Metastatic spinal cord compression is a feature of advanced cancer and the incidence is likely to increase alongside improved survival rates. Patients with spinal cord compression have complex physical, psychological and social care needs. This article describes a multidisciplinary project aimed at improving the care provided to newly diagnosed patients who were admitted to a regional cancer centre for radiotherapy. The project used a range of approaches to measure care, develop and implement interventions, and evaluate outcomes. Aspects of care reviewed in the project included mobilisation, medications including steroids and thrombo-prophylaxis, bowel management, patient priorities and concerns, discharge planning and early detection.

Clare Warnock - Practice Development Sister

Suzanne Hodson - Senior Physiotherapist

Angela Tod - Professor of Health Services Research, Centre for Health and Social Care Research, Sheffield Hallam University

Rebecca Mills - Senior Oncology Pharmacist

Lesley Crowther - Occupational Therapist

Jean Buchanan - Transfer of Care Nurse

Bernadette Foran - Clinical Oncology Consultant: all at Weston Park Hospital, Specialist Cancer Services, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield