Code 5: Service Improvement and Topic Development

  • Sanchia S. Goonewardene
  • Raj Persad
Chapter

Abstract

The themes identified here were ‘counselling pre-surgery on psychosexual concerns.’ A theme of couples access as part of counselling was also identified (Table 64.1).
  • ‘Early initiation to Cialis and Vacuum pump devices, but also open access to GPs as part of GP education on early prescribing is needed.’—HCP 1.

  • ‘A standardised pathway is clearly required.’—HCP 1.

  • ‘Penile rehabilitation with physical rehabilitation, psychological rehabilitation and medical management should form part of this, however, a clear plan of implementation is required.’—HCP2.

  • ‘It is very necessary but thought to logistics and resources are required.’—HCP 3.

  • ‘Family are often worried about them being cured from cancer, and this is a lower priority.’ —HCP4.

The themes identified here were ‘counselling pre-surgery on psychosexual concerns.’ A theme of couples access as part of counselling was also identified (Table 64.1).
  • ‘Early initiation to Cialis and Vacuum pump devices, but also open access to GPs as part of GP education on early prescribing is needed.’—HCP 1.

  • ‘A standardised pathway is clearly required.’—HCP 1.

  • ‘Penile rehabilitation with physical rehabilitation, psychological rehabilitation and medical management should form part of this, however, a clear plan of implementation is required.’—HCP2.

  • ‘It is very necessary but thought to logistics and resources are required.’—HCP 3.

  • ‘Family are often worried about them being cured from cancer, and this is a lower priority.’—HCP4.

Table 64.1

Code 5: Service improvement and topic development

 

Healthcare Professional Quote using Identity (HCP) numbers

Components of pathway

A joint clinic with a psychosexual counsellor and a specialist nurse.’—HCP 5

Components of pathway

Dedicated Specialist nurse, psychosexual counsellor, CCG input.’—HCP6

Requirement and components of pathway

ED clinics are a way of delivering care really directly as part of a routine service.’ ‘We need to address PDE5 inhibitors prescriptions at hospital.’—HCP 7

It was also felt that early initiation of therapy was the key.

In conclusion, by the healthcare professionals involved, there was felt with to be a significant lack in psychosexual care, with several contributory factors including resource issues. However, again it was felt, that a pathway would be a significant addition to support psychosexual care. The recommendations for this pathway based on the systematic review, patient focus group and healthcare professional interviews are as follows below.

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Sanchia S. Goonewardene
    • 1
  • Raj Persad
    • 2
  1. 1.The Royal Free Hospital and UCLLondonUnited Kingdom
  2. 2.North Bristol NHS TrustBristolUnited Kingdom

Personalised recommendations