support: London.3. GM Cancer (2017) Achieving world-class cancer outcomes: Taking charge in Greater Manchester 2017-2021.
Cancer Diagnosis
Preparation
Cancer Intervention
Recovery
Living With andBeyond Cancer
PatientandFamilyEducationSurgerySchoolChemo-RadiotherapySchool
PhysicalactivityIncreaseandthenmaintainfitnessduringtreatmentandintorecovery
MentalWellbeingPatientandFamilysupport
NutritionalWellbeingDietaryoptimisationandsupport
Nutritional Management