![Page 1: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/1.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
Caroline BrookAssistant Director – Strategic Policy and Information
Northern and Yorkshire Cancer Registry and Information Service(NYCRIS)
Cancer Mortality Ratesin the under 75s
- An overview of the position within the North East and Yorkshire and the Humber
![Page 2: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/2.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
![Page 3: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/3.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• ~9,000 cancer deaths in the under 75s per year across the three cancer networks (based on 2007)
• This has reduced in absolute numbers by 13.7% between 1996 and 2007
• However, the under 75s population has also reduced between 1996 and 2006 (-0.36 YCN, -0.88 HYC, -1.27 NECN)
Key facts
![Page 4: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/4.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
Key facts• Lung, Colorectal, Breast and Prostate
account for almost 50% of all cancer deaths.
• Mortality rates for prostate – often erratic and difficult to interpret.
• Changing profile of cancer deaths across 5 year age bands.
![Page 5: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/5.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
Cancer mortality rates-All cancers exc. non-melanoma skinBy 5 year age groups
![Page 6: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/6.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
NHS North East
0
25
50
75
100
125
150
175
200
1995
-97
1996
-98
1997
-99
1998
-00
1999
-01
2000
-02
2001
-03
2002
-04
2003
-05
2004
-06
2005
-07
AS
R p
er 1
00,0
00 p
op
ulat
ion
NE SHA - All Cancers (excl nmsc) Under 75 Mortality Rate
Persons Target
• Overall reduction to 2005-2007 = -19.5%
![Page 7: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/7.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• Site-specific reduction in cancer mortalityColorectal = -28.9% Lung = -23.8%Breast (f) = -23.0% Prostate = +0.3%
NHS North East
NE SHA - Lung Cancer Under 75 Mortality RateMale and Female England comparison
0
10
20
30
40
50
60
70
1995
-97
1996
-98
1997
-99
1998
-00
1999
-01
2000
-02
2001
-03
2002
-04
2003
-05
2004
-06
2005
-07
AS
R p
er 1
00,0
00 p
opul
atio
n
NE SHA Males NE SHA Females England Males England Females
![Page 8: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/8.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
NHS Yorkshire and the Humber
• Overall reduction to 2005-2007 = -17.7%
020406080
100120140160180
1995
-97
1996
-98
1997
-99
1998
-00
1999
-01
2000
-02
2001
-03
2002
-04
2003
-05
2004
-06
2005
-07
AS
R p
er 1
00,0
00
Y&H SHA, all cancers excl nmsc mortality, under 75 years
Persons Persons target
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Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• Site-specific reduction in cancer mortalityColorectal = -28.6% Lung = -20.4%Breast (f) = -22.0% Prostate = -13.3%
NHS Yorkshire and the Humber
![Page 10: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/10.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
NHS Rotherham
• Site-specific reduction in cancer mortalityColorectal = -46.8% Lung = -22.3%Breast (f) = -43.4% Prostate = -9.3%
• OverallReduction= -19.4%
![Page 11: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/11.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• ReductionIn inequalityGap = -33.2%
• However...Males = +53.8%Females = -81.7%
![Page 12: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/12.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
NHS Barnsley
• Site-specific reduction in cancer mortalityColorectal = -45.2% Lung = -13.3%Breast (f) = -25.3% Prostate = -45.7%
• OverallReduction= -14.7%(targetnot met)
![Page 13: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/13.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• ReductionIn inequalityGap = +8.7%
• However...Males = -28.4%Females = +71.8%
![Page 14: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/14.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
NHS Doncaster
• Site-specific reduction in cancer mortalityColorectal = -29.2% Lung = -28.0%Breast (f) = -30.4% Prostate = -9.2%
• OverallReduction= -18.7%
![Page 15: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/15.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• ReductionIn inequalityGap = -32.3 %
• Unlike other South Yorks PCTsMales = -14.7%Females = -70.3%
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Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
NHS Sheffield
• Site-specific reduction in cancer mortalityColorectal = -36.2% Lung = -18.8%Breast (f) = -20.3% Prostate = -18.7%
• OverallReduction= -20.8%(targetmet)
![Page 17: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/17.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
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Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
0
25
50
75
100
125
150
175
200
1995-9
7
1996-9
8
1997-9
9
1998-0
0
1999-0
1
2000-0
2
2001-0
3
2002-0
4
2003-0
5
2004-0
6
2005-0
7
AS
R p
er 1
00,0
00
Year
HYC, all cancers excl nmsc mortality, under 75 yearsTrend in relation to PSA target
Humber and Yorkshire Coast Cancer Network (HYCCN)
• OverallReduction= -17.9%
• Site-specific reduction in cancer mortalityColorectal = -24.3% Lung = -16.7%Breast (f) = -20.2% Prostate = -15.3%
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Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• Network performed well across the board with the network and all PCTs having either achieved the target to date or having a rate not significantly different from the target.
• Key issues are around more recent increasing trends and increased awareness and monitoring of these.
HYCCN Key facts
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Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
HYCCN PCTs - Colorectal
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Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
HYCCN PCTs - Lung
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Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
0
10
20
30
40
50
60
1995-1
997
1995-1
998
1997-1
999
1998-2
000
1999-2
001
2000-2
002
2001-2
003
2002-2
004
2003-2
005
2004-2
006
2005-2
007
PCT mortality trends, with England comparator Lung cancer
North East Lincolnshire North Lincolnshire North Yorkshire and York
East Riding of Yorkshire Hull England
HYCCNLung cancer mortality rates
![Page 23: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/23.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
HYCCN PCTs - Breast
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Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• Reductionin inequalitygap = -58.4 %
• Males = -73.5%Females = -31.0%
![Page 25: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/25.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• Reductionin inequalitygap = -13.7 %
• However...Males = -28.2%Females = +13.5%
![Page 26: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/26.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• North of England Cancer Network• Catherine Murdoch
• Yorkshire Cancer Network• Sarah Cuthbertson
![Page 27: Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern](https://reader035.vdocuments.site/reader035/viewer/2022062802/56649ea95503460f94bad4d2/html5/thumbnails/27.jpg)
Northern & YorkshireCancer Registry & Information Service
NHS
27 July 2009
• All 3 cancer networks and both SHAs doing well overall towards the 2010 target.
• Position is more variable when looking at gender and specific cancer sites.
• Recent changes in trends pose questions in relation to value of projections, local target setting and possible local actions required.
To conclude