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Cancer services

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Urgent advice: Covid-19 - Important Operational Changes to Cancer Services

We want you to know that transmission of COVID at CUH is very low, and both patients and staff are being routinely tested for the virus. You are encouraged to come in for your scheduled appointment and not delay further. If you have concerns about COVID risks, please contact your treating team. 

Visit our Cancer services Covid-19 information page for more details.

Non-urgent advice: Addenbrooke’s Cancer Patient Partnership Group

The Addenbrooke's Cancer Patient Partnership Group (CPPG) is a group of patients and carers who work with hospital staff to improve cancer services by sharing the patients’ views and raising concerns on their behalf.

You can read more here.

Welcome to Cancer services film

Link: https://youtu.be/SVi-VmlbCb0

Video transcript - Welcome to Cancer services

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Hi, everyone. I'm Hannah Brown.

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One of the senior nurses

working here in Cancer Services.

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It's my pleasure to

welcome you to this film.

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ÌÒ×ÓÊÓƵ

is a family of hospitals,

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comprising Addenbrooke's and the Rosie.

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Throughout this film, you may

hear the hospital referred to

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as Addenbrooke’s or CUH.

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No one wants to have a cancer diagnosis,

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but we hope to make the

experience of treatment

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as good as it can possibly be for you

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or your relative or friend.

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Here at ÌÒ×ÓÊÓƵ,

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we care for thousands of people

a year diagnosed with cancer

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and we are proud to provide

some of the best care

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and most advanced

treatments in the country.

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We are the regional centre

for rarer types of cancer

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and also the local hospital

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for those living in the ÌÒ×ÓÊÓƵ area.

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We offer cutting edge research

options for many people.

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Treatments offered here include surgery,

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radiotherapy, chemotherapy,

immunotherapies,

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stem cell transplantation,

and even newer treatments,

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for example, CAR-T therapy.

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Our teams are highly

trained and specialised

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and you're in safe hands here at CUH.

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A cancer diagnosis

certainly causes disruption

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and we try to minimise

this wherever possible.

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For example, by offering

telephone or video appointments

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and blood tests locally

whenever appropriate

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and offering some chemotherapy

treatments in the community.

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You can ask your care

team about these options.

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The multidisciplinary team

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includes allied healthcare professionals

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such as physiotherapists and dietitians

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with specialist cancer knowledge.

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Clinical nurse specialists

work in all specialty teams

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and will be one of your

main points of contact

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throughout your treatment.

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Your clinical nurse

specialist will be an expert

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in their field and will provide

support and advice for you.

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We have a fantastic Cancer

Support Service here at CUH,

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who works closely with the

multidisciplinary teams

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to provide holistic care for

people living with cancer

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and their families.

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We work with a range of

partners including Macmillan,

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Maggie's Centre and Cancer

Research UK amongst others,

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which enables collaborative working

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to meet unique needs of each patient.

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We take pride in listening to our patients

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and aim to ensure that any

service changes involve patients,

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so please do feedback to

us about how we are doing.

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We're really excited about plans

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to continually improve our services

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and patient involvement is key

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to getting these changes right.

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We hope the information in this film

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about our current services and facilities

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will help you navigate your way

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about the hospital and

offer some useful advice.

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Thank you.

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I'm Paul, one of the patients working

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with the staff at CUH.

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Getting to hospital may

feel challenging at first,

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however, there are lots of options

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for travelling available to and from CUH.

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There are many routes

leading to the hospital,

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including Hills Road, Long

Road, Trumpington Road

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and Addenbrooke's Road.

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They all have dedicated cycle lanes

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as well as off-road paths,

some of their length.

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The bike racks are available

to use around the campus

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and the closest to Oncology

Haematology Outpatients

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is located next to Clinic 14,

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the Eye Clinic on Robinson Way.

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Addenbrooke's Hospital

has its own bus station

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at the Hills Road entrance to the site

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where the majority of buses

pick up and drop off people.

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There are further stops

around the biomedical campus,

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however, the closest to the

Oncology Haematology Outpatients

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is the Addenbrooke's bus station.

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The ÌÒ×ÓÊÓƵ Railway

Station is an easy walk

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or short bus ride away from the hospital.

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It takes approximately 10 minutes by bus

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or 30 minutes walking to get to CUH.

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There are taxi available

outside of the train station

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which can take you to CUH if needed.

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There are also a number of

local taxi firms operating

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around the hospital site

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and these include Panther Taxis,

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A1 Cabco, or Cambcab.

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You can contact them directly

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or ask the reception team to

order one for you if necessary.

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When travelling by car, the

hospital is well signposted

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from most parts of ÌÒ×ÓÊÓƵ.

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If driving from outside of

ÌÒ×ÓÊÓƵ, there is easy access

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to the campus via Addenbrooke's Road

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signposted from Junction 11 on the M11.

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There are two main multi-story

car parks available

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for patients and visitors at CUH,

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Car Park 1 and Car Park 2.

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Cancer patients receiving

chemotherapy or radiotherapy

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can park in the disabled bays

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on any level in Car Parks 1 and 2

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as they're also designated

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for cancer patients receiving treatment.

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Other disabled parking bays

around CUH are only available

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to blue badge holders.

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If you are asked for

evidence, all you need to do

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is present your appointment details.

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Car Parks 1 and 2 each

operate a pay on foot system

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where customers make their payment

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for the period of time they have parked

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when exiting the carpark.

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Patients can take their carpark ticket

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to Oncology Haematology Outpatients

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or Radiotherapy reception

to receive a daily

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or weekly stamp that enables them

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to be charged a discounted rate.

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The stamped car park ticket

will then need to be taken

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to the customer service

desk in Car Parks 1 or 2

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for processing.

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If you are a blue badge holder,

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parking is free in both car parks.

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You'll however, also need to

get your carpark ticket stamped

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and take it along with your blue badge

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to the carpark customer

service desk for authorisation

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before you leave.

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If you have any further

questions about car parking,

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you can speak to the customer service team

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located on the ground

level in both car parks.

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There is a free courtesy

bus available to use

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running every 30 minutes

from Car Parks 1 and 2.

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The bus can drop and collect

you from the main entrances.

