Achieving change in the NHS: a feasibility study to introduce a home-based cancer chemotherapy service

A major focus of current health policyin the United Kingdom is the development of services that meet the public’s expectations. To achieve this there is a need to evaluate current provision to ensure that the best use is made of finite resources. The studyreported here adopted an interview approach to examine an existing outpatient chemotherapy service, and to consider the feasibilityof introducing a home based model. Following a review of literature on this topic data were obtained from in-depth interviews with patients and professionals regarding the present service. These were then combined with an analysis of service contracts and financial estimates. The poor quality of much of the costrelated information limited the conclusions which could be drawn, and emphasised the need for access to more accessible and robust financial information upon which to base change. The studyalso illustrated the benefits of feasibility studies; especially when cost-effectiveness and patient satisfaction are the driving forces behind proposed
changes to clinical services.