Edinburgh Napier University

  Introduction: Transforming Care after Treatment in Scotland (TCAT) has funded the implementation of 25 local projects, each with different approaches to redesigning follow up. The overall programme seeks to improve the person centred care after treatment for people living with and beyond cancer.
Methods: This mixed method evaluation adopts a Realist Evaluation framework. Therefore, in addition to quantitatively gathering the concerns patients identify using the Concerns Checklist, we are analysing the context, mechanisms and outcomes of holistic needs assessment - to date, data for 536 individuals who completed a holistic needs assessment with a CNS or specialist nurse at their end of active treatment from 5 NHS Boards.
Results and discussion: The presentation will describe and compare follow up approaches for different cancers (breast, prostate, colorectal and melanoma) being tested via TCAT to illustrate how the context of the follow up (location, timing), the circumstances of the professional and the patient (gender, age, profession) and the concerns identified need to be appreciated all together to understand truly how person centred survivorship services and outcomes can be improved.
Conclusion: Our interim results raise the following questions, which require substantive research and evidence based answers to demonstrate efficiency and effectiveness of new person centred follow up models:
• What is the impact of the actual service design and means of delivery on outcomes and experiences?
• What is the role of the professional in assessments at end of treatment?