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The Oncology Haematology

Outpatients entrance

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is one of the stops

included on the schedule.

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Please ask at any reception

desk for instructions.

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Another option for car parking

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and travelling to and from hospital

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is one of the many Park and Ride services

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available around ÌÒ×ÓÊÓƵ.

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The closest Park and Ride site to CUH

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is located on Babraham

Road or Trumpington,

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but you may find it easier

to use one of the other sites

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depending on the direction

you're travelling from.

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You may also be eligible for reimbursement

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of fuel and parking costs

via a Macmillan Grant.

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Please visit the Cancer

Support Information Service

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or ask your cancer navigator

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or healthcare professional

for more information.

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Patients are normally

expected to make their own way

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to and from hospital for

non-emergency tests and treatments.

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However, this may not be possible

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if you have a medical

condition that prevents you

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from travelling on public

transport or in taxis.

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Where necessary hospital

transport can be provided

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for both inpatient stays

and outpatient appointments.

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You can contact your transport provider

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to see if you are eligible

for patient transport service.

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If you are unsure who your

transport provider is,

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please contact either your GP surgery,

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the clinic you are attending

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or the Transport Office

at Addenbrooke's Hospital.

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For more information about getting

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to Addenbrooke's Hospital,

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please visit the CUH website.

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I'm Helene, one of the patient

representatives working

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with Cancer Directorate staff at CUH.

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The check in process here

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at Oncology Haematology

Outpatients reception

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is very easy and straightforward.

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When you first approach

the reception desk,

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you will be greeted by a receptionist.

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You will then be asked

to provide your name,

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date of birth, first line

of address and postcode,

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phone number, GP practice,

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and details of your next of kin.

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The receptionist will then

ask if you are an NHS patient

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and what country you have lived

in for the last 12 months.

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You may also be asked if you

have had any COVID symptoms

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in the past seven to ten days.

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The order of questions being asked depends

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on each individual receptionist.

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Patients can now also check

all their details online

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via MyChart before attending

their clinic appointment.

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In this situation, the

receptionist will only ask you

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to confirm your name and date of birth

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and may also ask if you

have had any COVID symptoms

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in the past seven to ten days.

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After confirming all the details,

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the reception team will check

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if you require blood to be taken.

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If this is the case,

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you will be given a ticket with a number

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and remain in the waiting area.

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Once the number is announced,

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you will then go to the blood room

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and have the bloods taken.

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The waiting time for

blood results can vary

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and can sometimes take longer than usual

200

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due to the volume of

requests received at the lab.

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The specialist team

will however inform you

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if the wait for the results

is longer than usual.

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Lastly, the reception team will ask you

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to get your height and weight

taken in the clinic entrance

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by one of the healthcare assistants.

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This is for the clinical team to use

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as a baseline measurement

for routine monitoring

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and to ensure accurate medication dosage

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can then be given to you if necessary.

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Being a patient myself,

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I have a piece of advice

for other patients.

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Please do not hesitate

to ask or check again

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with the reception staff members,

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if there is something

you are unsure about.

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The reception team is

always happy to help.

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Hi, I'm Andy.

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I'm one of the patients working

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with the Cancer Directorate

staff here at the CUH.

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Once you've checked in at the

Oncology Haematology reception,

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you'll most likely remain in

the waiting area on level two

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until you are called for your appointment.

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There are two wheelchair

accessible toilets available to use

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and a small coffee shop if

you need any refreshments

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while you're waiting.

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The Cancer Assessment Unit is located

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directly opposite the reception.

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The Radiotherapy department is located

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ahead of the Oncology

Haematology waiting area.

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You'll go past the blood test room

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on your way to Radiotherapy reception.

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There are small waiting areas available

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at the Radiotherapy department

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and one of them is located

opposite the reception.

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Reception staff will advise

you which area is best for you

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to use depending on your treatment.

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You can also view all the waiting areas

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and treatment rooms on the CUH website

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using the Radiotherapy virtual tour.

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Going back down the corridor

from the Radiotherapy,

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the Cancer Support Information

Service pod is located

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on the left hand side

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next to Oncology Haematology waiting area.

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The team has resources in various formats

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on a wide range of cancer related issues

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and will be happy to

assist you as necessary.

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There are also two additional

wheelchair accessible toilets

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next to the information pod

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available for you to use if needed.

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The Concourse and the Food Court

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are approximately three minutes walk

251

00:12:56,240 --> 00:12:59,280

from the Cancer Support

Information Service.

252

00:12:59,280 --> 00:13:01,360

You'll need to go up to

the end of the corridor

253

00:13:01,360 --> 00:13:05,200

from the information pod, turn

left onto the main corridor

254

00:13:05,200 --> 00:13:08,880

and continue straight ahead

towards the main hospital area

255

00:13:08,880 --> 00:13:10,280

following the signage.

256

00:13:11,800 --> 00:13:13,920

The Concourse will be on your right.

257

00:13:17,520 --> 00:13:20,720

When entering the area,

you'll find a variety of shops

258

00:13:20,720 --> 00:13:23,400

offering different services such as Costa,

259

00:13:23,400 --> 00:13:26,000

Marks and Spencers and the hairdressers

260

00:13:26,000 --> 00:13:29,760

surrounding the seating

area in the middle.

261

00:13:29,760 --> 00:13:33,000

Continuing straightforward,

you'll enter the Food Court

262

00:13:33,000 --> 00:13:36,480

with additional eating and

drinking areas such as Starbucks,

263

00:13:36,480 --> 00:13:38,320

Burger King and Wellspring.

264

00:13:41,160 --> 00:13:43,680

Turning right from the concourse however,

265

00:13:43,680 --> 00:13:46,560

will take you to the main

hospital reception area

266

00:13:46,560 --> 00:13:50,120

located in front of the

main hospital entrance.

267

00:13:50,120 --> 00:13:51,720

To go back to the Outpatients,

268

00:13:51,720 --> 00:13:54,600

you'll need to turn left

when exiting the Concourse.

269

00:13:54,600 --> 00:13:58,480

You'll then continue along

the corridor, go to the right,

270

00:13:58,480 --> 00:14:01,920

then to the left, and then

the main Outpatients corridor

271

00:14:01,920 --> 00:14:03,000

will be ahead of you.

