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8. Implementation strategies

8.1 Implementation and dissemination of learning resources

The core group has developed the following resources:

  • A summary document outlining the rationale and key recommendations.
  • A practice guideline for health professionals (see Appendix 8).
  • A dressings recommendation list for treatment of moist desquamation based on the current evidence available (see Appendix 9).
  • A presentation for use at conference and events and also for the SoR website (see Appendix 10).
  • A poster and associated hand-outs for use at conference and events (see Appendix 11).
  • A patient information summary leaflet (see Appendix 12).

8.2 Impact measures and audit tools

  • Departments will be encouraged and expected to use the RTOG scale to monitor rates of skin reaction and to share these in a national data collection. 
  • Departments will also be expected to undertake patient satisfaction audits.
  • The SCoR will re-audit skin care practice across the UK in 2016 (see Appendix 13) to assess use of and compliance with the guidelines, to assess the outcomes from the first two bullet points, and to monitor consistency of care. 

8.3 Organisational or financial barriers to implementation

The majority of the recommendations have no financial implications. There is a requirement for additional training and some additional resources. The main blocks to implementation are likely to be organisational and cultural since they require changes to established working practices. However, many departments are working through the changes needed to embed person-centred care more fully into daily practice and this guideline’s recommendations should be integral to this process. 

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