Starship Paediatric Haematology/Oncology

Public Service

Description

Starship's Haematology/Oncology service provides assessment, diagnosis, treatment and long term follow-up for children and adolescents with cancer and non-malignant haematological conditions. The service also provides a comprehensive Haemopoietic Stem Cell (Bone Marrow Transplant and CORD) Transplant service for New Zealand.

The service is multidisciplinary, which reflects the wide ranging impact a diagnosis of childhood cancer may have on a child and family. Nurses, doctors, social workers, play specialists, teachers, physiotherapists, occupational therapists, pharmacists, Kaiatawhai (Maori Support Liasion), Pacific Island support workers, child psychologists and psychiatrists are all important and integral to our service.

The acute component of the service involves initial diagnosis and management, treatment of complications of therapy and assessment during treatment. The chronic component includes long term follow-up of children and young people both for recurrence and late effects of therapy. Palliative care caters for the physical and psychological needs of dying children and their families.

For children and families out of Auckland, a close relationship is maintained with their local hospital. Care is shared with these hospitals so as much as possible of their treatment and follow-up can be done locally. A team of Clinical Nurse Specialists ensures continuity and communication is maintained between the two.

The Paediatric Haematology/Oncology service also works alongside The Child Cancer Foundation, Canteen and Leukaemia & Blood Cancer New Zealand who provide support to children diagnosed with cancer and their families.

What is Haematology?

Haematology is the branch of medicine concerned with the diagnosis and treatment of disorders of the blood and blood-forming organs. Such disorders may involve the:

components of blood (cells and plasma)
coagulation (blood clotting) process
blood cell formation
haemoglobin (oxygen-carrying protein on red blood cells) synthesis.

Doctors who specialise in haematology are called haematologists.

What is Oncology?

Oncology is the area of medicine involving cancer. An oncologist is a doctor specialising in the treatment of cancer either with chemotherapy (medical oncologist) or radiation (radiation oncologist). Other doctors are involved in the treatment of cancer such as surgeons, palliative care specialists (doctors who specialise in the treatment of symptoms from cancer that cannot be cured) and general physicians (who often are involved in the diagnosis of cancer).

What is Cancer?

Everyone’s body is made up of millions of cells, which normally grow, divide and are renewed in a balanced or programmed way. Sometimes this process is disrupted and the cells grow in an uncontrolled way – a solid group of these cells is called a tumour. Another word commonly used for tumour is growth and it can mean the same thing.

A tumour/growth can be benign (non cancerous growth and will not spread into different parts of the body) or malignant (cancerous growth that can also spread into different parts of the body). Tumours spread by cells travelling through the lymphatic system (the body’s cleaning system) to lymph nodes (often known as glands) or through the blood to other organs in the body. These cells can then multiply. If this happens the cancer is called metastatic. Cancer isn't contagious, so you can go on being close to family and friends.

Consultants

Dr Peter Bradbeer

Paediatric Haematologist
Dr Ruellyn Cockcroft

Paediatric Oncologist
Dr Nyree Cole

Paediatric Haematologist
Dr Stephen Laughton

Paediatric Oncologist
Dr Scott MacFarlane

Paediatric Oncologist
Dr Timothy Prestidge

Paediatric Haematologist
Dr Jane Skeen

Paediatric Oncologist
Dr Lochie Teague

Paediatric Haematologist
Dr Mark Winstanley

Paediatric Oncologist

Hours

Clinic: 7am - 6pm Mon to Fri

Office: 8am - 5 pm Mon to Fri

Ward 27B has a rest time from 1 - 3pm on weekdays.

Referral Expectations

Most children with a confirmed malignancy will be referred directly to the service and be seen within a week.

Children with non-malignant haematological disorders are likely to be seen within one month.

The Haematology/Oncology Service accepts referrals for children with cancer from Auckland, Northland, Waikato, Bay of Plenty, Taranaki and for some children from the Pacific Islands. The service also covers non-malignant haematology such as children with haemophilia, thalassaemia and sickle cell disease.

The bone marrow transplant service includes the North and South Islands.

Procedures / Treatments

Investigations

There are some investigations that your child may require during their stay – certainly at the time when we are trying to establish a diagnosis, and later to establish whether the treatment is working.… More
Treatment

Treatments
Most children will need some type of treatment for their cancer.… More
Chemotherapy

Chemotherapy is the use of medicines to kill or reduce the spread of cancer cells. Chemotherapy is given as cycles and may be given once a day, once a week or even once a month.… More
Radiotherapy

Radiation therapy uses special equipment to deliver high doses of radiation (beam of x-rays) to cancerous tumours, to kill or damage them so they cannot grow or spread. Normal cells may be affected by radiation, but most appear to recover fully from the effects of the treatment.… More
Surgical Treatment

Surgery is the oldest form of treatment for cancer. Surgery offers the greatest chance for cure for many types of cancer, especially those cancers that have not yet spread to other parts of the body.… More
Alternative Treatments

It is very common for people with cancer to want to try other non-medical treatments such as diet or alternative/complementary medicines offered by other practitioners. It is helpful for your oncology team to know what other therapies you might be taking as sometimes there can be interactions with their treatment. More

Visiting Hours

Ward 27B has unlimited visiting for immediate family. Other visitors are welcome between 8am - 8pm. There is a rest period between 1pm - 3pm when visitors are discouraged.

Other

FACT Accreditation

FACT is a non profit corporation developed by the International Society for Cellular Therapy (ISCT) and the American Society of Blood and Marrow Transplantation (ASBMT) for the purposes of self-assessment and accreditation in the field of haematopoietic cell therapy. FACT has established standards for the provision of quality medical and laboratory practice in haematopoietic cell transplantation; conducts inspections, and accredits programmes that will encourage health institutions and facilities performing haematopoietic cell transplantation to voluntarily meet these standards; and recognises compliance with standards by issuance of Certificates of Accreditation.

The Stem Cell Transplant programme for both adult and paediatric Haematology/Oncology services is currently accredited.

Support Groups
Kidshealth.org.nz

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