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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Cambridge University Hospitals

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 Cambridge University Hospitals,

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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 Cambridge 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 Cambridge 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 Cambridge.

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If driving from outside of

Cambridge, 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 Cambridge.

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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

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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

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from the Cancer Support

Information Service.

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You'll need to go up to

the end of the corridor

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from the information pod, turn

left onto the main corridor

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and continue straight ahead

towards the main hospital area

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following the signage.

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The Concourse will be on your right.

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When entering the area,

you'll find a variety of shops

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offering different services such as Costa,

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Marks and Spencers and the hairdressers

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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 Cambridge,

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.