Publication - Strategy/plan

Bowel Cancer Framework for Scotland

Published: 20 Apr 2004
Part of:
Health and social care

Bowel cancer is an improtant health issue worldwide and, in Scotland, it represents a major problem. In this framework the key components of a national bowel cancer service programme are outlined.

29 page PDF

362.8 kB

29 page PDF

362.8 kB

Bowel Cancer Framework for Scotland
Page 6

29 page PDF

362.8 kB



It is recognised that palliative care is an integral part of all clinical practice that takes as its starting point the quality rather than the quantity of life remaining. Palliative care needs can arise at any stage of a patient's care, and embrace psychosocial, emotional and spiritual issues surrounding life-threatening illness as well as the management of pain and other distressing symptoms.

Everyone, patients and carers, should be aware of services from which they might benefit. Clinicians across the spectrum of patient care should be alert to the needs of patients (and their carers) for appropriate support over and above immediate clinically required treatment.

The report on the NHS QIS (CSBS) assessment of bowel cancer services was published in 2002. This clearly sets out the NHSScotland performance against core palliative care standards generic to all cancer services.

Here again, significant improvements have been made over the last three years. In addition NHS QIS has recently published its report on the assessment of specialist palliative care services in Scotland (January 2004). This has demonstrated the commitment, dedication and hard work of the staff involved in providing specialist palliative care services. It also clearly demonstrated that these services seek, wherever, possible, to be responsive to patient needs and that a number of innovative service developments were evident. The importance was emphasised of taking into account needs for specialist palliative care when planning services.

A "mapping exercise" of palliative care provision is currently being undertaken by the Scottish Partnership for Palliative Care.


Basic Elements

  • Good communication between palliative care and hospital service

  • High quality hospice care

  • Good home support

What is required?

What is already happening?

Next steps

Service Implications

Good communication between palliative care and hospital service

  • Efficient networking through the MDTs

High quality hospice care

  • Appropriate access to good hospice care with adequate staffing

Good home support

Palliative care nursing support

  • Over 5m from Cancer in Scotland invested in palliative care services in 2001-04, for example:
    - Training of nurses in primary care in Highland to become palliative care key workers
    - Additional Consultant in Palliative Medicine in Fife
    - Primary care crisis response team in Ayrshire & Arran

  • Most Boards have either undertaken or are in the process of undertaking a needs assessment

  • Development of palliative care networks

  • Gold Standards Framework in Scotland - to improve the care of individuals requiring palliative/cancer care in the community (NOF funded)

  • Review of NHS QIS specialist palliative care standards in 2003 - report published January 2004

A "mapping exercise" of palliative care provision is being undertaken by the Scottish Partnership for Palliative Care