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Changes for Cancer Patients on Yorkshire Coast

Changes for Cancer Patients on Yorkshire Coast

Published by Jon Burke at 12:49pm 27th January 2020. (Updated at 3:18pm 27th January 2020)

Outpatient services for cancer patients are changing in Scarborough and Bridlington from today.

The hospitals are run by the York Teaching Hospital NHS Foundation Trust.

The changes are said to be temporary, with a full review after three months.

The services are provided by the Hull University Teaching Hospitals NHS Trust, under an arrangement with the York Trust.

Professor Russell Patmore, Consultant in Haematology at Hull University Teaching Hospitals NHS Trust, said:

“We apologise to anyone affected by the current changes to oncology services in our region.

Recent advances in the treatment of oncology patients particularly immunotherapy and targeted radiotherapy mean that we are seeing better outcomes for cancer patients than ever before.

The downside of this is that it has increased pressure on all services nationally and even internationally, stretching resources further and making it more challenging to deliver a full service in all areas of the country.

Across the UK recruiting to specialist oncology posts has become more difficult as a further consequence of clinical advances.

As a result hospitals in Hull, Scarborough, the East Riding of Yorkshire and North Lincolnshire and Goole, working with the Humber, Coast and Vale Cancer Alliance have taken the decision together to focus the provision of services for some patients in a smaller number of centres.

Specifically, patients who have oncology outpatient appointments at Scarborough, Bridlington and Scunthorpe hospitals, or inpatient oncology at Scunthorpe will be given the choice to attend either Diana, Princess of Wales Hospital in Grimsby or Castle Hill Hospital in Cottingham for their appointments.

We acknowledge that this is less convenient for some patients, however we can assure patients and their families that this offers them the best chance of receiving the right care for them at the right time.”

From now, all first outpatient appointments for new patients will be provided in the Queen’s Centre at Castle Hill Hospital, Cottingham or Diana Princess of Wales Hospital, Grimsby by the relevant oncology team specific to the type of cancer. 

Consultant Oncologist presence within Scarborough Hospital will continue for one day per month, in order to provide clinical assurance, managerial oversight and support to service development. This will allow the majority of follow up care to continue to be provided in Scarborough by specialty doctors, according to clinical need. The medical oncology service provided at Bridlington one day per fortnight will be withdrawn.

Oncology in-patient services are currently delivered at Scarborough Hospital by local physicians – this will not change and support will continue to be provided from visiting consultants and specialist doctors. All patients requiring more intensive support are already transferred to Castle Hill Hospital and this will continue.

Patients in follow up who require significant treatment decisions will either receive a further face to face review with the team at the Queens’ Centre, Castle Hill Hospital or, if clinically appropriate, their case will be reviewed through a virtual clinic link up between clinicians in Scarborough and Castle Hill Hospital. This will maintain consultant oversight at all critical phases of the patients’ journey as well as enabling some treatment change follow up appointments to continue in Scarborough.

All chemotherapy that can be safely delivered at Scarborough Hospital will continue to be delivered locally under the supervision of the local nursing team and visiting speciality doctors. The mobile chemotherapy service at Bridlington Hospital will also continue.

Patients with Gynaecological or Renal cancers will have all face-to-face outpatient appointments at Castle Hill Hospital.

Chemotherapy sessions for these patients will take place at Castle Hill Hospital and will not be able to continue at Scarborough and Bridlington.

Number of patients impacted

• The impact on the Scarborough population relates to 317 patients over a 12 month period – this is the number of patients accessing their first appointment. The majority of these patients will be able to receive follow up appointments at Scarborough Hospital. This figure includes 47 patients with Gynaecological or Renal cancers who will be required to attend Castle Hill Hospital for all appointments, including chemotherapy. 
• The impact on the Bridlington population relates to 149 patients over a 12 month period. This figure includes 15 patients with Gynaecological or Renal cancers who will be required to attend Castle Hill Hospital for all appointments, including chemotherapy.
• The impact on the Goole population relates to approximately 36 patients per month.
• The impact on the Northern Lincolnshire population relates to approximately 267 patients per month.
• The impact on North East Lincolnshire population relates to approximately 8 patients per month – this is the number of patients with Gynaecological or Renal cancers only, as all other services will remain at DPoW Hospital.

When will these changes happen?

These changes will be made on a temporary basis due to patient safety on 27 January 2020; letters will be sent to patients affected to inform them of these changes.

Patients already in the system with an imminent appointment will be contacted by letter, by their respective hospital trust, either York Teaching Hospital NHS Foundation Trust or Northern Lincolnshire and Goole NHS Foundation Trust. Patients will be told that their oncologist will no longer be providing clinics in Scarborough, Bridlington or Scunthorpe respectively.

NLaG patients with an appointment between Monday 27 January 2020 and Friday 14 February 2020 will be contacted by telephone to rearrange it. NLaG patients with an appointment on or after Monday 17 February 2020 will receive a second letter with a date and time for their next appointment. York Trust patients who have an appointment in the next few weeks will also be contacted by telephone to inform them of the change to the location of their appointment. Further letters will also be sent to confirm the date and time for their next appointment.

For inpatients, at Scarborough Hospital, there is no change to the provision of care. For acute oncology inpatients, patients will no longer be admitted to Scunthorpe General Hospital. Instead, patients will be admitted to Diana Princess of Wales Hospital, Grimsby.

Hull based Oncologists will continue to provide telephone advice to Scarborough clinicians. They are able to access scans and blood results electronically and, based on the number of referrals and type of referrals seen, they are assured that this would be a safe and workable solution

Outpatient services for breast cancer patients were removed from Scarborough Hospital last March.

Comments

There is 1 comment on this page.

zara, on 27th January 2020 3:04pm
is there going to be any services left at scarborough or Bridlington by the time York NHS has finished? More to the point does anyone actually believe it is initially only for a three month period - not sure if there is anyone that gullible.

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