The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department...
-
Upload
shanon-golden -
Category
Documents
-
view
218 -
download
0
Transcript of The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department...
![Page 1: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/1.jpg)
The Cancer Control Programme in England
Lindsay WilkinsonHead of Cancer Policy Team – Department of Health
(England)
![Page 2: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/2.jpg)
Overview
» The problem of cancer in England in the 1990s
» Developing the momentum for change
» Agreeing what needs to be done
» Making change happen
» Monitoring progress» Keeping abreast with developments in science and
society
![Page 3: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/3.jpg)
The problem of cancer in England in the 1990s
» High incidence/mortality» Poor survival rates compared with Western Europe
(EUROCARE)» Inequalities (geographical and by socio-economic group)
» Underfunding compared with Western Europe
» Long waits
» Fragmentation of services
![Page 4: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/4.jpg)
Developing the momentum for change
» Evidence of the problems
» Acceptance of the problems (winning hearts and minds)
» Effective advocacy
» The role of the media
» Political will
» Leadership
![Page 5: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/5.jpg)
Agreeing what needs to be done
» Developing the NHS Caner plan relatively straightforward once the momentum for change had been built
» Writing and publication took around 6 months
![Page 6: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/6.jpg)
Components of a Cancer Control Programme (1)
Themes:
» Prevention» Screening» Early diagnosis» Treatment» Information and support» Supportive and palliative care» Research and development
![Page 7: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/7.jpg)
Components of a Cancer Control Programme (2)
Infrastructure
» Service structure» Workforce» Facilities» Data systems and monitoring» Quality assurance and quality improvement processes» Funding
![Page 8: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/8.jpg)
NHS Cancer Plan: 4 Key Aims
1. Save lives
2. Improve patients’ experience of care
3. Reduce inequalities
4. Build for the future
![Page 9: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/9.jpg)
Making Change Happen (1)» Clear vision and consensus on the way forward
(eg a National Cancer Plan)
» Leadership at all levels
» Continuing high levels of support (political, managerial, clinical & patient groups)
» Clear commitments: targets and milestones
» Funding arrangements
![Page 10: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/10.jpg)
Making Change Happen (2)» Delivery systems
- National: cancer taskforce- Local: cancer networks
» Guidance on service configuration(Improving outcomes guidance – NICE)
» Quality Assurance(Standards and peer review)
» Quality Improvement (Cancer Services Collaborative)
» Information systems» Levers and sanctions for non-achievers
![Page 11: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/11.jpg)
Cancer Networks
» Typically cover populations of 1 – 2 million
» Partnership of organisations involved in commissioning and providing healthcare
» Encompasses primary, secondary and tertiary care
» Bring together all relevant clinicians, managers and patient representatives
![Page 12: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/12.jpg)
![Page 13: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/13.jpg)
Monitoring Progress on Cancer in the UK
» The National Audit Office (which is independent of government) conducted 3 reviews into progress on cancer in 2004/5 (links at end).
» These reviews show that substantial progress has been made, but more needs to be done
![Page 14: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/14.jpg)
Cancer : Progress on Outcomes
» Cancer mortality falling(14% in 7 years in people under 75)
» Survival rates improving across a wide range of cancers
» Experience of care has improved between 2000 and 2004 (surveys conducted by DH and NAO)
![Page 15: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/15.jpg)
Cancer : Progress on Specific Areas
Prevention : Tobacco strategyAdult smoking prevalence 28% 25%
Screening : Extension of breast screening31% increase in cancers detected
Waits : Progress towards targetsServices : Establishment of MDTsWorkforce : 1000 extra consultants
More nurse specialistsMore radiographers
being trainedNew ways of working
Facilities : New CT and MRI scanners New LinacsResearch : Accrual to clinical trials doubled
![Page 16: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/16.jpg)
Keeping abreast of developments
Societal Changes» Obesity» Ageing population» Rising expectations
Scientific Developments» New technologies (eg PET-CT)» New treatments
![Page 17: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/17.jpg)
Summary
» Change is hard…….but possible
» Cancer services in England are improving…….…but there is a long way to go
![Page 18: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/18.jpg)
Useful linksDepartment of Health www.dh.gov.uk
NHS Cancer Plan:www.dh.gov.uk/assetRoot/04/01/45/13/04014513.pdf
NHS Cancer plan 3 year progress reportwww.dh.gov.uk/assetRoot/04/06/64/40/04066440.pdf
Cancer plan and the new NHS (4th anniversary report)www.dh.gov.uk/assetRoot/04/09/25/37/04092537.pdf
National Audit Office www.nao.org.uk
NAO Reports (2004/2005): Tackling Cancer: Improving the Patient Journeywww.nao.org.uk/publications/nao_reports/04-05/0405288.pdfNHS Cancer Plan: a Progress Report
Tackling Cancer in England, Saving More Lives
www.nao.org.uk/publications/nao_reports/03-04/0304364.pdf
![Page 19: The Cancer Control Programme in England Lindsay Wilkinson Head of Cancer Policy Team – Department of Health (England)](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649e9d5503460f94b9d5ef/html5/thumbnails/19.jpg)
Lindsay Wilkinson
Head of Cancer Policy Team – Department of Health (England)