Transcript why we are here and what`s next! - Cheshire & Merseyside Strategic

Merseyside and Cheshire Cancer Network
- why we are here and what’s next!
Linda Devereux
Associate Director
Challenge of cancer – national context
• Major cause of concern to the public
• Every year over 200,000 people in England will
be diagnosed with cancer
• Cancer is the biggest killer with 125,000 people
dying each year
• Many more people are now living with cancer
National priorities
Need to address variation in life expectancy
Need to reduce deaths from cancer
Need for investment to improve survival rates
Need to improve access and end the ‘postcode lottery’
National Policy - 2000
Improving
• Prevention
• Screening
• Cancer services in the community
• Treatment and care
Cutting waiting times
Investing in staff and facilities
Future plans – research and genetics
Cancer Patient pathway
Primary
Care
General
Practitioner
Secondary
Care
District
General
Hospital
Specialist
Treatment
Centre
Tertiary Care
Aftercare
and
Support
Cancer Networks – The Benefits
• Opportunity to collaborate and share best practice
• Improved communication and standardisation
• Ensuring patients have the equal access to the best
possible care and treatment across the network
• Coordinated across a patient pathways rather than
formal organisational boundaries
• Opportunities for patient and user involvement
• 12 Hospital Trusts
• 7 Primary Care Trusts
• plus Isle of Man and
parts of North Wales
• 2.3 m population
• Established in 2000
New cases of cancer - MCCN
New cases of cancer within Merseyside and Cheshire Network (2006)
Data source: National Cancer Intelligence Service
Brain/CNS (161)
Gynaecological (563)
Head & Neck (423)
Lung (1690)
Other (406)
Upper GI (1082)
Breast (1733)
Haematological (792)
Lower GI (1286)
Malignant Melanoma (366)
Sarcoma (82)
Urological (1912)
Challenge of cancer – Merseyside and Cheshire
• Over 10,000 new cases diagnosed every year
• For the biggest single group – lung cancer – our rates
are 18% higher that the national average
• Death rates are also higher – 5,500 people die each year
from cancer.
• We have the worst mortality rates in the country – 21%
higher than England
Partnership working
Network Board
Lead
Clinicians
Lead
Nurses
and
AHPs
Development and
Implementation of
Cancer Strategy
Clinical Network
Groups
X 26
Network
Managers
Localities
X5
Transformation of services
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Multi-disciplinary teams formed to manage every cancer patient
Clinical expertise concentrated into specialist teams
Better treatment – surgery, radiotherapy, chemotherapy
Challenging waiting times targets achieved
Development of screening programmes
Emphasis on addressing health inequalities that exist through earlier
detection and prevention
• Significant contribution made by patients, carers, volunteers and
staff
Contrasting pathways - then and now..
Cancer Reform Strategy – challenges and
opportunities
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Incidence of cancer is increasing as people live
longer
More people are alive having survived cancer
Scientific understanding is improving greatly
New opportunities for early diagnosis
New treatments in the pipeline
Potential to introduce new service models to
improve convenience and outcomes for patients
Building for the future
• Bringing services closer to patients’ homes
• New models of services eg changing inpatient
management
• Development of a comprehensive cancer centre
• Increasing incidence but new targetted therapies
• New technologies
• Needs of patients surviving their cancer and living
longer
• Patient involvement critical as we deal with these
challenges
Building for the future
New cases of cancer set to rise
• Ageing population, obesity
More people will survive and live longer
• Need for different kinds of support and care
Better knowledge of how to prevent, diagnose and treat cancer
• Advances in medical technology
Need for greater effectiveness and efficiency
Patient and public involvement is critical