272

00:14:04,240 --> 00:14:05,400

When walking down,

273

00:14:05,400 --> 00:14:09,160

you will see the Oncology

Haematology Outpatients corridor

274

00:14:09,160 --> 00:14:11,040

on your right, taking you back

275

00:14:11,040 --> 00:14:13,960

to the Oncology Haematology waiting area.

276

00:14:13,960 --> 00:14:17,640

If you however, continue down

the main Outpatients corridor,

277

00:14:17,640 --> 00:14:21,120

this will take you to the main

Outpatients reception area.

278

00:14:21,120 --> 00:14:24,840

The Outpatients pharmacy will

be immediately on your left.

279

00:14:24,840 --> 00:14:28,280

You'll also find a coffee shop,

and the Amigo store here

280

00:14:28,280 --> 00:14:30,280

as well as the transport desk

281

00:14:30,280 --> 00:14:33,160

right next to the main

Outpatients reception.

282

00:14:34,400 --> 00:14:38,160

There is a CUH Directions

mobile app available

283

00:14:38,160 --> 00:14:40,560

for patients and visitors to use,

284

00:14:40,560 --> 00:14:43,400

which helps finding your

way around the hospital,

285

00:14:43,400 --> 00:14:45,960

making it easier to locate clinics,

286

00:14:45,960 --> 00:14:49,400

wards, and other facilities

on the CUH campus.

287

00:14:56,640 --> 00:14:59,560

Every patient we see here

at Addenbrooke's Hospital

288

00:14:59,560 --> 00:15:03,240

is individually discussed at

a multidisciplinary meeting

289

00:15:03,240 --> 00:15:05,400

or MDT for short.

290

00:15:05,400 --> 00:15:07,560

This is where all of the different doctors

291

00:15:07,560 --> 00:15:09,800

specialising in your cancer type

292

00:15:09,800 --> 00:15:13,080

and a number of different

specialists involved in your care

293

00:15:13,080 --> 00:15:16,720

will review scans, biopsies

and your specific needs

294

00:15:16,720 --> 00:15:19,320

and recommend a treatment plan for you.

295

00:15:19,320 --> 00:15:21,560

You will not be able

to attend this meeting,

296

00:15:21,560 --> 00:15:23,880

however your key worker or clinician

297

00:15:23,880 --> 00:15:25,240

will discuss the plan with you

298

00:15:25,240 --> 00:15:27,800

in a face-to-face outpatient appointment,

299

00:15:27,800 --> 00:15:32,240

‘Attend Anywhere’ video

appointment or via the telephone.

300

00:15:32,240 --> 00:15:36,280

Often the clinical nurse

specialist will be your key worker.

301

00:15:36,280 --> 00:15:40,520

Your clinical nurse specialist

is your voice at the MDT

302

00:15:40,520 --> 00:15:43,320

and they will feedback information to you

303

00:15:43,320 --> 00:15:46,200

which will enable you to

make informed decisions

304

00:15:46,200 --> 00:15:48,720

about your care and treatment.

305

00:15:48,720 --> 00:15:51,520

We understand that coming

to a busy department

306

00:15:51,520 --> 00:15:54,560

can be daunting, particularly

as you may already be

307

00:15:54,560 --> 00:15:56,800

feeling anxious about your appointment.

308

00:15:56,800 --> 00:15:59,480

We however, recommend

bringing someone with you

309

00:15:59,480 --> 00:16:02,760

for your first appointment.

Someone who can provide support

310

00:16:02,760 --> 00:16:05,480

and help with writing down information

311

00:16:05,480 --> 00:16:08,560

and assisting you with any

questions you may have.

312

00:16:08,560 --> 00:16:11,880

We also suggest you bring

a pen and a notebook

313

00:16:11,880 --> 00:16:15,400

and perhaps a folder or

envelope to store your letters

314

00:16:15,400 --> 00:16:18,520

and information given to you

in the clinic appointment.

315

00:16:18,520 --> 00:16:22,200

Sometimes it may be necessary

to send you for further scans

316

00:16:22,200 --> 00:16:24,320

or investigations on the day.

317

00:16:24,320 --> 00:16:26,280

Attending in comfortable clothes

318

00:16:26,280 --> 00:16:28,680

therefore may be easier for you,

319

00:16:28,680 --> 00:16:32,480

such as a wireless bra or

T-shirt instead of a shirt.

320

00:16:33,440 --> 00:16:36,320

You may meet several different

healthcare professionals

321

00:16:36,320 --> 00:16:38,280

at the hospital, all involved

322

00:16:38,280 --> 00:16:40,160

in different parts of your care.

323

00:16:40,160 --> 00:16:43,200

We are all here to help

you and your family.

324

00:16:50,720 --> 00:16:53,400

Surgery is one of the most

commonly used treatments

325

00:16:53,400 --> 00:16:54,200

for cancer.

326

00:16:54,200 --> 00:16:55,640

If identified early enough,

327

00:16:55,640 --> 00:16:58,640

surgery can be a curative

way of treating cancer

328

00:16:58,640 --> 00:17:01,560

often without the need

for any further treatment.

329

00:17:01,560 --> 00:17:04,440

Sometimes however, surgery

needs to be used together

330

00:17:04,440 --> 00:17:08,760

with other treatments, such as

radiotherapy or chemotherapy

331

00:17:08,760 --> 00:17:11,880

to give the best chance of long-term cure.

332

00:17:11,880 --> 00:17:15,240

At CUH, cancer patients

are often seen by surgeons

333

00:17:15,240 --> 00:17:18,600

as the first specialist

regarding their cancer treatment.

334

00:17:18,600 --> 00:17:21,880

Prior to that, however, the

patient will have been discussed

335

00:17:21,880 --> 00:17:25,680

in a multidisciplinary meeting

to consider the best way

336

00:17:25,680 --> 00:17:28,560

of treating their particular cancer type.

337

00:17:28,560 --> 00:17:31,280

Very often a biopsy will be recommended

338

00:17:31,280 --> 00:17:33,960

to identify the lump is in fact cancerous

339

00:17:33,960 --> 00:17:36,240

and needs further treatment with surgery.

340

00:17:36,240 --> 00:17:38,880

If surgery has been

recommended, the next step

341

00:17:38,880 --> 00:17:41,640

is to assess the patient's

fitness for an operation.

342

00:17:41,640 --> 00:17:43,960

Depending on the location of the cancer

343

00:17:43,960 --> 00:17:45,720

and the body part affected,

344

00:17:45,720 --> 00:17:49,800

surgery can be relatively

minor or extremely major.

345

00:17:49,800 --> 00:17:52,080

This will be discussed

with the patient in detail

346

00:17:52,080 --> 00:17:54,360

to ensure they understand the procedure

347

00:17:54,360 --> 00:17:57,240

and that they are fit enough

to proceed with surgery.

348

00:17:57,240 --> 00:18:00,480

These assessments are often

undertaken in conjunction

349

00:18:00,480 --> 00:18:03,560

with the anaesthetic teams

in the pre-assessment clinic

350

00:18:03,560 --> 00:18:06,840

before confirming that

surgery will take place.

351

00:18:06,840 --> 00:18:09,960

At the pre-assessment clinic,

which usually takes place

352

00:18:09,960 --> 00:18:12,080

in the Addenbrooke's Treatment Centre

353

00:18:12,080 --> 00:18:14,880

a detailed assessment of the

patient's medical background

354

00:18:14,880 --> 00:18:17,200

will be completed as well as assessment

355

00:18:17,200 --> 00:18:20,920

of the heart and lungs and

blood tests to ensure fitness.

356

00:18:20,920 --> 00:18:22,800

Surgery can either be undertaken

357

00:18:22,800 --> 00:18:25,200

using traditional open surgical approaches

358

00:18:25,200 --> 00:18:28,080

where a large cut is

made to access the organs

359

00:18:28,080 --> 00:18:30,120

or by using keyhole approaches

360

00:18:30,120 --> 00:18:33,560

where only small incisions

in the skin are made.

361

00:18:33,560 --> 00:18:35,440

The keyhole method can be undertaken

362

00:18:35,440 --> 00:18:37,880

using standard keyhole surgery instruments

363

00:18:37,880 --> 00:18:41,320

or by using robotic surgery platforms.

364

00:18:41,320 --> 00:18:42,800

This approach will allow

365

00:18:42,800 --> 00:18:45,360

for a more rapid recovery from surgery.

366

00:18:46,560 --> 00:18:49,400

The location of the surgery will either be

367

00:18:49,400 --> 00:18:51,360

in the Addenbrooke's Treatment Centre

368

00:18:51,360 --> 00:18:54,040

or in the main surgery complex located

369

00:18:54,040 --> 00:18:56,640

in the central part of the hospital.

370

00:18:56,640 --> 00:18:59,440

On the surgery day, you

will most likely attend

371

00:18:59,440 --> 00:19:02,040

the Addenbrooke's Treatment

Centre early in the morning

372

00:19:02,040 --> 00:19:03,720

to check in for your surgery.

373

00:19:03,720 --> 00:19:06,640

You will then be seen by the

anaesthetist and the surgeon

374

00:19:06,640 --> 00:19:08,880

and will change into a theatre gown.

375

00:19:08,880 --> 00:19:10,360

When it's time for your operation,

376

00:19:10,360 --> 00:19:13,600

you will most likely walk

into the theatre by yourself.

377

00:19:13,600 --> 00:19:16,200

The anaesthetic and surgical

team will welcome you

378

00:19:16,200 --> 00:19:18,120

and undertake safety checks.

379

00:19:18,120 --> 00:19:20,000

They will then administer the anaesthetic

380

00:19:20,000 --> 00:19:21,360

before the operation.

381

00:19:23,160 --> 00:19:26,160

After surgery, you will

return to the recovery area

382

00:19:26,160 --> 00:19:28,920

to ensure it's safe for you

to be transported to a ward

383

00:19:28,920 --> 00:19:30,640

to recover from your operation.

384

00:19:32,680 --> 00:19:34,200

Some surgeries will allow us

385

00:19:34,200 --> 00:19:36,640

to discharge you home

on the day of surgery

386

00:19:36,640 --> 00:19:38,880

or after only 24 hours,

387

00:19:38,880 --> 00:19:41,120

whereas bigger, more invasive operations

388

00:19:41,120 --> 00:19:43,480

may require a length of inpatient stay.

389

00:19:43,480 --> 00:19:45,000

During the inpatient stay,

390

00:19:45,000 --> 00:19:47,200

you will often meet physiotherapists

391

00:19:47,200 --> 00:19:48,800

and occupational therapists

392

00:19:48,800 --> 00:19:50,680

who will ensure you are back on your feet

393

00:19:50,680 --> 00:19:52,200

and able to get home.

394

00:19:52,200 --> 00:19:54,160

Your convalescence will continue at home

395

00:19:54,160 --> 00:19:56,680

and you'll be discharged

with appropriate medications

396

00:19:56,680 --> 00:19:59,080

in order to allow smooth recovery.

397

00:19:59,080 --> 00:20:01,320

Generally, the results of your operation

398

00:20:01,320 --> 00:20:04,240

will tell us the detail of the

cancer that has been removed.

399

00:20:04,240 --> 00:20:06,640

Approximately six weeks after the surgery,

400

00:20:06,640 --> 00:20:08,240

you will return to the clinic to be seen

401

00:20:08,240 --> 00:20:10,400

by the operating surgeon and their team.

402

00:20:10,400 --> 00:20:13,160

They will check whether

everything has healed nicely

403

00:20:13,160 --> 00:20:14,400

and whether all blood tests

404

00:20:14,400 --> 00:20:16,640

and other assessments are satisfactory.

405

00:20:16,640 --> 00:20:18,880

A decision will then

be made about the need

406

00:20:18,880 --> 00:20:22,080

for further treatment and

the method of follow-up.

407

00:20:22,080 --> 00:20:23,240

Throughout your treatment

408

00:20:23,240 --> 00:20:25,320

for the vast majority of cancer types,

409

00:20:25,320 --> 00:20:28,040

you will have access to

a cancer nurse specialist

410

00:20:28,040 --> 00:20:31,360

who will be your first point

of contact to ask questions

411

00:20:31,360 --> 00:20:33,880

or raise concerns that you might have

412

00:20:33,880 --> 00:20:36,160

either before or after the surgery.

413

00:20:42,400 --> 00:20:45,280

Radiotherapy is a treatment

where radiation is used

414

00:20:45,280 --> 00:20:46,400

to kill cancer cells.

415

00:20:46,400 --> 00:20:49,080

It may be used in early stages of cancer

416

00:20:49,080 --> 00:20:51,280

or after it has started to spread.

417

00:20:51,280 --> 00:20:54,600

It can also be used to make

other treatments more effective,

418

00:20:54,600 --> 00:20:57,720

reduce the risk of cancer

coming back after surgery

419

00:20:57,720 --> 00:21:00,640

or relieve symptoms if

a cure is not possible.

420

00:21:02,080 --> 00:21:04,600

At CUH radiotherapy is delivered

421

00:21:04,600 --> 00:21:06,880

using either a linear accelerator

422

00:21:06,880 --> 00:21:09,600

or the insertion of radioactive implants

423

00:21:09,600 --> 00:21:12,640

otherwise known as brachytherapy.

424

00:21:12,640 --> 00:21:15,640

Most patients require a planning

CT scan at the beginning

425

00:21:15,640 --> 00:21:17,400

of their radiotherapy journey.

426

00:21:17,400 --> 00:21:19,360

This is used to create a bespoke plan

427

00:21:19,360 --> 00:21:21,840

for each individual person.

428

00:21:21,840 --> 00:21:25,800

There is usually a waiting

between planning scan

429

00:21:25,800 --> 00:21:27,120

and the first treatment.

430

00:21:27,120 --> 00:21:30,240

This is because it takes a

significant amount of time

431

00:21:30,240 --> 00:21:33,120

to create the plan and to quality check it

432

00:21:33,120 --> 00:21:36,120

to ensure the best plan is

offered to each patient.

433

00:21:36,120 --> 00:21:39,040

We have a number of different

treatment machines available

434

00:21:39,040 --> 00:21:43,240

at CUH and we will choose

the best one for you

435

00:21:43,240 --> 00:21:44,760

based on your diagnosis.

436

00:21:45,600 --> 00:21:47,280

You may be required to attend

437

00:21:47,280 --> 00:21:49,440

for a single treatment appointment

438

00:21:49,440 --> 00:21:52,160

or be asked to come back Monday to Friday

439

00:21:52,160 --> 00:21:55,080

for a number of weeks

including bank holidays.

440

00:21:55,080 --> 00:21:59,360

We also open our service up

on a Saturday if required.

441

00:21:59,360 --> 00:22:03,040

Treatment appointments last

around 10 to 20 minutes each

442

00:22:03,040 --> 00:22:05,520

and are delivered by a

team of radiographers.

443

00:22:05,520 --> 00:22:07,680

This involves positioning the patient

444

00:22:07,680 --> 00:22:10,920

using bespoke equipment,

position verification

445

00:22:10,920 --> 00:22:13,800

using x-ray imaging and treatment delivery

446

00:22:13,800 --> 00:22:15,720

using high energy x-rays.

447

00:22:17,560 --> 00:22:19,680

Some patients require preparation

448

00:22:19,680 --> 00:22:21,840

before they have radiotherapy,

449

00:22:21,840 --> 00:22:25,080

such as drinking water to

achieve a full bladder.

450

00:22:25,080 --> 00:22:27,200

The team will advise if this is required

451

00:22:27,200 --> 00:22:30,720

when attending for the

planning CT appointment.

452

00:22:30,720 --> 00:22:32,840

Radiotherapy side effects are specific

453

00:22:32,840 --> 00:22:34,440

to the area being treated.

454

00:22:34,440 --> 00:22:37,200

Common side effects include tiredness

455

00:22:37,200 --> 00:22:38,560

and reddening of the skin.

456

00:22:38,560 --> 00:22:42,480

We would expect these to start

after a few days of treatment,

457

00:22:42,480 --> 00:22:44,320

peaking around one to two weeks

458

00:22:44,320 --> 00:22:46,680

after the last treatment is delivered.

459

00:22:46,680 --> 00:22:50,760

Each patient may however react

differently to radiotherapy

460

00:22:50,760 --> 00:22:53,960

and your treatment team will

discuss any side effects

461

00:22:53,960 --> 00:22:55,720

with you if they occur.

462

00:22:56,640 --> 00:22:59,880

For more information and

virtual tour of the department,

463

00:22:59,880 --> 00:23:03,480

you can visit the Radiotherapy

page on the CUH website.

464

00:23:10,840 --> 00:23:12,960

As part of a cancer treatment plan,

465

00:23:12,960 --> 00:23:15,440

patients may require drug treatments

466

00:23:15,440 --> 00:23:17,320

commonly known as chemotherapy.

467

00:23:17,320 --> 00:23:19,880

Chemotherapy is one of the type of drugs

468

00:23:19,880 --> 00:23:21,240

used to treat cancer.

469

00:23:21,240 --> 00:23:24,480

Other treatments such as

immunotherapies, hormones

470

00:23:24,480 --> 00:23:27,560

and targeted therapies

are also regularly used.

471

00:23:27,560 --> 00:23:30,080

Treatment options

recommended to each patient

472

00:23:30,080 --> 00:23:33,040

are individualised based

on the type of cancer,

473

00:23:33,040 --> 00:23:36,560

genetics, patient's

wishes and risk factors.

474

00:23:36,560 --> 00:23:40,560

These treatments can be

given before or after surgery

475

00:23:40,560 --> 00:23:42,280

or alongside radiotherapy.

476

00:23:44,040 --> 00:23:46,960

The type of treatment by

a patient will be decided

477

00:23:46,960 --> 00:23:49,200

following a discussion between the patient

478

00:23:49,200 --> 00:23:50,480

and their clinical team.

479

00:23:50,480 --> 00:23:54,160

The patient can be accompanied

by their family or friends

480

00:23:54,160 --> 00:23:57,080

or anybody they'd like if they wished.

481

00:23:57,080 --> 00:23:59,760

Treatment drugs can be

given in different ways.

482

00:23:59,760 --> 00:24:01,560

Some are given as tablets,

483

00:24:01,560 --> 00:24:04,480

some as a fluid into the

vein called intravenous

484

00:24:04,480 --> 00:24:06,440

and injections into the skin

485

00:24:06,440 --> 00:24:09,480

or in a pump which may

need to be taken home.

486

00:24:09,480 --> 00:24:11,160

The way the treatment is given depends on

487

00:24:11,160 --> 00:24:12,560

how the research has shown

488

00:24:12,560 --> 00:24:15,240

it is most effective at

treating your disease.

489

00:24:15,240 --> 00:24:18,240

It is most common to

receive treatment in blocks

490

00:24:18,240 --> 00:24:19,600

known as cycles.

491

00:24:19,600 --> 00:24:21,920

The length for cycles is measured in weeks

492

00:24:21,920 --> 00:24:24,360

and it depends on the type of drugs given.

493

00:24:24,360 --> 00:24:27,240

When on treatment, a patient

will have regular appointments

494

00:24:27,240 --> 00:24:29,880

with their clinical team to

ensure they are well enough

495

00:24:29,880 --> 00:24:31,000

to continue with the treatment

496

00:24:31,000 --> 00:24:34,560

or to assess if any

changes need to be made.

497

00:24:34,560 --> 00:24:35,720

As part of this,

498

00:24:35,720 --> 00:24:38,400

most patients will also

have blood tests taken.

499

00:24:40,440 --> 00:24:42,000

Depending on the treatment,

500

00:24:42,000 --> 00:24:45,840

it is possible to receive drug

therapies in different areas.

501

00:24:45,840 --> 00:24:49,080

Most patients are seen in

one of our cancer day units

502

00:24:49,080 --> 00:24:52,680

or GP outreach sites, where

treatments are also given

503

00:24:52,680 --> 00:24:54,480

by CUH cancer nurses.

504

00:24:54,480 --> 00:24:58,080

The Oncology Day Unit can

be found off Robinson Way

505

00:24:58,080 --> 00:24:59,640

and accessed through the Oncology

506

00:24:59,640 --> 00:25:02,280

and Haematology Outpatients main entrance

507

00:25:02,280 --> 00:25:04,440

or from inside the main hospital

508

00:25:04,440 --> 00:25:06,240

through the Outpatients department.

509

00:25:07,840 --> 00:25:09,760

The Haematology Day Unit is located

510

00:25:09,760 --> 00:25:11,880

opposite the main hospital entrance.

511

00:25:11,880 --> 00:25:13,640

The GP outreach sites, however,

512

00:25:13,640 --> 00:25:15,720

are only available for certain treatments

513

00:25:15,720 --> 00:25:18,480

and will be discussed with

you in clinic if appropriate.

514

00:25:24,520 --> 00:25:26,680

The Acute Oncology and Haematology Service

515

00:25:26,680 --> 00:25:29,200

provides telephone support

for cancer patients,

516

00:25:29,200 --> 00:25:32,680

who are currently receiving

treatment, such as radiotherapy,

517

00:25:32,680 --> 00:25:34,960

chemotherapy, or immunotherapy

518

00:25:34,960 --> 00:25:37,560

under the care of an

oncologist or haematologist.

519

00:25:37,560 --> 00:25:41,520

The phone line is open 24

hours a day, seven days a week

520

00:25:41,520 --> 00:25:45,480

and can be used by patients,

loved ones or professionals.

521

00:25:45,480 --> 00:25:47,640

We provide emergency support for patients

522

00:25:47,640 --> 00:25:50,040

who are struggling with

symptoms of their disease

523

00:25:50,040 --> 00:25:52,440

or complications from

the treatment itself.

524

00:25:52,440 --> 00:25:56,760

This support is given by trained

cancer nurses and doctors.

525

00:25:56,760 --> 00:26:00,120

Where possible, we aim to

keep you out of the hospital

526

00:26:00,120 --> 00:26:02,000

if this is a safe option for you.

527

00:26:03,040 --> 00:26:06,360

When it is advised that a

patient needs to attend hospital,

528

00:26:06,360 --> 00:26:09,120

we aim to do this via the

Cancer Assessment Unit

529

00:26:09,120 --> 00:26:11,240

or CAU for short.

530

00:26:11,240 --> 00:26:13,760

The Cancer Assessment Unit can be accessed

531

00:26:13,760 --> 00:26:16,960

via the Oncology and Haematology

Outpatients main entrance

532

00:26:16,960 --> 00:26:18,720

on Robinson Way.

533

00:26:18,720 --> 00:26:21,960

The CAU is a nine bedded unit used as space

534

00:26:21,960 --> 00:26:25,080

to assess and treat

patients needing urgent care

535

00:26:25,080 --> 00:26:28,320

due to a complication of

their cancer or treatment.

536

00:26:28,320 --> 00:26:31,160

These patients may stay

in the unit for the day

537

00:26:31,160 --> 00:26:33,960

and then go home, or be admitted to a ward

538

00:26:33,960 --> 00:26:36,000

if requiring a longer stay.

539

00:26:36,000 --> 00:26:37,520

When admission is necessary,

540

00:26:37,520 --> 00:26:40,560

the CAU team will liaise

with the senior clinical team

541

00:26:40,560 --> 00:26:42,680

to ensure the process is as smooth

542

00:26:42,680 --> 00:26:45,200

and as easy for you as possible.

543

00:26:45,200 --> 00:26:48,520

All CUH cancer patients

receiving non-surgical care

544

00:26:48,520 --> 00:26:50,640

are given a red emergency card

545

00:26:50,640 --> 00:26:53,760

containing the 24 hour

helpline contact numbers

546

00:26:53,760 --> 00:26:56,760

for oncology and haematology patients.

547

00:26:56,760 --> 00:26:59,880

This is for you to contact the

clinical team when necessary,

548

00:26:59,880 --> 00:27:02,840

so please ensure you always

carry the card with you.

549

00:27:09,400 --> 00:27:11,760

Finding out you or someone

close to you has cancer

550

00:27:11,760 --> 00:27:13,960

can be a very difficult

and confusing time.

