COVID-19

Support for clinicians

We are committed to supporting clinicians during these immensely difficult and challenging times and to ensuring that our patients continue to receive the best possible care without delay. This page has the latest information on how we continue to treat patients, clinical protocols, how you can work with us, frequently asked questions and the lasted clinician updates.

Washing-hands-GenesisCare

Continuing to treat patients

Our specialist cancer centres are open and we are undertaking robust screening and infection control procedures as well as secure video consultations to ensure we are able to maintain the safest possible environment for patients and the staff who care for them. We are also increasing our capacity to support access to diagnostics and some of our advanced technologies such as hypofractionated radiotherapy to minimise treatment times.

Refer for chemotherapy and radiotherapy

We are accepting referrals for chemotherapy and radiotherapy. For patients starting or continuing cancer treatment, each case will be reviewed individually by an eMDT which can also involve the referring clinician.

For more information on how to refer a patient, please contact one of our referrer engagement managers  REM@genesiscare.co.uk

 

Birmingham-centre-outside

Clinical protocols

Our clinical reference groups have reviewed treatment protocols and techniques against current evidence and the guidelines from the Royal College of Radiologists, ESTRO and other clinical authorities. These have been revised and published for the main tumour types and accessible below.

Current protocols

MDTs

We appreciate that our surgical and oncology teams will face difficult decisions in the coming days and weeks. We have accelerated the roll-out of our eMDT platform to ensure all best practice protocols are maintained. This system facilitates clinician peer review and combines videoconferencing and data technology to enable remote collaboration in a secure environment that tracks the patient journey.

Diagnostics

We are increasing access to our diagnostic services, in particular One Stop Breast Clinics and our rapid access Urology Hubs. We know these services are critical, not only to take pressure off NHS services but also to ensure that patients continue to receive a timely diagnosis. These clinics are running in Maidstone, Milton Keynes and will soon to be operational in Cambridge, Windsor and Portsmouth.

A message to our medical teams about COVID-19
As Covid-19 situation continues to change, we are adapting our processes and policies to ensure our staff and patients remain safe and that we are able to treat patients without delay. We have capacity in various parts of the pathway and we’re working incredibly hard to ensure that we expand and fast track services at this critical time. James McArthur, General Manager, GenesisCare UK

Work with us

Get in touch

We are always looking to collaborate with talented consultants. We can help you build your private practice with medical secretary support, practice management systems, website and marketing support and free consultation rooms.

We welcome requests from individuals and academic institutions to access our state-of-the-art equipment and clinical support for treatment and research. To find out more about practising privileges or research opportunities, please contact us here REM@genesiscare.co.uk.

Vithas Alicante TrueBeam

Using Zoom for Telehealth

GenesisCare has introduced Zoom for use in Telehealth consultations to provide an ongoing service and consultations in a safe environment for all patients and referrers. We have created a Zoom custom configuration to assist in managing your patient consultations by providing a virtual waiting room for patients. Zoom is the same application used for virtual meetings across the business, with a custom configuration applied to your account to assist in managing your patient consultations by providing a virtual waiting room for patients.

What are the benefits of Zoom for Telehealth?

Along with recent COVID-19 challenges, the benefits of Telehealth include:

  • Improved access for patients to their specialist/doctor
  • Reduced in clinic time, travel time and cost for patients and their carers
  • Reduced absence from work and waiting time for patients

Zoom is widely used, distributed and known within GenesisCare. A single platform for meetings and consults will reduce the confusion of multiple platforms.

Find out more about using zoom for telehealth here.

Frequently asked questions

Can my patient transfer to GenesisCare for their treatment?

We are receiving a growing number of enquiries from clinicians and patients directly who are anxious to continue cancer treatment without delay. Typically, our patients are funded through private medical insurance but during this time we have reduced our prices to make it more accessible to those who want to fund the cost of their own treatment.

What is an example of an advanced technology that could benefit patients now?

