Macmillan Cancer Relief a bit of history

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Macmillan Cancer Relief a bit of history
1924
Founded 1911
1989
1997
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How Macmillan has grown

• 2003 Macmillans annual income 98.8 million
• Charitable expenditure 52.5 million
• Macmillan health professionals 3,199
• - about 2000 nurses
• - about 400 doctors

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Macmillans regions and nations
Scotland
1

• OSNI
• EMNE
• CSWEW
• LASER

Edinburgh
1
Belfast
2
York
Northern Ireland
Wales
3
4
London
Cowbridge
Andover
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How Do you get to be a Mac Doc ?

• Macmillan gives 3 years salary of a consultant
• Macmillan buys 1 3 days of senior doctors
• Macmillan supports a training programme
  (specialist registrar scheme)

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The Macmillan GP Story

• 1991 6 GP Facilitators
• 1999 5 GP Advisors
• 2003 - GSF 10 UK Practices
• - 400 PCO Leads
• - Macmillan Out of Hours Report
• - 400 Macmillan Doctors

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What do Mac GPFs do?

• Ordinary Gps most of the time
• Macmillan provides Protected Time
• Identify problems and test solutions
• Influence their colleagues
• Share with other Mac Docs

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You start with one or two .
Duncan Leith Kavi Sharma
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And then you get a gang

• Ivan Cox, Jane Maher, Keri Thomas, David
  Millar, Greg Tanner

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And then it takes off
Mac GP Gang annual gathering
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The ripple-effect of a few influential people..
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Its like dropping a pebble in a pond
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A Macmillan GP costs the same as a Macmillan nurse
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How do you know its made a difference?

• Capture Stories
• Changes in Process Measures
• Experimental Studies