The National Institute for Health and Clinical Excellence (NICE) published ‘Improving outcomes in haemato-oncology cancer’ for patients with haematological cancers, including lymphoma, in October 2003. This guidance covers all aspects of a lymphoma patient pathway, including supportive care, and is based on the best available evidence and have been put together after wide consultation, drawing on the views of patients and carers as well as the experts in the field.
The national health service has been required to set out action plans to achieve compliance with the NICE recommendations and has set key milestones for the delivery of the guidance. Implementation will be incremental and will be supported through the increased general funding being provided to the NHS. Implementation is being monitored by strategic health authorities and through peer review.
There has been no formal assessment of the impact of payment by results on the provision of social and psychological support to lymphoma patients.
Social care is outside the scope of payment by results. Psychology services are excluded from payment by results, except psychological support provided during a patient's stay in hospital. Funding for services that are excluded from payment by results is agreed locally between commissioners and providers.