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Late Effects in Self Managed Care

Late Effects in Self-Managed Care:

Late effects can happen at any point after treatment has finished. In the Self-managed care part of the aftercare pathway describes the ongoing checkups needed after treatment for cancer has been completed.  The follow-up appointments provide monitoring for any health problems or emotional problems which might have been caused by the cancer treatment.

The service primarily caters for young people and adults treated for cancer in the East Midlands.  We operate as a unified team allowing us to deliver high quality patient care and efficient transition of patients between services.

After the first appointment in the self-managed care a plan of care is discussed further follow-up appointments are planned in the most appropriate clinic.

Conditions treated:

The Self-managed care clinic has been developed to offer specialist follow-up after teenage and adult cancer in an age appropriate environment.  

Not all treatment for teenage and young adult cancer causes problems but some people do need the medical support of a number of different specialists. These include fertility, endocrinology and nephrology along with expert oncologists, haematologists and clinical nurse specialists who all have expertise about the long-term effects of chemotherapy, radiotherapy and surgery.

Sometimes it is necessary to refer to other adult specialists and many of these specialists are available at Nottingham University Hospitals or University Hospital Leicester, University of Derby and Burton Hospital

Patient support services:

The Survivorship Service Clinical Nurse Specialists provide a point of contact from Monday to Friday, 9am to 5pm either by email, call or text. A member of the clinical team will discuss any treatment related medical or psychological concerns.

In addition the Macmillan Information Centres are available weekdays in all treatment centres.