NHS Guildford and Waverley CCGDominion HouseWoodbridge RoadGuildfordSurrey, GU1 4PUTel:
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One in two people born after 1960 will be diagnosed with some form of cancer in their lifetime (Cancer Research UK). This risk increases with age, but thankfully today many people will be cured, or go on to live a long time with treatment controlling the condition.
Almost half of cancers are diagnosed at a late stage in England (2014).
The following information aims to provide information to help you:
What is cancer?
Cancer is a condition where cells in an area of the body grow and reproduce uncontrollably. The cancerous cells can invade and destroy surrounding healthy tissue. This Cancer Research UK webpage provides further information.
Can I prevent cancer?
Yes, in many cases you can. Experts estimate that more than 4 in 10 cancer cases could be prevented. Making simple changes to your lifestyle can significantly reduce your risk of developing cancer. For example:
As well as the above links, the Change4Life website has lots of useful tips on being active and eating well for you and your family.
What cancer screening is available?
There are three types of cancer screening for adults in England:
Details can be found on the NHS website.
Cancer screening can save lives by finding cancers at an early stage.
Screening tests are for people without symptoms. If you have symptoms, but have had a normal screening test result, you should still see your doctor.
What cancer vaccination is available?
There is currently only one vaccine available to prevent cancer. This is routinely offered to girls aged 12 to 13 years as part of the NHS childhood vaccination programme to prevent HPV (human papilloma virus), a cause of cervical cancer in women.
Note: It is important that girls who receive the HPV vaccine also have regular cervical screening once they reach the age of 25.
Find out more about the HPV vaccine.
How do I spot the signs of cancer?
Spotting cancer early means treatment is more likely to be successful.
Macmillan Cancer Support provides information about some of the common symptoms of cancer. Additional information on signs and symptoms can be found on the Be Clear on Cancer website.
You know yourself best. If you notice anything that isn’t normal for your body, go and see your doctor. Encourage your loved ones to do the same.
What will happen if my GP suspects I have cancer?
Your GP should refer you urgently to a hospital specialist if he/she suspects that you may have cancer.
You should then be seen within 2 weeks of this referral being received by the hospital.
This Cancer Research UK leaflet will help you prepare for your appointment.
What cancer treatment will I have?
In cases where cancer has been confirmed, you should start treatment within 31 days from when the hospital specialist has decided that you require treatment.
Surgery is a common treatment for most types of cancer, as solid tumours can often be surgically removed.
Other commonly used treatments include chemotherapy (cancer killing medication) and radiotherapy (the controlled use of high energy X-rays).
For the local population living in Guildford and Waverley, St Luke's Cancer Centre provides most hospital cancer care in one location.
How can I get help to live as well as possible after a cancer diagnosis?
Improvements in the diagnosis and treatment of cancer mean that more people are living longer after a cancer diagnosis, but not everyone is living well.
Macmillan’s I've Finished Treatment webpage provides lots of advice on coping with life after cancer, and getting support.
Ask your key worker about health and wellbeing events being run locally.
What is Guildford & Waverley Clinical Commissioning Group (CCG) doing to improve outcomes and survival rates for cancer patients?
In 2017, the CCG received recognition from the All-Party Parliamentary Group on Cancer as 1 of 20 CCGs which have most improved their one year cancer survival rates. However, we are not complacent.
The CCG is working with our partners to make improvements in the important areas of prevention, early diagnosis, treatment and care, and living with and beyond cancer.
We have a vision for cancer care that we are working hard to achieve. We want:
Local support services
The Fountain Centre is a charity for cancer patients, their families and carers located in the St Luke’s Cancer Centre at the Royal Surrey County Hospital, Guildford. They offer advice, counselling and a huge range of complementary therapies.
Macmillan Welfare Rights Service at Citizens Advice Guildford provides free, impartial and confidential welfare benefits advice, information and advocacy to local patients and families that have been affected by cancer.
One day we will all die, and we want a good, pain free death in a place of our choice. To allow this to happen, we need to talk about death with our family and friends, and our doctor, to make them aware of our wishes, and to find out what the options are.
What is end of life care?
End of life care is support for people who are in the last months or years of their life.
End of life care should help you to live as well as possible until you die, and to die with dignity. Providers of care should ask you about your wishes and preferences, and take these into account. They should also support your family, and carers.
What is palliative care?
End of life care includes palliative care. If you have an incurable illness, palliative care makes you as comfortable as possible by managing pain and other distressing symptoms. It may also involves psychological, social and spiritual support.
Should I plan ahead?
If you are not approaching the end of your life, you may still want to think about your wishes for your own end of life care. Talking about dying makes it more likely that you, or your loved one, will die as you might have wished, and it will make it easier for your loved ones if they know you have had a ‘good death’.