Stereotactic ablative radiotherapy (SABR) enables treatment of a number of tumour types using a small number of fractions – five or less. This hypofractionated approach is non-invasive and has obvious benefits in limiting treatment episodes or avoiding surgery. We have significant expertise and capacity across our network to treat lung, pancreas and liver, brain, prostate and oligometastatic disease (all cancers) with SABR. We will be offering these hypofractionated radiotherapy treatments where possible and delaying any chemotherapy that will compromise the patient’s immune system, putting them at higher risk of becoming unwell from respiratory illness. We’re working with some of the country’s leading SABR specialists and we are ready to treat patients alongside our existing cases. We are also treating patients for pancreas and lung on the new MRIdian system in Oxford.

Who decides your treatment protocols and how do you ensure treatment protocols are safe?

Our clinical reference groups and UK Leadership Team work closely with the NHS, RCR, ESTRO and other surgical and oncology associations to ensure that our revised clinical protocols are aligned with national clinical guidelines.

All patient referrals for new protocols are reviewed by our clinical reference groups and clinical advisory team to ensure compliance with eligibility criteria.

Will you be advising patients to continue with treatment?

Clinicians should continue to discuss the risk and benefits of having treatment at this time with patients. Informed consent is required and should be clearly noted.

We have prepared a summary of scenarios exploring absolute survival benefit and potential risks in a variety of common chemotherapy. This is available here.

Will you continue chemotherapy treatment (solid and haem cancers) for all patients in vulnerable groups (as defined by NICE guidelines)?

Our clinical reference groups and UK Leadership Team work closely with the NHS, NICE, ESMO and other oncology and haematology associations to ensure that our revised chemotherapy protocols are aligned with national clinical guidelines for solid and haematological malignancies.

We have therefore revised our protocols to include:

  • Switching to less toxic chemotherapy protocols
  • Offering fewer cycles of chemotherapy with longer intervals if safe to do so
  • Offering GCSF to all patients at high risk of immunosuppression whose chemotherapy treatment is deemed life-saving by the MDT and are well and willing to receive
  • Continue clinical trial treatments if deemed life-saving by the MDT and patients are well and willing to receive

Typically, how long does it take to start a course of treatment from referral?

At GenesisCare we receive referrals from two main pathways:

  1. Our diagnostic One Stop Clinics
  2. Directly from our Surgeons and Oncologists

We endeavour to treat patients within five to seven days from referral. These timings depend on whether we have all the histology results available for the cancer MDTs to make treatment decisions, otherwise we operate on full workforce capacity in terms of radiotherapy planners, physicists, therapy radiographers and chemotherapy nurses.

Will you be treating COVID-19 patients?

Wherever safe to do so, patients will have treatment delayed until after symptoms have resolved and isolation period is over. However, there will be occasions where it is clinically necessary for treatment to continue.

Will you still be providing SpaceOAR under general anaesthetic for prostate radiotherapy treatment?

From next week your patients can access SpaceOAR® under local anaesthetic at:

  • GenesisCare Windsor: Consultant Urologists Mr Philip Charlesworth, Mr Marc Laniado and Mr Neil Haldar are all credentialed to provide the service in an outpatient clinic
  • GenesisCare Oxford: Consultant Urologists Mr Simon Brewster and Mr Tom Leslie
  • GenesisCare Maidstone: Consultant Urologist Mr Hide Yamamoto
  • GenesisCare Newmarket: Consultant Urologist Mr Christof Kastner

Alternatively:

  • Patients have the option to continue with external beam radiotherapy without SpaceOAR® insertion or
  • Suitable patients can be referred for 5-fraction prostate radiotherapy on the MRIdian linac at GenesisCare Oxford, where SpaceOAR® is NOT required.

Latest clinician updates

Keep up to date with our latest updates for clinicians. As the COVID-19 pandemic continues, we aim to keep clinicians up to date on our treatment status, centre preparedness and business continuity plans. Treatment continues as usual and we are prepared to treat all patients without delay. Ensure you filter by clinician news on our news page, providing you with our latest updates: