northern & yorkshire cancer registry & information service nhs 27 july 2009 caroline brook...

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


NHS

27 July 2009


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


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.


NHS

27 July 2009

Cancer mortality rates-All cancers exc. non-melanoma skinBy 5 year age groups


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%


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


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


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


NHS

27 July 2009

NHS Rotherham


• OverallReduction= -19.4%


NHS

27 July 2009

• ReductionIn inequalityGap = -33.2%

• However...Males = +53.8%Females = -81.7%


NHS

27 July 2009

NHS Barnsley


• OverallReduction= -14.7%(targetnot met)


NHS

27 July 2009

• ReductionIn inequalityGap = +8.7%

• However...Males = -28.4%Females = +71.8%


NHS

27 July 2009

NHS Doncaster




NHS

27 July 2009

• ReductionIn inequalityGap = -32.3 %

• Unlike other South Yorks PCTsMales = -14.7%Females = -70.3%


NHS

27 July 2009

NHS Sheffield


• OverallReduction= -20.8%(targetmet)


NHS

27 July 2009


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)




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


NHS

27 July 2009

HYCCN PCTs - Colorectal


NHS

27 July 2009

HYCCN PCTs - Lung


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


NHS

27 July 2009

HYCCN PCTs - Breast


NHS

27 July 2009

• Reductionin inequalitygap = -58.4 %

• Males = -73.5%Females = -31.0%


NHS

27 July 2009

• Reductionin inequalitygap = -13.7 %

• However...Males = -28.2%Females = +13.5%


NHS

27 July 2009

• North of England Cancer Network• Catherine Murdoch

• Yorkshire Cancer Network• Sarah Cuthbertson


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

northern & yorkshire cancer registry & information service nhs 27 july 2009 caroline brook...

Documents