EDITORIAL

Editorial Board Helen Roe Consultant Cancer Nurse North Cumbria University Hospitals NHS Trust Cheryl Vidal Head of Nursing and Governance, Alcura Chief Subeditor Sarah Kahn Subeditors Daniel Davies Vicqui Stuart-Jones Associate Publishers Andrew Iafrati Julie Smith Publisher Anthony Kerr If you would like to submit an article for publication in this supplement please contact Julie Smith on 020 7738 5454 or [email protected]

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Cancer nursing: working in partnership

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n September 2013 a group of national cancer nursing organisations and communities of practice were brought together with the help of Macmillan Cancer Support, to explore the feasibility of developing a strategic partnership working together to influence clinical care. The survivorship Recovery Package (National Cancer Survivorship Initiative (NCSI), 2014) was chosen as the improvement initiative to test this innovative model of working. The Recovery Package is a series of key interventions that, when delivered together, can greatly improve outcomes for people living with and beyond cancer and reduce unnecessary hospital attendance. By 2020, almost 1 in 2 people will get cancer, but almost 4 in 10 of them will not die from the disease (Macmillan Cancer Support, 2013). For many there are enduring consequences of cancer and its treatment, including physical, practical, emotional and psychological issues that need to be addressed and form a major part of potential improvements in care and patient experience. Eleven key organisations with a significant interest in cancer nursing care were initially identified. The project benefited from input from the Cancer Nursing Lead from the East of England Strategic Clinical Network. Collectively, these organisations had direct access to over 22 000 UK nurses. Each organisation pledged their commitment to working together and identified a named representative. The first step was to bring the representatives together in a facilitated workshop to define the partnership and develop a workable strategy for supporting implementation of the Recovery Package (NCSI, 2014). The group felt it was important to: ■■ Reach a common understanding of the priorities and interests of the participating organisations and individuals, particularly in relation to the Recovery Package ■■ Identify where there might be opportunities for collaboration between some, or all, of the participating organisations to increase the awareness, adoption and spread of the survivorship Recovery Package ■■ Agree some potential early interventions and next steps in developing a collaborative working process, with a realistic resourcing strategy to support it. And so the Cancer Nursing Partnership (CNP) was born. The process of defining the partnership involved developing a distinct identity, terms of reference and leadership in the form of agreed co-chairs, currently Natalie Doyle representing UKONS and Allan Cowie representing Macmillan Cancer Support. Developing the programme of work around delivery of the Recovery Package involved close links with the programmes and projects already developed by Macmillan Cancer

British Journal of Nursing, 2015 (Oncology Supplement), Vol 24, No 10

Support. Key questions that formed the basis of the ensuing strategy were: ■■ How could we influence nursing education; which language/label shifts should we advocate? ■■ How could we reduce duplication of effort across cancer nursing? ■■ How could we build a more compelling evidence base? ■■ How could we influence other professional groups/ policy makers? The CNP was formally launched on 15 September 2014 with a coordinated media release, direct communication with associated members and a dedicated web page hosted by UKONS (www.ukons.org/cnp). This resulted in news articles in the nursing press and interest in social media (Ford, 2014; Royal College of Nursing, 2015)). In the first year since inception, the CNP has developed and delivered a strategy and action plan. It has published a language set that can be used by all the organisations to communicate key concepts associated with cancer survivorship, the CNP and the Recovery Package, including an ‘elevator pitch’ for communications and media and a presentation slide library. Each organisation agreed to make the Recovery Package a key part of their conference and education programmes, which resulted in over 25 conference events, including at the Royal College of Nursing Congress. Members of the CNP were also involved in writing articles and poster presentations. This unique partnership has managed to bring together very different organisations, representing tens of thousands of nurses, to support improvements in cancer care. Managing to bring the groups together to engage in a shared agenda is a major achievement for individuals who have busy jobs and are already giving time to national work as representatives of their organisations. Much has been achieved in the short time that the CNP has been in existence and the dissemination of accurate knowledge of the Recovery Package is being BJN accelerated by recognised nursing leaders.  Ford S (2014) New cancer nurse network focuses on patient recovery. Nurs Times. 16 September. http://tinyurl.com/o548ltj (accessed 19 May 2015) National Cancer Survivorship Initiative (2014) The Recovery Package. http://tinyurl.com/nr5nyrw (accessed 18 May 2015) Macmillan Cancer Support (2013) By 2020 almost half of Britons will get cancer in their lifetime—but 38% will not die from the disease. http://tinyurl.com/owjp2rj (accessed 19 May 2015) Royal College of Nursing (2014) RCN welcomes launch of Cancer Nursing Partnership. 15 September. http://tinyurl.com/p9tdlfu (accessed 19 May 2015)

Cathy Hughes

Consultant Nurse Gynaecology/Oncology Imperial College Healthcare NHS Trust

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