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"Ongoing cancer treatment"

About: Fiona Stanley Hospital / Chemotherapy Unit, Cancer Centre, Cancer Outpatients Clinic, Bone Marrow Transplant, Oncology, Radiation Oncology & Ward 7C Patient Assisted Travel Scheme - WACHS Goldfields

(as a service user),

Diagnosed with skin cancer once again, I had surgery within a few weeks. I was glad to have such fast and friendly treatment. But horrified at the short hospital stay after what seemed to me as major surgery of over 10 hours leaving me quite bandaged and bloodied.

Unfortunately the repairs didn't take, I felt I had no access to daily medical assistance but it may just have been due to bad luck. I needed further surgery within a couple of months and continued to have appointments in Perth, 600km away, including 6 weeks radiation therapy and then follow up appointments with the plastic surgeons. I continued to meet with the plastic surgery and prosthetics teams, getting a glue on skin for my sealed but open cancer removal wound, before undergoing further surgery around 18 months after original surgery. For the radiation therapy, I felt PATS was helpful and I even had access to accommodation. But as each process went on I found out that as I understand it, I need updated GP referrals for surgeons and PATS, even though it was the same ongoing issue. 

Each consecutive surgery has required one night hospital stay or day treatment, I'm getting used to the lack of expected pain. But not the stares from people in the common areas, shopping malls or local medical facilities. Seemingly requiring extra referrals from GPs is the biggest puzzle to me 

This adds to my frustration and new fears of being disfigured in public, making appointments and having to continually explain myself. I have given up on PATS as I feel it is more stressful than it could be.

I'm not working due to my appearance, the refunds would be helpful. I think all records are on the public hospitals system - appointments and attendance, the timeline of same treatment plan etc, but it seems to me the patient must seek further outside reference and public waiting rooms to guarantee a payment.  

A couple years on, my treatment is far from complete. But I continue to need a GP to write a referral and update them with my information because apparently the hospital system and PATS require it. Emotionally and physically I am not in the greatest place, and not any easier with what I believe to be a difficult system. 

The best part of my journey? Covid19. Why? It made it normal to wear a mask in public, the streets and parks were empty while I had radiation therapy and it is more normal to require contactless grocery delivery. Are the hospital and radiation staff who I dealt with friendly? Yes. Does the referral system need changes? In my opinion, yes.

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Responses

Response from Neil Doverty, Executive Director Fiona Stanley and Fremantle Hospitals Group, South Metropolitan Health Service 2 years ago
Neil Doverty
Executive Director Fiona Stanley and Fremantle Hospitals Group,
South Metropolitan Health Service
Submitted on 3/12/2021 at 7:56 PM
Published on Care Opinion on 6/12/2021 at 9:52 AM


picture of Neil Doverty

Dear Carcinoma19,

I am sorry to read of your skin cancer diagnosis, and the ongoing treatment you are requiring. It sounds as though it has been an extremely challenging 18 months for you.

As Care Opinion is anonymous, I am unable to comment on your specific case and referrals, including the time you spent in hospital following your surgery. However, I can confirm that our cancer service does discharge patients with skin cancer back to their GPs (following treatment / surgery) for ongoing skin surveillance and care. The only time you would need to be re-referred to Fiona Stanley Hospital for the same medical condition would be if further surgery is required.

Cancer diagnoses do have an enormous impact on people affected by cancer. The Cancer Council of WA offers a wide range of practical and emotional support services, and if you have not already linked in with the Cancer Council of WA you can contact their Cancer Nurses on 13 11 20, if you wish.

I strongly encourage you to connect with this service to receive ongoing emotional support during this difficult time in your life.

I wish you all the best with your health going forwards.

Kind regards,

Neil Doverty

Group Executive Director

Fiona Stanley Fremantle Hospitals Group

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Response from Peter Tredinnick, Executive Director, Regional Office, WACHS Goldfields 2 years ago
Peter Tredinnick
Executive Director, Regional Office,
WACHS Goldfields

Executive Director WACHS Goldfields

Submitted on 22/12/2021 at 1:55 PM
Published on Care Opinion at 2:15 PM


picture of Peter Tredinnick

Dear Carcinoma19,

Thank you for sharing your story with us.

I am sorry to read about your long and, at times, difficult journey in receiving care and treatment for skin cancer. This must be so challenging on many levels, particularly having to be away from home and navigating some systems and processes that aren’t always as user friendly as they could be. We want to provide the very best care and service for all of our patients and their families and carers and I am sorry if we have let you down in any way.

We are striving to provide care to our patients that is person-centred and supports our patients, particularly when they need to travel to receive care. I am pleased to let you know that we will soon be implementing a new process for the Patient Assisted Travel Scheme (PATS), which will significantly improve how patients and staff can arrange travel. The new process involves an online portal that allows you to have better access to PATS and reduces the need for patients and General Practitioners (GP) to keep providing and updating information. This new process also enables the processing of multiple trips associated with ongoing treatment, where eligible, without the need for multiple GP referrals as the endorsement remains valid for 12 months. Our PATS team would be happy to check if this is applicable in your situation and follow up with you about any requirements.

From reading your story, it sounds like you have a journey ahead of you and I wonder if you would be happy to speak with our Regional PATS Coordinator for the Goldfields who could review your application and go over a few details with you that might assist you and so that we can ensure you are getting the refunds and assistance that you are entitled to. This might at least lessen some of the financial burden you are facing. If you are happy to do this, please contact Margaret Smillie either via email Margaret.Smillie@health.wa.gov.au or via phone on 9079 8071.

In relation to your medical treatment, I would encourage you to discuss with your specialists and social worker any concerns that you have, as they will be able to go discuss your concerns and address any questions you may have.

We are committed to enabling patients to access specialist cancer care closer to home where possible, including through the use of telehealth. Telehealth allows patients to have a video consultation with a clinician on a secure online platform. While not all treatments are suitable, some of your follow-up appointments might be suitable for you to attend via telehealth from your local hospital, health clinic or home. I encourage you to ask your specialist if any of your future appointments can be via telehealth or contact our local telehealth team on 08 9080 5682 for more information on how to arrange a telehealth appointment.

You may already know about this, but the Cancer Council of WA has a range of practical and emotional support services and resources for people affected by cancer. If you would like to know more about what is available for you, I would encourage you to visit: www.cancerwa.asn.au

Thank you for acknowledging the radiology team who work very hard to look after and support our patients and their families and carers. I will make sure to pass on your compliments.

I wish you all the very best for the future.

Yours sincerely

Peter Tredinnick
Regional Director
WACHS Goldfields

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