Follow-up care and support for patients with metastatic spinal cord compression: a service improvement initiative

Cancer care is high on the healthcare policy agenda in England. This article provides insight into a nurse-led service improvement initiative for people diagnosed with metastatic spinal cord compression (MSCC). The project methodology reflected a 'design thinking' approach to innovation, comprising the development and delivery of a solution to an identified problem/need. This involved the pilot testing of a multidisciplinary outpatient clinic and increased availability of educational MSCC resources in response to identified gaps in follow-up care and support. Key features of the clinic are presented, together with the results of an interim small-scale evaluation. The clinic was well attended, and positively evaluated by staff and patients alike. Staff capacity, particularly time to complete the clinic work schedules, was an identified challenge, with patient referral and attendance exceeding expectations. Evidence played an important role in gaining organisational support for service improvement and its ongoing development and sustainability in practice.