551

00:27:13,960 --> 00:27:15,320

Whether you're here for treatment

552

00:27:15,320 --> 00:27:17,000

or supporting a family or friend,

553

00:27:17,000 --> 00:27:19,240

our Cancer Support

Service are here for you.

554

00:27:19,240 --> 00:27:22,000

Our base is in Oncology

Haematology Outpatients

555

00:27:22,000 --> 00:27:24,120

and we satellite to other

parts of the hospital

556

00:27:24,120 --> 00:27:26,000

such as the Addenbrooke's Treatment Centre

557

00:27:26,000 --> 00:27:27,160

and the Main Concourse.

558

00:27:29,160 --> 00:27:32,120

Our team can come to see you

on the wards or day units

559

00:27:32,120 --> 00:27:33,920

and you and your family

can drop into the service

560

00:27:33,920 --> 00:27:35,400

for support or information.

561

00:27:35,400 --> 00:27:38,400

Our cancer support advisors

are available Monday to Friday

562

00:27:38,400 --> 00:27:39,800

and you do not need an appointment.

563

00:27:39,800 --> 00:27:42,080

You may be assigned a cancer

navigator from our service

564

00:27:42,080 --> 00:27:43,800

alongside your clinical team.

565

00:27:43,800 --> 00:27:45,360

They'll contact you to offer support

566

00:27:45,360 --> 00:27:47,200

and access to services

that may be important

567

00:27:47,200 --> 00:27:49,160

to you at different points.

568

00:27:49,160 --> 00:27:51,480

Receiving a cancer diagnosis

can affect many parts of your

569

00:27:51,480 --> 00:27:53,400

and your family's life.

570

00:27:53,400 --> 00:27:56,040

We can help with the wealth

of information available,

571

00:27:56,040 --> 00:27:58,480

on financial support, work,

572

00:27:58,480 --> 00:28:01,080

emotional support and

services closer to home.

573

00:28:03,720 --> 00:28:07,080

Our Cancer Patient Information

Pack is also available

574

00:28:07,080 --> 00:28:09,000

and can be picked up from

our information service

575

00:28:09,000 --> 00:28:10,400

or through your clinical team.

576

00:28:10,400 --> 00:28:12,160

We can provide you with

a digital copy as well

577

00:28:12,160 --> 00:28:13,560

if you prefer.

578

00:28:13,560 --> 00:28:16,560

The pack contains practical

information about the department,

579

00:28:16,560 --> 00:28:18,560

such as parking and services available

580

00:28:18,560 --> 00:28:20,400

on the Addenbrooke's campus.

581

00:28:20,400 --> 00:28:22,360

We work closely with

Maggie's Centre ÌÒ×ÓÊÓƵ,

582

00:28:22,360 --> 00:28:24,440

who are based on the Addenbrooke's site.

583

00:28:24,440 --> 00:28:27,120

Maggie's offer a quieter space

away from the busy department

584

00:28:27,120 --> 00:28:29,200

to seek support and information.

585

00:28:29,200 --> 00:28:31,320

You can meet others or

just simply have quiet time

586

00:28:31,320 --> 00:28:33,840

with a cup of tea and a calming space.

587

00:28:33,840 --> 00:28:36,160

They offer support groups

and information sessions,

588

00:28:36,160 --> 00:28:37,760

psychological support,

589

00:28:37,760 --> 00:28:39,600

and have their own

benefits advisor as well.

590

00:28:39,600 --> 00:28:41,160

The centre is open Monday to Friday

591

00:28:41,160 --> 00:28:43,320

and no appointment is needed.

592

00:28:43,320 --> 00:28:45,520

You can find out more

information on our service

593

00:28:45,520 --> 00:28:46,760

at the Addenbrooke's website

594

00:28:46,760 --> 00:28:49,720

or pop along to our base in

Oncology Haematology Outpatients

595

00:28:49,720 --> 00:28:51,440

and speak to a member of the team.

596

00:28:58,240 --> 00:29:01,600

Here at Addenbrooke's

there's a strong commitment

597

00:29:01,600 --> 00:29:05,200

to listen to patient's

recommendations and suggestions.

598

00:29:05,200 --> 00:29:08,280

Some aspects of the

treatment you will receive

599

00:29:08,280 --> 00:29:11,920

are the direct result of

previous patients and carers

600

00:29:11,920 --> 00:29:13,560

asking for changes.

601

00:29:14,520 --> 00:29:19,080

I am involved in the Cancer

Patient Partnership Group

602

00:29:19,080 --> 00:29:21,800

or CPPG for short.

603

00:29:23,280 --> 00:29:26,320

We're a friendly group

of patients and carers

604

00:29:26,320 --> 00:29:28,480

with lived experience of cancer.

605

00:29:29,520 --> 00:29:32,920

We work as equal partners

with healthcare staff

606

00:29:32,920 --> 00:29:36,400

to deliver improvements in cancer care.

607

00:29:36,400 --> 00:29:39,720

We want to make sure that any change

608

00:29:39,720 --> 00:29:43,200

or improvement in cancer

services starts from

609

00:29:43,200 --> 00:29:48,120

what matters most to the

people who use those services.

610

00:29:48,120 --> 00:29:51,800

Patients themselves are in

the best position to decide

611

00:29:51,800 --> 00:29:54,960

what works and what doesn't,

612

00:29:54,960 --> 00:29:57,840

and it's vital that the

patient voice is heard.

613

00:29:59,320 --> 00:30:04,080

The CPPG has the opportunity

to attend meetings

614

00:30:04,080 --> 00:30:06,000

with the leading cancer specialists

615

00:30:06,000 --> 00:30:09,360

and hospital managers to

ensure that patient concerns

616

00:30:09,360 --> 00:30:12,400

and suggestions are on the agenda.

617

00:30:12,400 --> 00:30:16,200

We are involved in the design

of patient information sheets

618

00:30:16,200 --> 00:30:19,560

and letters, patient waiting areas,

619

00:30:19,560 --> 00:30:22,280

reviewing the quality of hospital food

620

00:30:22,280 --> 00:30:25,400

and expanding holistic all round care

621

00:30:25,400 --> 00:30:30,480

such as dietary advice,

exercise, and physiotherapy.

