GUIDELINES ON THE PROVISION OF FACILITIES FOR THE CARE OF ADULT PATIENTS WITH HEMATOLOGICAL MALIGNANCIES (INCLUDING LEUKEMIA AND LYMPHOMA AND SEVERE BONE-MARROW FAILURE)

This report defines four levels of care required for the management of adult patients with haematological malignancies and marrow failure (a cute and chronic leukaemias, lymphomas, myelodysplastic and myeloproli ferative disorders, myeloma and severe aplastic anaemia), The higher l evels of care require increasing specialist expertise, staffing and re sources, Staffing includes both the medical, nursing and scientific/la boratory professions and other support staff. Resources include ward p rovision, bed numbers, equipment, laboratory and radiotherapy faciliti es, pharmacy, support services and research, Blood transfusion service s and their organisation are discussed separately. The guidelines indi cate to providers and purchasers the issues to be considered in placin g contracts for the care of these patients. A glossary of terms is pro vided for purchasers.