Transcript No Slide Title

FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary
therapies in cancer and palliative care
Hill, H.1
Slide One
Effective integration of
complementary
therapies in cancer and
palliative care
What do we mean by
complementary therapies and what
are the issues that surround initiating,
developing and integrating
complementary therapies within a
health care setting?
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FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
Slide Two
Is there room in the
National Health Service
(NHS) for CAM
therapies?
• Complementary therapies are
growing in popularity
• Therapies are increasingly used in
healthcare settings
• Therapy uptake – estimated
figures
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FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
Slide Three
How do health
professionals regard
CAM therapies
• Report by the BMA (1993)
• Update by the BMA (2003)
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FACET - European Journal of Cancer Care
December 2006
Slide Four
Effective integration of complementary therapies
in cancer and palliative care (continued)
What issues need to be
addressed before
complementary therapies
can become more
accepted within health
care settings? (1)
• Efficacy of the therapies
• Service delivery
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slides available at: www.blackwellpublishing.com/ecc
FACET - European Journal of Cancer Care
December 2006
Slide Five
Effective integration of complementary therapies
in cancer and palliative care (continued)
What issues need to be
addressed before
complementary therapies
can become more
accepted within health
care settings? (2)
• Safety aspects
• Funding the service
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slides available at: www.blackwellpublishing.com/ecc
FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
Slide Six
What need has been
expressed for the
service?
• Patients or health professionals
requesting the service
• Does the therapy meet the
patient’s needs?
• Look at the evidence base
• Explore integration models
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FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
What key people should
you involve?
Slide Seven
• Involve the teams who will be
accessing or referring to the
service
• Role of the service co-ordinator
• Is everyone on the team aware of
the plans?
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FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
Co-ordinating and
promoting the service
Slide Eight
• Roles and responsibilities of the
co-ordinator
• Raising awareness of the service
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slides available at: www.blackwellpublishing.com/ecc
FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
Who will deliver the
therapies?
Slide Nine
• Practitioners:
• healthcare professionals
or
• complementary therapists
• Knowledge and skills
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FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
Slide Ten
Which therapies are
appropriate for the
clinical setting?
• Are the treatments appropriate
for the patient population?
• Look at the evidence base
• Incorporate risk assessments
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slides available at: www.blackwellpublishing.com/ecc
FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
What are the clinical
governance issues?
Slide Eleven
• Regulation
• Supervision framework
• On-going audit and evaluation of
services
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FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
What needs to be in place
to ensure there are no
barriers or restrictions to
Slide Twelve
introducing the service?
• A formal strategy for integration
• Agreement by management teams
• Policy development
• Specific criteria for referral
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FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
What are the costs of
setting up a
Slide Thirteen
complementary
therapy service?
• Initial set up costs
• On-going service delivery
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FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
Slide Fourteen
Funding a
complementary therapy
service
• Look at research and local grant
funding options
• If grant funded, have a exit
strategy and details of future
sustainability funding
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FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
Conclusion
Slide Fifteen
• Effective integration of
complementary therapies within
health care can be successful.
• Preparation, communication and
team working are all key to
successful, sustainable integration.
*Click on “View”; “Notes Page” for explanatory notes
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FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
References and further
reading
Slide Sixteen
• British Medical Association (BMA) (1993)
Complementary Medicine: New Approaches to Good
Practice. British Medical Association/Oxford University
Press. Oxford, UK.
• The Prince of Wales’s Foundation for Integrated
Health Complementary Healthcare: a guide for patients.
(2005) The Prince of Wales’s Foundation for Integrated
Health. London. www.fih.org.uk/
• British Medical Association (BMA) Complementary
and alternative medicine - submission to public
petitions committee 13 January 2003
www.bma.org.uk/ap.nsf/Content/publicpetitioncam
• Royal College of Nursing (2003) Complementary
therapies in nursing, midwifery and health visiting practice.
RCN guidance in integrating complementary therapies into
clinical care. Royal College of Nursing. London, UK.
*Click on “View”; “Notes Page” for explanatory notes
slides available at: www.blackwellpublishing.com/ecc
FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
References and further reading
(continued)
Slide Seventeen
• Ernst E & White A (2000) The BBC survey of
complementary medicine use in the UK.
Complementary Therapies in Medicine 8, 32-36 (data
provided by ICM Research Ltd).
• MacDonald G (1999) Medicine Hands; Massage Therapy
for People with Cancer. Findhorn Press, Scotland, UK.
• Mackereth P & Tiran D (2002) Clinical reflexology: a
guide for health professionals. Churchill Livingstone.
Edinburgh, UK.
• Ong C-K & Banks B (2003) Complementary and
alternative medicine the consumer perspective. London:
The Prince of Wales’s Foundation for Integrated
Health. London, UK.
• Price S & Price L (1995) Aromatherapy for Health
Professionals. Churchill Livingstone. Edinburgh, UK.
• Prince of Wales’s Foundation for Integrated Health
(PoWFIH) (2003) Setting the agenda for the future.
The Prince of Wales’s Foundation for Integrated
Health. London, UK.
*Click on “View”; “Notes Page” for explanatory notes
slides available at: www.blackwellpublishing.com/ecc
FACET - European Journal of Cancer Care
December 2006
Effective integration of complementary therapies
in cancer and palliative care (continued)
References and further reading
(continued)
Slide Eighteen
• Russo H (2000) Integrated healthcare: a guide to good
practice. Prince of Wales’s Foundation for Integrated
Health. London, UK.
• Tavares M (2003) National guidelines for the use of
complementary therapies in supportive and palliative care.
The Prince of Wales’s Foundation for Integrated Health
& National Council for Hospice & Specialist Palliative
Care Services. London, UK.
• Tavares M (2005) Guide for Writing Policies, Procedures
and Protocols – Complementary Therapies in Supportive
and Palliative Care. Second Edition. Help the Hospices,
London, UK.
• Thomas K, Nicholl J & Coleman P (2001) Use and
expenditure on complementary medicine in England: a
population based survey. Complementary Therapies in
Medicine 9, 2-11.
• Zollman C & Vickers A (1999) ABC of Complementary
Medicine. BMJ Books 2000, London, UK.
*Click on “View”; “Notes Page” for explanatory notes
slides available at: www.blackwellpublishing.com/ecc