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CCN Equity Programme What we have done well 2008 – 2012 • Engaged with communities/stakeholders/networks • Contributed to/Led community development/health promotion • Contributed to the development of National and Regional Maori and Pacific Leadership groups • Disseminated information • 2011 Inequalities Project Forum • Building capacity in community stakeholders, planning , reporting, evaluation of projects • Completed submissions re: reducing inequalities in cancer • Applied HEAT lens for service planning and development • Funded/Supported Local Cancer Network Inequalities Projects CCN Local Cancer Networks Inequalities Projects 2012 • Whanganui LCN Huarahi Whakamana - Pathway to Strength - Cancer Journey Project 2011-2012 • Midcentral LCN “See me as a whole, I am more than my cancer” Te whare tapa wha, a holistic model of well being. • Taranaki LCN Mäori Cancer Navigator Project • Wellington, Hutt Valley, Porirua-Kapiti Demystifying Cancer Workshop Series • Hawkes Bay LCN Kaupapa Tane ; Mens Wellness Project (current) The uneven playing field: ethnic inequalities in cancer outcomes Associate Professor Diana Sarfati Inequalities in Cancer The brief Summary: • Mäori 18% more likely to be diagnosed with cancer but nearly twice as likely to die from it. • Cancer specific survival is lower for Mäori than non-Mäori for most cancers • There is good evidence that at least some of this difference in survival is due to health service factors Associate Professor Diana Sarfati Where to from here? How do health systems address inequalities? System factors •Resourcing and location of cancer services •Focus of cancer services (structure, organisation delivery of services reflected Pakeha world view) •Composition of cancer service workforce Regional factors •Improve access to specialists in rural areas •Increase support for patients and whanau travelling to cancer services •Specialist support for local clinicians •Coordination of case management through cancer care pathway Clinical factors •Optimise treatment of those with co morbidity •Evaluation of patient management against clinical guidelines/audit in peer review context •Training in ‘cultural safety’ Associate Professor Diana Sarfati 2013 Proposed Activities 2013/2014 Proposed Activities • Develop an Equity Action Plan alongside MOH, RCNs, DHB’s and Maori Cancer Leadership Aotearoa • Implement a programme/s to target gaps identified in service delivery • Contribute to the National Mäori Cancer Symposium 2014 • Cancer Programme Equity Analysis and Priority Area Implementation plan Next Steps: • • • • Discussion with Key Stakeholders Discussion on Agenda at LCN meetings Draft Equity Plan disseminated Feedback requested Contact: C Wrathall [email protected] Ph: 06 350 8804 Mob: 027 455 4047