What is a Holistic Needs Assessment and how does it help?
An HNA ensures that people’s physical, practical, emotional, spiritual and social needs are met in a timely and appropriate way, and that resources are targeted to those who need them most. An HNA is a simple questionnaire that is completed by a person affected by cancer. It allows them to highlight the most important issues to them at that time, and this can inform the development of a care and support plan with their nurse or key worker. The questionnaire can be completed on paper, or electronically.
Evidence has shown providing effective individual Holistic Needs Assessment (HNA) and care and support planning can contribute to better identification of a person's concerns. It also enables early intervention and diagnosis of side effects or consequences of treatment. As such, everyone living with or beyond cancer should be offered an HNA and a care and support plan at key stages on their cancer pathway as part of the Recovery Package.
Evidence also suggests that a person’s holistic needs are likely to change at key points in their cancer journey, like after diagnosis and at the end of treatment, or if something else affects their health or social needs. Having an HNA at these points helps to identify the issues that need to be discussed and can be used to continually inform their care and support plan.
The information gathered from an HNA can also be shared with the multidisciplinary team (MDT) and the person’s GP, to improve management and care. Any data collected can be used to influence service developments and the commissioning of future services.
All resources to help implement HNA in your setting can be found on our further information page.
Electronic Holistic Needs Assessment (eHNA)
Macmillan's eHNA allows a Holistic Needs Assessment (HNA) to be completed electronically.
The eHNA allows for the person affected by cancer to complete the HNA questionnaire on a touch screen tablet. This information is then sent to the clinician through a secure website to begin the process of care and support planning.
Care and support plans can be printed and saved for sharing with the person affected by cancer and their health care team. Each team has access to its own data for reporting and analysis, and to identify local service needs. Anonymous data collected from the assessments and care plans can be used to look at the overall needs of different groups of people. This in turn can help to inform the planning of local services.
Please contact the team with any further queries.
For downloads and additional information visit our Recovery Package resources page.