title: Developing a nurse-led survivorship service for patients with lymphoma.
abstract: OBJECTIVE
  There are two million people in the UK living with cancer and this figure is rising each year. The consequences of cancer and its treatment are devastating and many patients suffer long-term effects for years after completion of treatment. National UK policy recognises that current follow-up fails to meet patients' survivorship needs and new methods of service-delivery are required. An analysis of local service provision in a London teaching hospital demonstrated that the needs of patients with lymphoma were not being met. The aim of this project was to develop a nurse-led service that would provide comprehensive survivorship care for patients with lymphoma.
  
  
  METHODS
  A nurse-led survivorship service was implemented using a comprehensive service development framework and was evaluated through a variety of methods such as a patient satisfaction questionnaire, note audit, waiting time audit and an analysis of patients comment and suggestions.
  
  
  RESULTS
  The project was successfully implemented with risk management and advanced practice requirements addressed. It was demonstrated that patients were satisfied with the new service, the quality of documentation had improved and waiting times were reduced.
  
  
  CONCLUSIONS
  This work adds to the current survivorship knowledge-base and provides evidence that nurses can provide safe and effective survivorship care for patients with lymphoma.
authors.affiliation: 'Guy's and St Thomas' NHS Trust, Great Maze Pond, London Bridge, London SE1 9RT, UK. Electronic address: eclaire106@hotmail.com.
authors.forename: Claire
authors.initials: C
authors.lastname: John
authors.forename: Jo
authors.initials: J
authors.lastname: Armes
mesh_terms: D000554:Ambulatory Care Facilities / Q000458:organization & administration; D003266:Continuity of Patient Care / Q000458:organization & administration*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007857:Leadership; D008223:Lymphoma / Q000175:diagnosis / Q000401:mortality / Q000451:nursing*; D008297:Male; D009313:National Health Programs / Q000458:organization & administration; D024802:Nurse's Role; D009859:Oncology Nursing / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D016730:Program Development; D015397:Program Evaluation; D058996:Quality Improvement; D015996:Survival Rate; D017741:Survivors; D006113:United Kingdom
keywords: Cancer; Follow-up care; Lymphoma; Nurse-led services; Service development; Survivorship