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Purpose: Ireland's Sláintecare health plan is placing an increased focus on primary care. A community oncology nursing programme was developed to train community nurses to deliver care in the community. While the initial pilot was proven to be clinically safe, no cost evaluation was carried out. This study aims to compare the costs of providing cancer support services in a day-ward versus in the community. Methods: 183 interventions (40 in day-ward and 143 in community) were timed and costed using healthcare professional salaries and the Human Capital method. Results: From the healthcare provider perspective, the day-ward was a significantly cheaper option by an average of €17.13 (95% CI €13.72 - €20.54, p

Purpose Cancer patients are a particularly vulnerable population group, facing an increase in physical, mental, logistical and financial difficulties. This, as well as Ireland's increased focus on primary care with the Slaintecare health plan, led to the development of the Community Oncology Nursing Programme, where community nurses are trained to provide cancer care in the community. This paper sought to explore the lived experiences of the patients and nurses involved in this programme in order to examine its impact as well as determine facilitators and roadblocks for future development. Methods A qualitative examination of the service was carried out by interviewing cancer patients receiving care as part of the programme as well as the nurses delivering care, both in the community and hospital day-ward. Thematic analysis was used. Results Themes of improved patient experience, nurse-patient relationship, the importance of location and roadblocks to further implementation of the programme emerged. There was a universal belief that the programme offered benefits to the patient and improved their care in some manner. Conclusions The Community Oncology Nursing Programme has been well received by both nurses and patients. The service provided by community nurses as part of this programme offers benefits to patients and an improved cancer service.

'Lean thinking' is a philosophy that requires the continuous elimination of waste or non-value-added elements from processes so that customers or patients are given ever greater value.

Introduction to Lean Healthcare Making It Lean, Hilary Grey Providing Rapid Access to a Vascular Surgery Outpatient Clinic, Simon Dodds Reorganizing and Standardizing Supply Rooms across a Health System, Franciscan Health System A Quick-Start Lean Method to Cut the Clutter and Get Your Hospital Back into Shape, Kelley Williamson Applying Lean Thinking to the Outpatient Registration Process, Deborah Miller Establishing a Standardized and Efficient Client Laboratory Supplies Process, Christian Buchsteiner Improving Accommodation and Organizational Arrangements at an Outpatient Antenatal Clinic, Brendan Murphy Improving Wait Times at a Medical Oncology Unit, Carlos F. Pinto Minimizing the Time from "Cooking Pot to Patient", Judy-Ann Wybenga A Journey in Lean-Bringing about Change, Improving Quality for the Patient, and Developing the Culture of a Healthcare Organization, John Coleman and Tim Franklin Process Improvements to Reduce Operating Room Cancellations, Mimi Kokoska, Samuel B. Welch, and Teresa Stevens The Future for Lean Healthcare, Timothy D. Hill Glossary