The Dying Matters Coalition aims to help people talk more openly about dying, death and bereavement, and to make plans for the end of life. Their website will help you start those conversations.
The NHS Planning for Your Future Care guide outlines the different options available to you when planning for your end of life care.
How do I find out about local end of life care services?
Details of local providers of care, information and support can be found on the end of life care pages of Surrey Information Point.
What is Guildford & Waverley Clinical Commissioning Group (CCG) doing to commission person-centred palliative and end of life care?
The Plan below details the CCG’s vision, aspirations and objectives for person-centred palliative and end of life care for all patients and their carers across Guildford and Waverley. It was agreed with stakeholders at the CCG’s End of Life Care Strategy Steering Group, and everyone is working towards delivery of this vision.
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In 2016, Guildford & Waverley CCG was a finalist, in the End of Life Care category, at the Kent Surrey Sussex Academic Health Science Network’s Service Improvement and Innovation Awards. This recognition resulted from our lead commissioner role in the successful development of an integrated community specialist palliative care service, Phyllis Tuckwell Hospice Care.
As a patient you have the right to choose where you receive the care you need. Clinical Commissioning Groups (CCGs) have a duty to enable patients to make choices and to promote their involvement in decisions related to their care or treatment. By making an informed choice patients can:
The NHS Choice Framework is a guide to your choices about your NHS care and treatment. It explains:
What does this mean?
If your GP refers you as an outpatient (an outpatient appointment means you will not be admitted to a ward) to see a consultant or specialist, you have the right, in most cases, to choose the organisation that provides your NHS care and treatment. You may choose whenever you are referred for the first time for an appointment for a physical or mental health condition.
Organisations include many private and independent hospitals that are contracted to provide care on behalf of the NHS. This legal right allows patients to choose from any organisation in England offering a suitable treatment that meets NHS standards and costs.
If you need any treatment or additional appointments you will usually need to return to your chosen provider for this.
NHS Choices provides an A-Z of health services near you, along with information on healthy living and social care. You can:
Making a choice about where to be treated is about what is important to you. Considerations may include:
What can I do if I am not offered choice?
You should always be offered choice at the point of referral and have the opportunity to discuss the options with the person referring you.
If you feel you haven't been offered choice, you should speak to the person who is referring you in the first instance. If you still feel that you have not been offered choice, you could raise your concerns with the CCG and we will do our best to ensure that you are offered a choice. You can do this by emailing us at firstname.lastname@example.org or following the advice on our concerns and complaints page about how to get in touch.
How to request information in other formats
If you would like to request any information in audio format, Braille, large print, easy read or other formats please contact us and we will do our best to fulfil your request. Please note that this service is only available for local patients in the Guildford and Waverley CCG area.
If you would like to view this page in a different language, you can use the translate page option on the Quick Links bar on the right.
This information has been compiled taking every care to ensure its accuracy. If you find that any of this information is incorrect or out of date, please contact NHS Guildford and Waverley CCG:
01483 405 450 email@example.com
A fall is a symptom, not a diagnosis. Falling is not an inevitable part of aging and many falls are preventable. It is important that you know what to do to reduce your risk of a fall.
The effects of a fall can lead to distress, pain, injury, loss of confidence and independence. NHS Guildford and Waverley CCG have been working in partnership with Guildford Borough Council, Waverley Borough Council, Surrey County Council, Surrey Fire and Rescue Service, Age UK Surrey and South East Coast Ambulance Service (SECAmb) to produce the Guildford and Waverley Falls Prevention Pack.
The pack provides lots of useful advice on how to prevent a fall, along with information about local services available to support you and keep you living independently in the community.
A hard copy of the pack is available from your GP practice or by contacting NHS Guildford and Waverley CCG.
Download and print your copy below:Falls Prevention leaflet [pdf, 500kb]Let's Get Steady Falls Prevention Sessions leaflet [pdf, 300kb]Eatwell Guide (via Public Health England website)Get Up and Go (via Saga website)Exercise and Walking Groups Information Sheet - Guildford [pdf, 300kb]Exercise and Walking Groups Information Sheet - Waverley [pdf, 700kb]What's On Information Sheet - Guildford [pdf, 700kb]What's On Information Sheet - Waverley [pdf, 700kb]
Let’s Get Steady is a free 2.5 hour falls prevention session that offers practical advice and guidance to reduce the risks of falls for individuals who have recently had a fall, are at risk of falling due to a long-term condition or are worried about falling.
