East on the Move Conference Tuesday 30th June, 2015 Jo Foster Physical Activity Programme Lead Sarah Worbey Physical Activity Integration Manager physicalactivity@macmillan.org.uk @MacMoveMore
Two million of the 2.5 million UK’s cancer population live in England 1.Maddams J, Utley M, Møller H. Projections of cancer prevalence in the United Kingdom, 2010-2040. Br J Cancer. 2012.107:1195-1202. (Projections scenario 1) 2.The UK 2012 incidence rates for five-year age groups.
Half of people with cancer may live more than ten years after their diagnosis Total Prevalence - now Total Prevalence - 2030 Maddams J, Utley M, Moller H. Projections of cancer prevalence in the United Kingdom, 2010-2040. Br J Cancer. 2012. 107: 1195-1202.
Surviving cancer does not necessarily mean living well 3 in 4 people living with cancer are in the survivorship stage 1 1 in 4 of them deal with consequences of their treatment 2 1 in 5 of cancer survivors may have unmet needs 3 1.Maher J and McConnell H. New pathways of care for cancer survivors: adding the numbers. Br J Cancer. 2011. 105: S5-S10 2.Macmillan Cancer Support. Throwing light on the consequences of cancer and its treatment. 2013. London 3.Armes J et al. Patients ’ supportive care needs beyond the end of treatment: A prospective, longitudinal survey. Journal of Clinical Oncology.2009. 27:36 6172-6179
Significant numbers struggle with the consequences of treatment years after diagnosis 90,000 150,000 Bowel dysfunction 350,000 Bladder dysfunction 350,000 Sexual difficulties 200,000 Fatigue <63,000 Pain >80,000 Lymphoedema Hormonal symptoms 6
Cancer affects all areas of people’s lives 23% Loneliness 1 Financial needs 2 83% 1.Macmillan Cancer Support. Facing the fight alone. Isolation among cancer patients. 2013. London 2.Macmillan Cancer Support. Hidden at home. 2015. London 3.De Boer et al. Cancer survivors and unemployment: a meta-analysis and meta-regression. JAMA. 2009. 301: 753-762
Carers also have significant unmet needs 15
Pressures on clinical and social care systems will increasingly be shaped by co-morbidities Scottish School of Primary Care ’ s Multimorbidity Research Programme. Multimorbidity in Scotland . 2012.
Seven in ten people with cancer have at least one other long term condition – that’s 1.8 million people No long-term conditions (LTCs) 1 LTC 0.6M 2 LTCs 0.5M 3+ LTCs Mid-2014 1.8M Macmillan Cancer Support. Cancer in the context of other long-term conditions. Scoping evidence review and secondary data analysis . 2015.
Cancer often co-exists with a wide range of other conditions Hypertension 42% Obesity 31% Mental health issues 21% People living with cancer in the UK in mid-2014 Chronic Heart Disease 19% Chronic Kidney Disease Arthritis Diabetes 17% 16% 14% Macmillan Cancer Support. Cancer in the context of other long-term conditions. Scoping evidence review and secondary data analysis . 2015.
By 2030 the number of people with cancer and at least one other LTC will increase by around 1 million 0.9 M 0.8 M 1 LTC 0.6 M 2 LTCs 0.5 M 1.3 M 3+ LTCs 0.7 M Mid-2014 2030 Macmillan Cancer Support. Cancer in the context of other long-term conditions. Scoping evidence review and secondary data analysis . 2015.
Different people will need different levels of support Estimated Estimated prevalence incidence Relative five-year survival Organ confined prostate T esticular Kidney - Stage 1 Do well Localised or regional breast cancer 1,170,000 127,000 Cervix - Stage 1 56% Melanoma of skin 38% Uterus - Stage 1 Hodgkin lymphoma Colorectal - Dukes A and B Non-Hodgkin lymphoma 460,000 70,000 Bladder 21% 22% Uterus - Stage 2-4 Kidney - Stage 2-4 Colorectal - Dukes C Intermediate Ovary Myeloma Cervix - Stage 2-4 Metastatic prostate Distant breast cancer Brain 95,000 Stomach 180,000 29% Oesophagus Poor 9% Lung health Liver Mesothelioma Colorectal - Dukes D Pancreas 0% 100% McConnell H, White R, Maher J. Understanding variations: Outcomes for people diagnosed with cancer and implications for service provision . 2014. European Network of Cancer Registries Scientific Meeting and General Assembly
We know what good looks like
There are some simple solutions Macmillan Cancer Support. 2011. The importance of physical activity for people living with and beyond cancer: A concise evidence review
• Went live January 2015 • Lincolnshire Sport are the host organisation • Countywide service • Embedded within the existing physical activity offer across Lincolnshire
• Close working relationship between partners • Increasing the ‘menu’ of activities available to people on the project • Contacts with NGB’s • Raising awareness/profile of programme across BME groups
physicalactivity@macmillan.org.uk @MacMoveMore
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