Slide 1 London Cancer – Our Objectives London Cancer is committed to improving cancer survival rates and patient experience, and optimising the quality of life of people living with and beyond cancer. Our objectives • Improve early diagnosis of cancer • Improve patient experience • Improve the whole patient pathway Achieving the above will lead to improved ‘value’ for the health care system London Cancer is now being taken forward as part of the UCLH-led Cancer Vanguard
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Slide 1
London Cancer – Our Objectives
London Cancer is committed to improving cancer survival rates and patient experience, and optimising the quality of life of people living with and beyond cancer.
Our objectives
• Improve early diagnosis of cancer
• Improve patient experience
• Improve the whole patient pathway
Achieving the above will lead to improved ‘value’ for the health care system
London Cancer is now being taken forward as part of the UCLH-led Cancer
Vanguard
Slide 2
Why we need to change - cancer
• RISING PREVALENCE OF CANCER: 1 in 2 will get cancer in our lifetimes
• high rates of modifiable lifestyle factors that affect cancer risk in Londoners
• OUTCOMES: UK cancer survival rates are worse than commensurate
countries, and many London CCGs are worse than England average
• Cancers are diagnosed at a later stage in UK generally and in London vs England
• too much variation with some current services not meeting national standards for care
and unequal access to latest technologies and trials
• PATIENT EXPERIENCE: Londoners report worse cancer patient experience
than in many parts of England
• Care is too fragmented, with few providers able to offer 24/7 expert care and advice
• Higher proportion of cancers diagnosed through an emergency presentation in London.
• UNSUSTAINABLE COSTS & DEMAND:
• costs rising at 9% pa, urgent GP referrals increasing at 3% per quarter
Slide 3
Data from Independent Cancer Task Force Strategy for England
Slide 4Numbers of cancer survivors are increasing and many have other LTCs and some have long term side effects of their cancer treatment
Data from Independent Cancer Task Force Strategy for England
Prevalence of childhood obesity by London borough
Source: London The Information Capital, James Chesire & Oliver Uberti, Particular Books, London, 2014
One year survival trends all cancers by CCG
57
59
61
63
65
67
69
71
73
75
2007 2008 2009 2010 2011 2012
1 Y
ear
Surv
ival
1 year survival for all cancers combined (ages 15-99 yrs), by CCG
Barking and Dagenham
Barnet
Camden
City and Hackney
Enfield
Haringey
Havering
Islington
Newham
Redbridge
Tower Hamlets
Waltham Forest
West Essex
England
Slide 7
The Problem
Cancer survival rates in the UK are behind many of our European Counterparts.
Reasons include:• Late diagnosis • Variation in treatment
London has much higher rates of emergency presentations than the rest of England.
Most Recent Data (For Chart)
CCG
2012 Jul-
Dec
NHS West Essex CCG 17.2
NHS Enfield CCG 19.4
NHS Islington CCG 19.8
NHS Camden CCG 19.9
NHS Haringey CCG 20
NHS Barnet CCG 21.2
NHS Waltham Forest CCG 21.5
NHS Redbridge CCG 21.9
NHS City and Hackney CCG 24.4
NHS Havering CCG 25
NHS Tower Hamlets CCG 27.8
NHS Newham CCG 28.6
NHS Barking and Dagenham CCG 29.2
Source: Interpretation:
Cancer Commissioning Toolkit (www.cancertoolkit.co.uk) Increased rate suggests potential GP access issues, however local review should take into account casemix