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<p>Blood and marrow transplantation is divided into distinct phases of treatment.
NHS England is responsible for funding the transplant related care which takes place
30 days before transplant and continues until 100 days post-transplant and includes
critical care related to the transplant episode.</p><p> </p><p>The care needs of patients
post-transplant will often continue beyond 100 days, particularly for recipients of
allogenic transplants which involve the stem cells of another donor which can increase
the chance of complications.</p><p> </p><p>Under most circumstances commissioning
responsibility will usually switch from NHS England to the clinical commissioning
groups as outlined in the Manual for Prescribed Specialised Services.</p><p> </p><p>The
impact of cancer continues beyond the initial treatment. Patients may experience physical,
financial, social and psychological issues. NHS England’s work in supporting the roll
out of the Recovery Package for cancer patients, including those who received blood
and marrow transplants, helps ensure patients have more personal care and support
from the point they are diagnosed and once treatment ends.</p><p> </p><p>For patients
this means working with their care team to develop a comprehensive plan outlining
not only their physical needs, but also other support they may need, such as help
at home or financial advice. By 2020 NHS England wants all cancer patients to have
access to the Recovery Package and is committed to implementing this in collaboration
with charities, professionals and patients themselves.</p>
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