Macmillan SLT Telemedicine Service

Step complete
Step complete
Step complete

To use Video Consulting technology to: 
Improve speech therapy services for patients with head and neck cancer in rural Wales. 
To up-skill generalised SLTs to manage patients appropriately.  
To join up care between two HBs.  
To reducing cost and burden on H&N cancer patients. 
Access to specialist services closer to home.  
Equity of services

The project commenced in March 2014 as a three year pilot and is now concluded.

Video Consulting
Health Board
  • Hywel Dda University Health Board
  • Swansea Bay University Health Board
Partners / funding sources
Start date
Completion date
  • Updates
  • Lessons learnt
  • Outcomes

The project was funded temporarily by Macmillan as a three year pilot project and sadly, despite its success, the Health Boards would not fund it permanently. Part of the reason for this was that enough staff in Hywel Dda were successfully upskilled to manage head and neck cancer patients locally so there was no longer a need for the specialist video consultation model from the specialist team in Swansea. 


Access to dedicated VC equipment in suitable clinical environment.  

The broad aims of the original project were to:
Improve communication between primary and secondary care
Clarify patient pathways
Implement network clinical priorities and commissioning frameworks for each cancer site
Ensure better integration of multidisciplinary teams
Improve joint commissioning and collaborative working
Provide seamless, consistent and well-coordinated services. 


These were achieved over the term of the pilot.