West of Scotland Cancer Network Transforming Care After Treatment (TCAT) Implementation Steering Group Terms of Reference
CONTENTS 1. Purpose 3 2. Background 3 3. Objectives 3 4. Scope 3 5. Constraints 3 6. Governance 3 7. Membership 4 8. Functioning 4 9. Reporting 4 10. Deliverables 4 11. Success Criteria 4 12. Assumptions 5 13. Dependencies 5 Appendix 1: Membership 6 Appendix 2: WoSCAN TCAT Project: Organisational Chart 8 West of Scotland Cancer Network Page 2 of 8
1. Purpose The Implementation Steering Group (ISG) functions as the regional steering group for the project; overseeing all aspects of the regional activities, promoting equitable practice and providing expert guidance to address barriers to local implementation and sustainability, and this regional project will ensure co-ordination while enabling local innovation. 2. Background Transforming Care After Treatment (TCAT) remains a major component of the Scottish Cancer Taskforce workplan. The overall aim of this national programme is still to ensure that people living in Scotland with a diagnosis of cancer are prepared for and supported to live with the consequences of the diagnosis and its treatment. To achieve this aim the programme is focused on supporting the clinical and social care teams and other partners to review, redesign and test new approaches within an agreed programme framework. Crucial and central to the successful outcome of the programme will be the sharing and spread of the successful outcomes of the tested new approaches in Local Authorities/NHS Boards within the West of Scotland Cancer Network (WoSCAN) area. 3. Objectives The primary objectives of the steering group are defined as follows: Oversee and support the project to achieve its primary aim of testing/evaluating new models of person-centred care after cancer treatment; Ensure new and effective working relationships continue to be established with secondary, primary, social care, third sector and people affected by cancer; Steer the development and implementation of the regional portfolio of eleven local projects; Approve the project deliverables, timescales and working responsibilities; Provide advice and direction to the project manager as required; and Approve the regional action plan(s) for future phase(s) of work. 4. Scope In addition to the objectives defined above, agreement may be reached with Health and Social Care Partnerships/Local Authorities/NHS Boards for the regional project to address additional and specific objectives to support and compliment local developments. Any such changes to the scope will require to be notified to the ISG and this will be in the form of a regional lessons learned logs, which will be maintained with input from the local projects. 5. Constraints Non-recurring funding will be a challenge for embedding transformational change into service provision along with capacity within organisations to support both the regional and local project work in line with agreed timelines. 6. Governance The Chair of the Group is responsible for ensuring that the objectives of the group are delivered within the timescales agreed. At the earliest opportunity the Chair must bring to the attention of both the WoSCAN governance groups i.e. Regional Cancer Clinical Leads Group and Regional Cancer Advisory Group and the national TCAT Programme Board any significant delay with progress toward achieving an objective or failure to achieve within the agreed timescales. Group members representing the local development project groups will communicate local issues, concerns and progress to the Group Chair at regular, agreed, intervals; these individuals will also ensure that communications from the Group Chair are discussed with their respective organisations as required. West of Scotland Cancer Network Page 3 of 8
7. Membership In considering the core membership of the ISG a key requirement is to ensure there is appropriate senior stakeholder involvement and that members provide visible leadership. Completely new working relationships have been established, which includes secondary, primary, social care, third sector and representation from people affected by cancer. Members are also be accountable to the organisation that they are employed by for decisions taken within the ISG that will have a direct or consequential impact on their organisation, and must make clear to the ISG the impact of decisions taken. The Chair of the group must ensure continued representation from all groups. The updated list of members of this implementation steering group is contained in Appendix 1. 8. Functioning The group will have an agreed programme of work delivered through an annual action plan and the meeting frequency assessed on an annual basis. To make best use of time available, work will be progressed between meetings remotely, via email, in order to maximise benefit of group meetings and ensure work is progressed according to agreed timescales. 9. Reporting The ISG will provide a progress update (this should be available 1 week ahead of any meeting) into both the WoSCAN governance groups i.e. Regional Cancer Clinical Leads Group and Regional Cancer Advisory Group and the national TCAT Operational Core Group via the Regional TCAT Clinical Lead and Regional Project Management Lead. The Regional Lead Cancer Clinician and the Regional Manager, Cancer are active members of the both national TCAT Programme Board and the Scottish Cancer Taskforce. Local Development projects also have multi-layered reporting with membership of and reporting into the ISG; in parallel to directly reporting to the senior-level Project Sponsor and to Macmillan Cancer Support for access to and release of funding. The updated WoSCAN TCAT Project organisational chart is outlined in Appendix 2. 