National Cancer Agenda

1
National Cancer Agenda

• Jan Chalkley
• Macmillan Cancer and Palliative Care Lead Nurse

2
National Policies and Guidelines

• Calman Hine Report
• Cancer Plan
• Manual of Cancer Services Peer Review
• Cancer Reform Strategy
• Improving Outcomes Guidance
• Improving Outcomes A Strategy for Cancer

3
Impact ?

• MDT working
• CNS workforce
• Supportive and Palliative Care guidance
• - Holistic Needs Assessment
• - User Involvement
• - Patient Information Prescriptions

4
Health Service Reforms

• Parliament Health and Social Care Bill
• Commissioning
• Public Health
• C C Gs
• Networks and Senates
• NHS Improvement

5
Focus on Outcomes

• Reduce premature mortality rates.
• Enhance quality of life for people with long term
  conditions.
• Recovery from episodes of ill health.
• Ensure people have a positive experience of care.
• Protecting people from harm.

6
Prevention and Early Diagnosis

• Public Health.
• Primary Care prevention ie. smoking cessation
• HPV vaccination service.
• Cancer Screening Programmes, including QA.
• Targeted campaigns to raise public awareness of
  symptoms and to encourage early presentation.
• Cancer Registries.

7
Early Diagnosis

• GPs role.
• A risk assessment tool to support GPs is being
  developed.
• GPs better access to diagnostic tests eg. CXR,
  Ultrasound, Endoscopy, MRI.
• Guidelines to be developed.

8
Quality of Life andPatient Experience

• Advanced Communication Skills Training (ACST).
• Information Prescriptions.
• National Cancer Survivorship Initiative.
• Cancer Patient Experience Survey.

9
Quality of Life andPatient Experience cont/.

• Results of Survey will be used to incentivise
  improvements.
• Patient Related Outcome Measures (PROMs) will be
  piloted for cancer.
• New tariffs will be developed to incentivise
  better aftercare for cancer patients.

10
Better Treatment (1)

• Surgery better techniques, variations in
  intervention rates especially in older people.
• Radiotherapy investment to expand capacity.

11
Better Treatment (2)

• Implementation of NCAG Report
• - quality and safety for chemotherapy delivery
• - acute oncology services
• - improve chemotherapy data
• - Cancer Drugs Fund.

12
In-patient Stays /Emergency Admissions

• Most cancer patients do not want to be admitted
  to hospital.
• Scope to reduce in-patient admissions and length
  of stay.
• Enhanced recovery.
• This could save over 200m per annum.

13
Supporting Quality Services

• Ongoing commitment to multi-disciplinary working.
• Cancer Peer Review provides important quality.
• National Clinical Audits to be maintained.

14
National Cancer Survivorship Initiative

• Promoting recovery
• risk stratification
• treatment summaries/care plans
• rehabilitation and exercise programmes
• work and finance
• Sustaining recovery
• self management programmes
• alternatives to routine follow up ie. remote
  monitoring
• Consequences of treatment
• late effects

15
Acute Oncology

• Toxicities of treatment.
• Complications of cancer.
• Cancer of Unknown Primary (CUP).
• emerging models
• peer review measures.

16
Summary

• Strategy builds on previous guidance
• Ambitious and quantifies lives to be saved.
• Information, choice, stronger commissioning, new
  incentives/tariffs will be critical for delivery.
• Existing expertise will be critical to success,
  but with new ways of working.

17
Thank You

• A busy future for Cancer Services with numerous
  challenges and developments.