Patient centred integrated care - the role of eHNA
Research type
Research Study
Full title
Patient centred integrated care for people living with and beyond colorectal cancer: A mixed methods investigation of electronic Holistic Needs Assessment (eHNA)
IRAS ID
247714
Contact name
Louise Bramley
Contact email
Sponsor organisation
Nottingham University Hospitals Trust
Duration of Study in the UK
2 years, 0 months, 1 days
Research summary
Colorectal cancer is currently the fourth most prevalent tumour site nationally, affecting one in 14 men and one in 19 women during their lifetime (Cancer Research UK, 2017). Improving survival rates due to earlier detection and new treatments mean that this population of survivors is ever increasing. Research suggests that achieving a high-standard quality of life can be problematic following this diagnosis.
The ‘Recovery Package’, provides a structured method for improving cancer survivorship comprising several multidisciplinary interventions which includes the electronic holistic needs assessment (eHNA) (NCSI, 2013). The eHNA is designed to empower the patient through being better informed, and to provide better integration of care through accessibility of the electronic documentation within primary and secondary care services.
The eHNA is currently being used in clinical practice across Nottinghamshire. Service evaluation of the tool suggests that patients are using the eHNA, but there is no detail as to how and when it is most effective. There is also little information available as to how this is accessed by clinical staff that come onto contact with the patient. This information is urgently needed to understand how the eHNA is being used and the benefits it can bring to patients living with and beyond colorectal cancer.
This study will use mixed methods to investigate how the eHNA is utilised by clinical staff and the impacts of this on the patient’s experience of care and cancer survivorship.Cancer Research Uk (2017) Bowel Cancer Statistics [online]. Available at: http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/bowel-cancer#heading-Zero (accessed 20.7.2018)
National Cancer Survivorship Initiative (2013) Living With and Beyond Cancer: Taking action to improve outcomes. London: Department of Health
REC name
East Midlands - Leicester Central Research Ethics Committee
REC reference
18/EM/0343
Date of REC Opinion
6 Dec 2018
REC opinion
Further Information Favourable Opinion