We are The Christie magazine -Edition 5

The Christie at Macclesfield

With around 23% of the local population aged over 65, the Macclesfield team recognised the need to improve outcomes and experiences for patients with frailty. Led by Dr Victoria Lavin, consultant clinical oncologist, and Amanda Morley, cancer care co-ordinator, the service has supported more than 200 patients.

Supporting patients with frailty at The Christie at Macclesfield As patients and staff mark the fourth anniversary of The Christie at Macclesfield, one of the centre’s key successes has been the frailty service, which supports older, more vulnerable patients.

Patients may have additional needs alongside their cancer diagnosis, such as other health conditions, physical or cognitive decline, complexities caused by numerous medications, or caring responsibilities. A simple frailty score helps identify patients who are referred for a holistic assessment. Most commonly, patients are signposted to support within the centre or referred to community services including physiotherapy, occupational therapy and social care. The service is helping patients maintain independence, complete their cancer treatment and avoid hospital admissions. An audit showed that 93% of frail patients completed all planned radiotherapy, and 61% completed two or more cycles of chemotherapy. Looking ahead, the service will expand in 2026 to provide enhanced support for patients with more complex frailty needs.

Commonly used support services for frail patients: • Counselling • Complementary therapy • Falls prevention • Fatigue management • Adult social care for support at home • Support for carers • Local support groups in the community • Parking permits/blue badge applications • Benefits advice • Nutrition advice and dietitian referrals • Occupational therapy and physiotherapy

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