10. Deliverables Regional project work deliverables are as follows: Within an agreed and defined scope of TCAT work, steer the development and implementation of the regional portfolio of eleven local projects as they test out new models of care; Effective collaboration maintained between the national and regional programmes of work; Working relationships strengthened and maintained with secondary, primary, social care, third sector and people affected by cancer; Equity of care with person-centred delivery of care after treatment across the region; and Sharing and spread of the successful outcomes of the tested new approaches within and across the different tumour types in Local Authorities/NHS Boards within WoSCAN s boundary. 11. Success Criteria Initial success was achieved with the submission of regional bids by local health and social care teams and subsequent approval with award of funding. Further success could be measured by achievement of region-wide implementation of projects which have demonstrated benefit, as initially defined in their evaluation of outcomes and have shown, for example, increased satisfaction and a reduction in hospital based hospital appointments and care provided by different professionals across health and social care. West of Scotland Cancer Network Page 4 of 8
Ultimately success would be measured by implementation of new and sustainable models of care after cancer treatment, which optimises the health and well being of cancer patients and improves quality of life; which could include social prescribing in primary care along with community capacity building to support people to remain connected to their communities. 12. Assumptions It is assumed that the Regional Cancer Network and its constituent Health and Social Care Partnerships/Local Authorities/NHS Boards remain committed to supporting delivery of the project objectives within agreed timescales and a key requirement of the Chair of the implementation steering group is to ensure visible leadership. 13. Dependencies Successful delivery against objectives is dependent on the continued and effective involvement of all stakeholder groups in regional and local project work. West of Scotland Cancer Network Page 5 of 8
Appendix 1 West of Scotland Cancer Network: TCAT Implementation Steering Group Membership (March 2016) No Name Position Partner Organisation 1. Hilary Dobson Regional Lead Cancer Clinician - CHAIR West of Scotland Cancer Network 2. Nici Hill-Lyons Service Development Manager - WoS Macmillan Cancer Support 3. Ian Beattie Adult Services Manager, Social Work Renfrewshire Health & Social Care Partnership (HSCP) 4. Jane Beresford Health Improvement Lead Life NHS Greater Glasgow and Clyde Circumstances 5. Stephen Brown John Godwin Head of Children & Families and Criminal Justice Services Service Development Officer & Team Leader North Ayrshire HSCP North Ayrshire HSCP 6. Sandra Cairney David Radford Head of Planning and Health Improvement Health Improvement & Inequalities Manager East Dunbartonshire HSCP East Dunbartonshire HSCP 7. Bill Clark Social Care Advisor Macmillan Cancer Support 8. Iona Colvin Director, North Ayrshire Health and Social Care Partnership 9. Kathie Coonagh Senior Officer, Young Adults Martin Kane Planning & Performance Manager Claire Pearson Planning Officer Social Work Resources 10. Phillip Gillespie Assistant Head of Social Services for Adult Care North Ayrshire HSCP North Lanarkshire Council South Lanarkshire Council South Lanarkshire Council Clackmannanshire Council 11. Chris Hewitt Consultant Clinical Psychologist Beatson WoS Cancer Centre 12. Diana Johnston Lay Representative Cancer Experience Panel (CEP) 13. David McLackland Lay Representative - 14. John McPhelim Mhairi Simpson Clinical Lead, WoS Lung Cancer MCN Lead Lung Cancer Nurse Nurse Consultant Cancer Care West of Scotland Cancer Network NHS Lanarkshire NHS Lanarkshire 15. Keith Ogston Consultant Surgeon, Breast NHS Greater Glasgow and Clyde 16. Ken O Neill Clinical Lead, Primary Care Cancer Network Lead Cancer GP 17. Debbie Provan Macmillan National AHP Lead Cancer Rehab Macmillan TCAT Project Lead Caroline Rennie Macmillan Nurse Consultant 18. Pauline Robbie District Nurse Support Lead Susanne Gray Macmillan Nurse West of Scotland Cancer Network NHS Greater Glasgow and Clyde NHS Ayrshire & Arran NHS Ayrshire & Arran Renfrewshire HSCP Renfrewshire HSCP 19. Seamus Teahan Consultant Urological Surgeon NHS Forth Valley Sandra Campbell Macmillan Nurse Consultant NHS Forth Valley 20. Evelyn Thomson Regional Manager (Cancer) West of Scotland Cancer Network 21. Vicki Trim Macmillan TCAT Project Lead NHS Lanarkshire West of Scotland Cancer Network Page 6 of 8
No Name Position Partner Organisation 22. Margaret Welsh Network Service Manager West of Scotland Cancer Network Regional Project Management Lead 23. Nicolas White Head of Scotland, Breast Cancer Care Cancer Coalition Representative 24. Sandra White Macmillan Regional Clinical Lead West of Scotland Cancer Network 25. tbc Public Health Medicine West of Scotland Cancer Network Page 7 of 8
Appendix 2: WoSCAN TCAT Project: Organisational Chart Scottish Cancer Taskforce Scottish Government Health and Social Care Directorates TCAT Programme Board Evaluation Advisory Group Operational Core Group Cancer Experience Panel Communications Subgroup NOSCAN SCAN WoSCAN WoSCAN TCAT Implementation Steering Regional Cancer Networks Group (ISG) Regional Cancer Advisory Board (RCAG) Regional Cancer Clinical Leads Group (RCCLG) PHASE 1 Local Development Projects (Health-led) NHS Ayrshire & Arran NHS Forth Valley NHS Greater Glasgow and Clyde NHS Lanarkshire PHASE 2 Local Development Projects (Local Authority-led ~ / Primary Care-led ^ / Secondary Care-led *) Ayrshire Councils~ East Dunbartonshire HSCP~ Lanarkshire Councils~ NHS Greater Glasgow and Clyde * NHS Lanarkshire ^ Renfrewshire HSCP~ West Dunbartonshire HSCP~ PHASE 1 & PHASE 2 Local Development Projects Report directly to the Project Sponsor through existing internal governance arrangements and to Macmillan Cancer Support for access to and release of funding West of Scotland Cancer Network Page 8 of 8