linda devereux associate director merseyside and cheshire cancer network - why we are here and...
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Linda Devereux
Associate Director
Merseyside and Cheshire Cancer Network
- why we are here and what’s next!
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
PrimaryCare
SecondaryCare Tertiary Care
General Practitioner
DistrictGeneral Hospital
SpecialistTreatment
Centre
Aftercareand
Support
Cancer Patient pathway
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) Breast (1733)Gynaecological (563) Haematological (792)Head & Neck (423) Lower GI (1286)Lung (1690) Malignant Melanoma (366)Other (406) Sarcoma (82)Upper GI (1082) 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
Lead Clinicians
Clinical Network Groups
X 26
LocalitiesX 5
Network Managers
Network Board Lead Nurses
and AHPs
Development and Implementation of Cancer Strategy
Transformation of services
• 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
• 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
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