Getting it right: Approaches to promoting earlier diagnosis of cancer The national perspective

Transcription

1 Getting it right: Approaches to promoting earlier diagnosis of cancer The national perspective

2 Housekeeping Toilets Fire alarm Tea and Coffee Wifi: MSE-meeting rooms Password: mselondon Twitter - #gettingitright

3 Agenda Welcome and introductions Cancer aspirations within the Strategic Transformation Plans National/media campaigns Approaches to promoting earlier diagnosis Tea break Table discussions Closing remarks

4 Table discussions at How can we focus on campaigns that are sustainable and replicable? 2. How can we use utilise existing resources? 3. What should the sector focus on in 17/18?

5 Purpose of today Sharing and learning of initiatives that have been delivered across the country Providing a source of information (brochure and website) to start discussions about further work that can be developed locally Consider ways that existing resources can be utilised to promote cancer awareness

6 National Cancer Vanguard The National Cancer Vanguard is a partnership between The Royal Marsden Partners, Greater Manchester Cancer and UCLH Cancer Collaborative The goal: Working together to improve cancer pathways, increase earlier diagnosis and standardise high quality care

7 UCLH Cancer Collaborative Collaboration and system leadership: aims to take a step change approach to shared workforce, capacity, capability and financial understanding across the sector to drive best practice, efficiencies and improve patient experience

8 Impact of the work Patients will have better outcome and experience faster diagnosis, started treatment earlier, improved quality of life have follow up with GPs and are supported in their community Scalability the following are all scalable nationally The Integrated cancer system with pathway boards Franchises Quality kite marks Innovative early diagnostic models Integrated diagnostic ICT system

9 Earlier Diagnosis workstream There is a strong case for earlier diagnosis of cancer to improve survival outcomes and patient experience, especially given the UK s comparatively poor performance in this area compared to other developed countries. Several projects of work within the UCLH Cancer Collaborative workstream including a lung health check and low dose CT programme, multi-disciplinary centres, qfit pilot, straight to test, endoscopy efficiency, bowel scope and an education and awareness programmes

10 Cancer in our sector one year survival Source: ONS and London School of Hygiene and Tropical Medicine

11 Cancer diagnosis by stage Lung cancer has the highest proportion of stages 3 and 4 cancer, and melanoma of skin (followed by breast cancer) have the highest proportion of stages 1 and 2 Source: CancerStats, PHE

12 Thank you May I now welcome Kathy Pritchard Jones

13 Cancer aspirations within the STPs UCLH Cancer Collaborative covers 3 STPs North East London North Central London Hertfordshire and West Essex

14 Cancer themes within the STPs Prevention Smoking cessation & obesity Earlier Diagnosis - deliverables Implementing NICE referral guidelines GP direct access to investigate tests for suspected cancer Innovative tests (qfit) Multidisciplinary Diagnostic Centres (MDCs) Lung health check

15 Earlier Diagnosis vanguard projects Save lives in lung cancer through introduction of lung health check & low-dose CT scan for asymptomatic people at high-risk of lung cancer Accelerate introduction of Bowel Scope - the new colorectal cancer screening test - by working as a system to improve capacity Improve testing for suspected bowel cancer by GP s by: Introduce a more sensitive test for blood in poo (quantitative FIT) Triage Straight to Test for colonoscopy to improve pathway Expand the Multidisciplinary Diagnostic Centre (MDC) concept that provides rapid diagnostic testing of people with vague symptoms to more sites and more symptoms

16 London Cancer conducted an A&E audit of 953 patients across 12 A&E depts over 9 months in One third of emergency presentations of colorectal cancer were in people under 60 years of age (below national screening age). A Primary Care root cause analysis of 138 patients showed: 78% of patients had one or more co-morbidities 63% of patients had seen their GP for the same problem prior to A&E. Over half of these patients deteriorated whilst waiting for tests. Highlighted complexity of patient pathway to A&E and poor access of GP s to rapid diagnostics and expert advice Overall, only 36% alive at 1yr : 1yr survival rates were half those of patients presenting through a managed referral route for colorectal cancer* A&E Audit Key Findings 35% 30% 25% 20% 15% 10% 5% 0% Cancers most commonly identified by emergency presentation

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19 Earlier Diagnostics aims Cancers diagnosed at an earlier stage Reduce diagnoses in A&E Improve patient experience Improve survival Improve efficiencies of local healthcare system

20 Thank you

21 National / Media Campaigns

22 #Smear for Smear Social media campaign to promote cervical cancer screening Encourages people to post a lipstick smeared selfie on social media Launched in 2015 and reached over 150 million people in 35 different countries

23 #Get It Off Your Chest Media campaign focusing on breast cancer Raises awareness of signs and symptoms of breast cancer amongst young people Video about signs and symptoms produced and distributed

24 Be Clear on Cancer National campaign led by PHE, CRUK, DoH and NHSE Aim to raise public awareness of signs and symptoms of cancer and encourage people to see their GP without delay Previous campaigns: Blood in pee, Bowel cancer, Breast cancer in women over 70, lung cancer and Know for Sure

25 Movember and Decembeard Movember focus on helping to change the face of men s health around prostate and testicular cancer as well as mental health Decembeard focuses on raising awareness of bowel cancer

26 Moving onto the 20 Approaches to promoting earlier diagnosis