{
  "abstract": "Background: Head and neck cancer follow-up requires oncological surveillance together with multidisciplinary rehabilitation. The 2024 United Kingdom National Multidisciplinary Guidelines recommend follow-up in clinics at, or linked to, a head and neck treatment centre, with access to the wider multidisciplinary team. This service evaluation describes a spoke-based post-treatment oral cavity cancer clinic at Great Western Hospital (GWH), Swindon, linked to the Oxford University Hospitals (OUH) tertiary head and neck service. Methods: Service activity between November 2022 and August 2024 was reviewed descriptively. The clinic is held monthly, but individual patients attend according to guideline-based follow-up intervals. A locally developed anonymous patient-experience questionnaire was distributed between May and August 2024; overall satisfaction used a 10-point numerical rating scale and free-text responses explored perceived benefits and opportunities for improvement. Results: Sixty-one patients attended the clinic and seven recurrences (11%) were identified during follow-up. No cancer-related emergency department attendances were recorded in the service-evaluation dataset. Thirty patients completed the questionnaire; all rated overall satisfaction as 9 or 10 out of 10 and 93% reported no change was required. Frequently reported benefits were coordinated same-day specialist review, continuity with a consistent team and reduced travel. Conclusion: A hub-and-spoke model can deliver guideline-aligned surveillance and multidisciplinary rehabilitation closer to patients' homes while retaining a direct route back to the tertiary cancer service. The most transferable elements of the Swindon model are consultant continuity across hub and spoke sites, coordinated rehabilitation, prospective pathway tracking by a dedicated coordinator and rapid re-escalation to the tertiary MDT when recurrence or complex morbidity is suspected.",
  "abstract_shown": true,
  "affiliations": [
    "Great Western Hospitals NHS Foundation Trust, Swindon, United Kingdom; Corresponding author. Great Western Hospitals NHS Foundation Trust, Swindon, United Kingdom.",
    "Great Western Hospitals NHS Foundation Trust, Swindon, United Kingdom",
    "Great Western Hospitals NHS Foundation Trust, Swindon, United Kingdom; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Fatma Gebahi"
    },
    {
      "affs": [
        1
      ],
      "name": "Meenakshi Mandi Jayaram"
    },
    {
      "affs": [
        2
      ],
      "name": "Ioanna Dimasi"
    },
    {
      "affs": [
        1
      ],
      "name": "Runa Hussain"
    },
    {
      "affs": [
        1
      ],
      "name": "Cheryl Davidse"
    },
    {
      "affs": [
        1
      ],
      "name": "Gemma Hudson"
    },
    {
      "affs": [
        1
      ],
      "name": "Gillian Franklin"
    },
    {
      "affs": [
        1
      ],
      "name": "Joanne Barrett"
    },
    {
      "affs": [
        2
      ],
      "name": "Montey Garg"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/anc0g9zpx7hpg.bib",
  "cited_by": 0,
  "doi": "10.1016/j.adoms.2026.100741",
  "fulltext_url": "http://www.sciencedirect.com/science/article/pii/S2667147626001238",
  "id": "anc0g9zpx7hpg",
  "issns": [
    "2667-1476"
  ],
  "landing_url": "https://doi.org/10.1016/j.adoms.2026.100741",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RC31-1245"
    ],
    [
      "lcc",
      "RD1-811"
    ],
    [
      "openalex",
      "2733|Head and Neck Cancer Studies"
    ]
  ],
  "openalex": "W7222692455",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-11-11",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/anc0g9zpx7hpg.ris",
  "sources": [
    {
      "first_seen": "2026-11-11T14:21:27Z",
      "native_id": "03fe4724965f44d4b6eebcc219711464",
      "source": "doaj",
      "url": "https://doi.org/10.1016/j.adoms.2026.100741"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:RD1-811",
      "subfield": "surgery"
    }
  ],
  "title": "Multidisciplinary follow-up of oral cavity cancer patients in a hub-and-spoke network: A service evaluation of a monthly post-treatment clinic in Swindon, United Kingdom",
  "title_text": "Multidisciplinary follow-up of oral cavity cancer patients in a hub-and-spoke network: A service evaluation of a monthly post-treatment clinic in Swindon, United Kingdom",
  "type": "peer-reviewed",
  "updated_at": "2026-11-13T15:20:25Z",
  "url": "https://research.draconitic.com/paper/anc0g9zpx7hpg",
  "venue": "Advances in Oral and Maxillofacial Surgery",
  "versions": []
}