Lancashire Teaching Hospital NHS Foundation Trust, Sharoe Green Lane, Lancashire, PR2 9HT (the “CW Partner”), for and on behalf of Lancashire and South Cumbria Integrated Care System

Project Name: Novartis Re-imagining Care Pathways Collaborative Working Project (NCRP CWP) for Lancashire Teaching Hospital, Blackpool Teaching Hospital, University hospital of Morecambe Bay and East Lancashire Hospitals, Breast Cancer Service

Organisations:

The following trusts are in scope of this Re-imagining Care Pathways Collaborative Working Project:

Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool, Lancashire, FY3 8NR

University Hospital of Morecambe Bay NHS Foundation Trust, Westmorland General Hospital, Burton Road, Kendal, Cumbria, LA9 7RG

East Lancashire Hospitals NHS Foundation Trust, Royal Blackburn Hospital, Haslingden Road, Blackburn, Lancashire, BB2 3HH

Project Summary:

The Reimagining Care Pathways CWP is a service offered by Novartis, which comprises a series of workshops, with the aim of providing pathway mapping support to the CW Partner (healthcare and service teams) to:

Improve efficiency and service effectiveness for the benefit of patient care
Address the local challenges they face in the delivery of patient care

The programme facilitates area teams (Trust or ICS) to identify areas for efficiency within their service for prioritisation. The programme will be carried out in a number of different institutions. The service is facilitated by the Novartis Solutions Implementation Manager (SIM) Team.

Planned Milestones:

	Milestone Description	Delivery Date	Evidence
1	SIM & CW Partner’s key stakeholders: Both parties agree the scope of the NRCP CWP and arrange the dates for the stakeholder’s interviews.	Execution of collaborative working agreement (CWA) date +4 weeks	SIM: Meeting minutes
2	SIM & CW Partner: Mapping the Pathway – 1:1 interviews (as a guide, allow 1 hour for each interview and aim to have them all completed within circa 4 weeks)	Execution of collaborative working agreement (CWA) date +8 weeks	SIM: Meeting minutes
3	SIM & CW Partner: Mapping the Pathway – Workshop (as a guide, circa 2 weeks from the last interview)	Execution of collaborative working agreement (CWA) date +10 weeks	SIM: Pathway Map
4	SIM & CW Partner: Feedback/Consultation with NHS post workshop (as a guide, no later than +4 weeks from workshop)	Execution of collaborative working agreement (CWA) date +14 weeks	SIM: Final Pathway Map Report detailing any identified any unmet needs / efficiency constraints in their service. SIM: Meeting minutes

Expected Benefits:

ANTICIPATED BENEFITS FOR PATIENTS
We anticipate that some of the benefits for patients could include;

Potentially fewer visits and shorter waiting times as a result of a more efficient clinical pathway

Faster and more equitable access to the complete range of NICE approved treatment options.

Quality care improvements aligned to established best practices

ANTICIPATED BENEFITS FOR THE ORGANISATION(S)

Improved understanding of the current service pathway, and associated efficiencies and inefficiencies. Potential to lead to solutions which could allow the CW Partner’s organisation to enhance both patient experience and outcomes.

ANTICIPATED BENEFITS FOR NOVARTIS

Understanding of possible opportunities to partner with the CW Partner to enhance patient outcomes and experience. Better understanding of patients,’ carers and customers’ needs, which may inform future service offerings, and synergies between needs of the customer and value of Novartis offerings.

Start Date & Duration: August 2024, 14 weeks

UK2408222992

Organisation(s):

Novartis Pharmaceuticals UK Limited, 2nd Floor, The WestWorks Building, White City Place, 195 Wood Lane, London W12 7FQ, (“Novartis”), and,
Lancashire Teaching Hospital NHS Foundation Trust, Sharoe Green Lane, Lancashire, PR2 9HT (the “CW Partner”), for and on behalf of Lancashire and South Cumbria Integrated Care System

The following trusts are in scope of this Re-imagining Care Pathways Collaborative Working Project:

Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool, Lancashire, FY3 8NR

University Hospital of Morecambe Bay NHS Foundation Trust, Westmorland General Hospital, Burton Road, Kendal, Cumbria, LA9 7RG

East Lancashire Hospitals NHS Foundation Trust, Royal Blackburn Hospital, Haslingden Road, Blackburn, Lancashire, BB2 3HH

Completion Date: January 2025

Outcome Summary:

The key priorities for this project were to identify areas for improvement within the Lancashire and South Cumbria Integrated Care System Breast Cancer Service, identify pinch-points in the CDK 4/6 inhibitors patient pathway to highlight inefficiencies and identify areas for best practice and where these could be replicated.

Key Project Outcomes Data:

A report and patient pathway map were developed in collaboration with the CW Partner which achieved the following:

Improved understanding of the current service pathway, identified inefficiencies, potential inconsistencies, and pinch points in service delivery.
Highlighted variation in service models, IT systems, and workforce deployment across Trusts.
Captured insights from diverse roles to inform pathway redesign and prioritisation of improvements.

Outcomes:

The project identified systemic challenges and co-developed actionable solutions to enhance the breast cancer service CDK 4/6 inhibitor patient pathway. The key areas for potential consideration are workforce and capacity, service variations such as disparities in IT systems, diagnostic delays and the need for cost-effective redesign to accommodate growing demand.

Conclusion:

This project provided a real-time snapshot of the Breast cancer Service across multiple trusts in the Lancashire and South Cumbria Integrated Care System. By mapping this pathway, we identified current challenges which exist in the pathway and provided potential considerations which could help to alleviate them.

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