622

00:30:30,960 --> 00:30:34,480

We have also been involved in research

623

00:30:34,480 --> 00:30:37,320

and the development of a medical device

624

00:30:37,320 --> 00:30:41,400

that will give early warning

of neutropenic sepsis

625

00:30:41,400 --> 00:30:45,520

vital for patients whose immune

systems are weakened by treatment.

626

00:30:47,000 --> 00:30:50,280

But patients can bring

any topic to the meetings.

627

00:30:51,120 --> 00:30:55,560

Please feel free to

check out our CPPG page

628

00:30:55,560 --> 00:30:58,200

on the CUH website

629

00:30:58,200 --> 00:31:02,040

or ask any of your healthcare

team for contact details.

630

00:31:03,240 --> 00:31:07,960

We meet once every two months,

either online or in person.

631

00:31:07,960 --> 00:31:11,720

Travel and parking

expenses will be reimbursed

632

00:31:11,720 --> 00:31:13,840

if you decide to get involved.

633

00:31:19,760 --> 00:31:23,200

More information about

Cancer Services at CUH

634

00:31:23,200 --> 00:31:25,720

is available on the CUH website

635

00:31:25,720 --> 00:31:28,040

under the Cancer Services section.

636

00:31:28,040 --> 00:31:30,600

The details and a contact telephone number

637

00:31:30,600 --> 00:31:32,840

to your clinical nurse specialist

638

00:31:32,840 --> 00:31:36,120

will be provided to you at

your first consultation.

639

00:31:37,320 --> 00:31:40,160

The clinical nurse specialist

will make every effort

640

00:31:40,160 --> 00:31:42,240

to clarify any information

641

00:31:42,240 --> 00:31:45,000

and discuss matters important to you.

642

00:31:45,000 --> 00:31:48,560

However, you can contact them

should you have any worries

643

00:31:48,560 --> 00:31:51,400

or need further information

when staying at home.

644

00:31:51,400 --> 00:31:53,400

You may have to leave a message,

645

00:31:53,400 --> 00:31:56,120

but they or another member

of the specialist team

646

00:31:56,120 --> 00:31:58,920

will get back to you as soon as possible.

647

00:31:58,920 --> 00:32:02,400

If you are unsure who your

clinical specialist nurse is,

648

00:32:02,400 --> 00:32:05,640

you can contact the

Cancer Support Service.

649

00:32:05,640 --> 00:32:08,080

You can also contact your navigator

650

00:32:08,080 --> 00:32:10,320

or the cancer support advisors

651

00:32:10,320 --> 00:32:13,800

to help you with any non-clinical queries.

652

00:32:13,800 --> 00:32:15,400

In emergencies, you should ring

653

00:32:15,400 --> 00:32:19,520

the 24 hour emergency number,

not your specialist nurse

654

00:32:19,520 --> 00:32:23,440

so you can talk to someone

and obtain immediate advice.

655

00:32:23,440 --> 00:32:26,880

Always carry your emergency

contact number with you

656

00:32:26,880 --> 00:32:28,920

along with your hospital number.

657

00:32:28,920 --> 00:32:32,280

You can also give this

emergency contact information

658

00:32:32,280 --> 00:32:34,560

to your close family members.

659

00:32:34,560 --> 00:32:36,600

Besides, you can also register

660

00:32:36,600 --> 00:32:41,000

with the electronic patient

record system called MyChart,

661

00:32:41,000 --> 00:32:43,800

which enables patients to securely access

662

00:32:43,800 --> 00:32:46,120

parts of their health record held

663

00:32:46,120 --> 00:32:49,880

within the hospital's electronic

patient record system.

664

00:32:49,880 --> 00:32:53,120

MyChart will allow you

to access information

665

00:32:53,120 --> 00:32:57,240

such as upcoming and

past appointment details,

666

00:32:57,240 --> 00:33:00,920

clinical correspondence, test results,

667

00:33:00,920 --> 00:33:04,680

medications, and also

enable you to communicate

668

00:33:04,680 --> 00:33:08,200

with your treating team if

this function is available

669

00:33:08,200 --> 00:33:11,480

within the clinical

specialty caring for you.

670

00:33:11,480 --> 00:33:14,640

MyChart is designed to

improve communication

671

00:33:14,640 --> 00:33:18,600

between patient and clinical

teams and enables patients

672

00:33:18,600 --> 00:33:21,920

to be more involved and

informed about their care.

673

00:33:21,920 --> 00:33:26,000

Once signed up, you'll be able

to access your information

674

00:33:26,000 --> 00:33:28,640

via MyChart from your smartphone,

675

00:33:28,640 --> 00:33:32,520

tablet device, or from

a computer or laptop.

676

00:33:32,520 --> 00:33:34,680

Thank you for taking your time to watch

677

00:33:34,680 --> 00:33:38,400

our Welcome to Cancer Services

Patient Information film.

What we do

We see more than 5,000 new patients each year as a regional centre for rarer types of cancer and also as the local hospital for patients living in the ÌÒ×ÓÊÓƵ area.

We’re responsible for adult cancer services. Treatment for children is managed by another department in the hospital. You’ll find links to our wards and clinics for children and young people under Where we are.

Cancer services comprise five areas: 

Oncology

Treats cancers of the solid organs with chemotherapy, either intravenously or orally.

Haematology

Treats cancers of the blood as well as non-cancerous blood disorders with a combination of oral chemotherapy and blood products.

Radiotherapy

Uses high energy radiation to treat a variety of cancers

Palliative care

Offers specialist advice and support both on symptom and total care of patients with life-limiting illness

Cancer support services

A multi-disciplinary team provides advice and support on different cancers, financial support, emotional issues and a wide range of other issues, as well as providing individualised support to fully address each patient's concerns. 

Your treatment

We are ideally positioned to provide innovative and standard treatments. Our multidisciplinary approach means that your team will be able to provide all elements of your care to the highest possible standard. Most cancer patients receive their treatment as outpatients. You will only be admitted to hospital if the nature of your cancer or your treatment makes it impossible for you to remain at home. Within cancer services we offer the following treatments:

We often use a combination of different treatments to achieve the best possible outcome. Cancer treatment also often involves surgery. In this case we cooperate closely with our surgical colleagues to ensure that all elements of your treatment are properly planned, coordinated and delivered.

Key Staff