EVALUATING THE IMPACT OF RADIOGRAPHER-LED CLINICAL REVIEW ON PATIENT SATISFACTION FOR PATIENTS UNDERGOING CHEMORADIOTHERAPY FOR CNS TUMOURS

Abstract AIMS Patients undergoing chemoradiotherapy for CNS tumours are reviewed weekly by their oncologist during treat- ment. This can lead to patients spending longer in the hospital, which some patients find additionally taxing during treatment. METHODS Two radiographers were trained in reviewing neuro-oncology patients as part of a service redesign for radiographer-led risk-stratified clinic review. Training included recognition of treatment toxicities, toxicity management, and reviewing blood tests to assess suitability for chemotherapy treatment. Over six months, ra- diographers conducted 67 clinic consultations. Radiographer-led reviews were conducted on alternate weeks during radiotherapy treatment, with clinician reviews on opposite weeks. Consultations were all conducted face-to-face, and patients were asked to complete a satisfaction questionnaire. RESULTS Eight patients initially booked to the radiographer-led clinic, shifted to the main neuro-oncology clinic due to clinical need, and were excluded from analysis. Using a Likert scale, all reviewed patients were either satisfied or very satisfied with their review. Positive feedback highlighted the clarity of discussion, and opportunity to ask questions. All patients felt clear about their future. Radiographers were described as professional, friendly, reassuring, informative and supportive. Negative feedback highlighted that radiographers were unable to pre- scribe supportive medications, although clinicians were on hand for this when required. Radiographers were able to complete referrals for psychological support (90% of patients), wig service (17%), SALT team (7%), and physiotherapist (7%). Both patients and radiographers felt that 1-hour appointment slots were appropriate. All patients were seen within 20 minutes of their appointment time. CONCLUSION The radiographer-led clinic was well received and resulted in improved clinic efficiency within the neuro- oncology service. The clinic has now been embedded within the workflow. Future work to ascertain benefits of a joint AHP prehab, on-treatment and follow-up clinic with inclusion of neurocognitive functioning tests and quality-of-life tools is currently underway.