The sessions are held monthly across both Guildford and Waverley boroughs and provide advice on:
• strength and balance from an occupational therapist• medication, hydration and nutrition from a community matron• safety within your home environment from an occupational therapist• the latest community alarms and sensors• local activities and strength and balance exercise classes available in your area
You can ask your GP, practice nurse or community matron to refer you in to this service or contact the Borough Council’s Care and Repair Team directly to book your place.
01483 444 476Let's Get Steady leaflet [pdf, 300Kb]
Participants that returned feedback questionnaires stated that they felt more confident after the session and have made positive changes.
‘I wasn’t aware there were so many services available from the council’
‘Thank you – the safety bars in our shower are due to be fitted today and we are having a survey for handrails up the stairs’
‘I am managing very well since the session and I am no longer worried about going to the shops and walking around the neighbourhood’
‘I am generally more aware of trip hazards’
‘I am trying to persuade people I know who are unsteady on their feet to come to your session’
‘I felt privileged to be invited to such a worthwhile session. The handouts are an excellent resource, a very good service’
‘I was grateful for having the opportunity to discuss my physical difficulties with the medical professionals’
The Handy Person Scheme may be able to assist you with small works to your property such as installing key safes, half steps, external galvanised rails, bannister rails and grab rails. A free home safety check is also offered to identify any potential falls risks. Some of the smaller installations listed above are free and the team can support individuals to apply for disabled facility grants when more significant adaptations to their property are required.
01483 444 476
A pendant alarm is ideal if you fall frequently or live on your own. It will prevent you from lying on the floor for long periods of time after a fall.
Careline is a 24 hour emergency call system, where you can simply press a button in an emergency and an alarm call will be sent to the alarm centre, which is staffed 24 hours a day, 365 days a year. An initial trail period is offered free of charge.
Additional equipment is available such as smoke alarms, pill dispensers, bed sensors and falls detectors.
Guildford Residents 01483 502 334 Waverley Residents 01483 523 535
Free Safe and Well home visits are carried out by Surrey Fire and Rescue Service. They combine home safety checks to help reduce the risk of fire in your home, and where appropriate, you will also be offered information to help improve your wellbeing, allowing you to live safer and more independently.
0800 085 0767 www.surreycc.gov.uk/people-and-community/fire-and-rescue/keeping-safe-from-fire/what-to-do-before-and-after-a-fire
The recommendation from Public Health England is that adults should do strengthening and balancing exercises twice a week alongside aerobic exercise. Poor muscle strength increases the risk of falls by 76%. There are various strength and balance exercise classes taking place across Guildford and Waverley.
Social interaction is good for our brain health and can help if you are feeling lonely or isolated. There are many different ways of meeting people in your community.
Access our directory of services available where you live below:
Alternative sources of support
Going into Hospital
Hydration and Nutrition in the elderly
Professional advice and training for Care Home staff
Most people want to stay living in their own homes for as long as possible. Your own home can often feel like the best place because you may have family and friends who live with you or nearby and you are in a familiar environment. However, for many different reasons, a care home can offer the best environment.
Choosing a care home can feel like a daunting decision. Age UK offers a wide range of advice including tips on how to find a good care home and advice on funding.
All care homes are regulated by the Care Quality Commission (CQC). The CQC carries out regular inspections of care homes to see if they meet the essential standards of quality and safety and publish what they find.
Age UK have a website for anyone who is considering moving into a care home for themselves or their loved ones. This web site contains a lot of useful information to consider and has a search facility where you could search for care homes in your particular area.
The Care Home Advisor website also provides a search facility for finding care homes in your local area.
If you have a question about the work that the Clinical Commission Group is undertaking to engage with local Care Homes please contact The Care Home Project Officer via our ‘Contact us’ form or Tel 01483 405450.
Help at home
If you're starting to struggle with everyday tasks, you may need support to help remain independent at home. This could be for things like washing and dressing, or general help around the home.
Organisations can provide this type of support, known as personal care or home care, for as little as a couple of hours a week all the way to full-time. Find organisations that can help you by searching the online directory of care and support on this Surrey Information Point website using search words such as 'bathing', 'home care', or 'cleaning'.
You may be able to get assistance with the cost of this care via Surrey County Council Adult Social Care Services. For more information visit the Surrey County Council website.
There are different types of ‘housing with support’ that someone may wish to consider as an alternative to a care home and explanations of the different types of accommodation are outlined on the sheltered housing page of the Age UK website.
Local contacts to find out more about these schemes:
For more information about support available and other aspects about supporting you at home go to the Surrey County Council website.
Carers look after family, partners or friends in need of help because they are ill, frail or have a disability. The care they provide is unpaid. This includes adults looking after other adults, parent carers looking after disabled children, and young carers under 18 years of age looking after siblings, parents or other relatives.' (Carers' UK).
More information about support and resources for carers locally is available on the Carers page of this website.
