Why you should read this article:

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To read about an evaluation of a pilot service redesign that enables patients with head and neck cancer to receive follow up and rehabilitation closer to home

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To enhance your understanding of the elements involved in a comprehensive evaluation of a service redesign

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To recognise the importance of collaboration between all partners involved in a service redesign project

Patients with head and neck cancer may be required to travel significant distances for treatment, follow up and rehabilitation. This article presents findings from an evaluation of a pilot head and neck cancer service redesign in Thames Valley Cancer Alliance to enable patients from Swindon and Wiltshire to receive follow up and rehabilitation closer to home. The evaluation identified a decrease in overall outpatient visit time for these patients, resulting in reduced travel costs and improved quality of life. Other positive findings included improved outpatient clinic attendance and reduced emergency admissions. However, two aims of the service redesign – increased uptake of holistic needs assessments and delivery of patient education – were not achieved. The evaluation provided evidence for moving the pilot service to a recurrently commissioned model.