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Interim Report Transforming Care After Treatment National Programme Evaluation

Campbell, Karen; Johnston, Lucy; Smith, Stephen; Afseth, Janyne; Brooks-young, Patrica; Raeside, Robert; Cruickshank, Susanne


Janyne Afseth

Patrica Brooks-young

Susanne Cruickshank


Transforming Care After Treatment (TCAT) is a five year programme funded by Macmillan Cancer Support Scotland. TCAT is a partnership between the Scottish Government, Macmillan Cancer Support, NHS Scotland, local authorities and third sector organisations that focuses on the care and support of people after treatment for cancer.
In order to evaluate the national programme, Edinburgh Napier University employed a mixed method study using two theoretical approaches - Realistic Evaluation and Appreciative Inquiry. This ensured the evaluation was solution focused and could answer the question “what works, for whom and in what circumstances”?
This report builds on the early programme scoping work presented in the Baseline Report (March 2015)1 by setting out the progress made and the impact of TCAT to date. In summary these are:
 Developing innovative and community based approaches to care after treatment
 Demonstrating partnership working and health and social care integration
 Increasing user involvement and the patient voice
 Improving health and social care data
 Understanding and improving resource use
 Positive prospects for sustainability
Half way through a five year programme it is not possible to answer fully all of the set evaluation questions (page 11). At the time of writing, only one local project has completed, six will complete in 2016 and the remainder (18) not until late 2017. This Interim Report therefore has four purposes.
1. To set out what is known about the impact of TCAT to date, by highlighting progress in key priority areas and illustrating the programme’s potential to support solutions and contribute positively to the strategic and operational demands faced by health and social care services in Scotland.
2. To present interim data collected that describes ‘assessment’ practice and resulting actions such as: timing of the assessment, length of consultation, and the scale and pattern of formal referral and signposting activity.
3. To present final findings related to the programme’s processes to date, by focusing upon the design and, implementation of TCAT and sharing key lessons learned to enhance operational and strategic level working.
4. To set out the recommended next steps designed to ensure a robust outcomes focused evidence base.

Report Type Project Report
Publication Date 2016-07
Deposit Date Jun 20, 2017
Keywords cancer , after care, programme, evaluation
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