People with Learning Disabilities / Autism
People with learning, autism or physical/mental health difficulties can lead full and rewarding lives, but to do so, they usually need support with some aspects of daily life, such as their everyday personal needs, or in dealing with domestic matters. These difficulties can vary considerably from one person to another, where their needs can be mild, moderate or more complex. Their difficulties may also be associated with physical or emotional issues.
Surrey’s Learning Disability and Autism Partnership Boards are working together, so that people with a learning disability and/or autism can have a voice, be safe, be informed, remain healthy and confident to be part of their community. For more information please visit our Patient Support and Information page.
Accessible respite care holidays and short breaks
Revitalise is a national charity providing short breaks and holidays (respite care) for disabled people and carers. They also offer inspirational opportunities for volunteers through one of the largest, most diverse volunteer programmes in the UK.
For more information please visit the Revitalise website.
Hospital Transfer Pathway (Red Bag Scheme)
The ‘Red Bag’ keeps important information about a care home resident's health in one place, easily accessible to ambulance and hospital staff. It has been developed in partnership with South East Coast Ambulance Service, Royal Surrey County Hospital and staff from Guildford and Waverley care homes.
The Red Bag contains standardised information about the resident's general health, any existing medical conditions they have, medication they are taking, as well as highlighting the current health concern. This means that ambulance and hospital staff can determine the treatment a resident needs more effectively.
It also has room for personal belongings (such as clothes for day of discharge, glasses, hearing aid, dentures etc.) and it stays with the patient whilst they are in hospital. When patients are ready to go home, a copy of their discharge summary (which details every aspect of the care they received in hospital) will be placed in the red bag so that care home staff have access to this important information when their residents' arrive back home.
The Red Bag also clearly identifies a patient as being a care home resident and this means that it may be possible for the patient to be discharged sooner, because the care home has been involved in discussions with the hospital and has an understanding of the residents care needs so they are able to support the resident when they are discharged.
For more information about the Red Bag in Guildford and Waverley and also comments and feedback please contact our Care Home Lead, via our ‘Contact us’ form or Tel 01483 405450.
Red Bag pack
The aim of the Hydrate Project is to:
The Nourish resource pack has been developed as a joint project by health professionals who are passionate about helping care home staff to provide excellent nutrition and hydration for their residents. It also provides information for carers to help with their loved ones
The aims of the pack are:
More information about Hydration and Nutrition in the elderly can be found on the NHS website.
Care Home Forum
Care homes provide support and care to vulnerable individuals and the quality of care provided is largely determined by the staff within the service. Training and education of both care assistants and nurses is vital. It is essential that high quality care is delivered, standards maintained and that staff are motivated.
Care home managers play a pivotal role in raising quality standards and Guildford and Waverley Clinical Commissioning Group are delighted to offer Care Home Registered Managers, and Clinical Leads, an exciting opportunity to come together and discuss relevant topics along with Surrey County Council, The Royal Surrey County Hospital, South East Coast Ambulance Service, Surrey and Borders Partnership and community providers.
Forum Learning in Practice [pdf, 2Mb].
This booklet is designed to support Care Workers/Carers who work in any registered service in Guildford and Waverley CCG area and can support them with undertaking the National Care Certificate. Alternatively it can be used as a reference guide for families and personal assistants to promote awareness of certain needs and encourage referral if concerns are identified.
Domiciliary Care providers’ forum
All registered managers, whether they are from a Care Home or Care Agency can attend the Registered Managers Networks at various locations in Surrey where there is the opportunity to network, access peer support, share good practice and discuss issues that matter. These networks are chaired by a Registered Manager with the support from Surrey Skills Academy and Skills for Care. They give the chance to speak to people who can assist with the quality agenda, like regulators, commissioners and local quality assurance managers.
Care Home Newsletter
Connecting Social Care to NHS secure mail
NHSmail is the national, secure email service for health and social care in England and Scotland. It is freely available to social care providers as it is centrally funded by the NHS. NHSmail is approved for use to share confidential health and care information.
NHSmail has now been extended so that Care Homes and Domiciliary Care agencies can connect and, therefore, are able to communicate securely with the whole health and social care system. For more information please go to: https://www.digitalsocialcare.co.uk/
If providers wish to know more please contact the CCG.
All staff must attain a range of appropriate skills necessary to cover any eventuality encountered in their work. Staff should receive varying levels of training, both in-house as arranged by their company or there are opportunities provided via organisations such as:
There are also a number of independent training companies, some of which can be found via Carehome.co.uk.
Professional Pharmaceutical Advice
The CCG has Care Home Pharmacists available to provide professional pharmaceutical advice to Care Homes. They can be contacted via the Medicines Management Team at Guildford and Waverley CCG.
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