Hospitals & Services
LEAP stands for Late Effects Assessment Programme. It is a CDHB service providing long term follow up for survivors of childhood cancer.
The New Zealand Cancer Control Strategy, Action Plan 2005-2010, identified the need to "ensure all survivors of childhood and adolescent cancer receive timely and ongoing support and rehabilitation, including the identification of, and intervention in, late effects" (Goal 4, objective 3, phase 1).
It is estimated that around half of child cancer survivors will have at least one significant problem related to their treatment, for example problems with growth and development, learning and thinking skills, hearing loss, heart damage or fertility.
In response to the Cancer Control Strategy, with initial funding from the Ministry of Health, LEAP commenced as a national programme in 2006, in the three cancer centres for New Zealand (Auckland, Wellington, and Christchurch).
Long term follow up clinics – multi-disciplinary clinics and nurse-led clinics across the South Island
Neuropsychological assessments (including psychological adjustment, learning and thinking)
Psychosocial assessment and interventions (including therapy sessions, referrals to other agencies)
Adolescent transition to primary health care
Individual treatment summary, known as a "Health Passport" that provides risk based guidelines. A copy is given to the patient and General Practitioner
A national database that incorporates the New Zealand Children's Cancer Register (NZCCR) with LEAP data, and the ability to output health passports for patients and their health care providers
Clients already under the care of the paediatric oncologists are transferred into LEAP at the appropriate time – once treatment and disease surveillance is considered sufficient (from 2-5 years, dependant on the cancer). LEAP also takes referrals from the adult oncology service and GP's for clients who have previously left paediatric care but now require late effects follow up. Clients can even refer themselves (or their child) by contacting the LEAP team directly.
The core team comprises:
Dr Amanda Lyver
Dr Rob Corbett
Dr Siobhan Cross
Dr Tristan Pettit
Dr Andrew Dodgshun
Senior Clinical Psychologist:
Clinical Nurse Specialist/LEAP Coordinator: