Northern Cancer Alliance Cancer Evolution – Collaborate to Innovate Friday 27 September 2019 Ramside Hall Hotel, Durham @NorthernCancer #CancerEvolution WiFi is available via a front page screen, no password is required
Sli.do Instructions • Open your internet browser on your mobile device or laptop • Type slido.com in the address bar • Enter the event code #J575 • Type your question to the panel and press Send. You can add your name or submit anonymously.
NHS Cancer Programme – national overview Dan Cariad, Deputy Director • 55,000 more people each year will survive five years or more following diagnosis. • Three in four cancers will be diagnosed at an early stage.
Rapid Diagnostic Centres Over £300 million allocated planning underway – to Cancer Alliances over faster diagnosis and three years better patient experience More people accessed New bowel cancer screening treatment in 2018 than ever test (FIT) rolled out – shown before – including new to increase uptake by 7% treatments such as CAR-T Cancer survival in Over 80 radiotherapy A record 2.2 million England is the machines replaced or cancer checks following upgraded through £130m urgent referral by GP in highest ever Radiotherapy Modernisation 2018 – 14% more than in Programme 2017 10,450 more people who were diagnosed in 2016 survived their cancer for at least one year HPV vaccination age than would have been the case five years extension for girls and before Overall patients rate their extended to boys – will cancer care 8.8 out of ten – 4 | protect against certain the best results ever cancers and reduce incidence
NHS Cancer Programme Cancer Alliance achievements Alliances building their authority and Alliances pathway completion : As of February 2019, percentage of influence in providing clinical, operational • 90% of trusts have implemented the Trusts with at least 1 MDT offering and transformational leadership across timed diagnostic lung pathway LWBC interventions: their geography • 94% of trusts have implemented the 99.3% offer HNA – up from 77% in 2017 timed diagnostic prostate pathway 97.4% offer Care Planning – up from Appointment to new positions in Alliance • 77% of trusts have implemented the 58% in 2017 leadership teams, bringing increased timed diagnostic colorectal pathway leadership capacity and seniority The National Targeted Lung Health Checks Programme will initially run across 10 sites, with results used as the basis for Four Cancer Alliances are piloting the a wider roll out across the country. These Quality of Life metric, working with eight hospital sites across the country. To sites are in parts of the country with the lowest lung cancer survival rates. date, 1,758 cancer patients have completed the questionnaire Approximately 3,400 cancers will be found over four years, many earlier than (response rate 51%) would have done otherwise 5 5 | | NHS Cancer Programme
NHS Cancer Cancer Alliances Programme Cancer Alliances act as the ‘cancer workstream’ of their member STP/ICS(s). Together the Alliance partners lead delivery of improved outcomes and performance for their whole geography. The Cancer Alliance delivers its objectives by: • fostering productive partnerships and establishing robust governance mechanisms to unite these partnerships together; • setting a strategic transformation plan for cancer; • deploying transformation funding in a way that is focused on the whole population; • harnessing data to analyse and improve operational performance and longer-term outcomes; • working closely and collaboratively with the regional NHSE/I offices to maintain a system-wide overview of cancer services. 6 6 | | NHS Cancer Programme
NHS Cancer Programme The Long Term Plan The Long Term Plan Implementation Framework states “ local systems should engage with their Cancer Alliances to set out practically how they will deliver the Long Term Plan commitments for cancer over the next five years including on early diagnosis and survival , while improving operational performance.” The Long Term Plan Ambitions • an extra 55,000 people each year will survive for five years or more following their cancer diagnosis; and • three in four cancers (75%) will be diagnosed at an early stage. 7 7 | | NHS Cancer Programme
Programme How we will get there (Long NHS Cancer Term Plan) Deliver most comprehensive screening programme in the world Ensure equitable and fast access to diagnostic tests and results Provide faster, safer and more precise treatments Offer personalised care for all patients and transform follow-up care Harness the collaboration of academia, the NHS and industry 8 8 | | NHS Cancer Programme
NHS Cancer Programme Earlier and faster diagnosis – progress and next steps • Rapid Diagnostic Centres • 19/20 Specification published in July 2018 • Five year framework due for publication in the Autumn • Faster Diagnosis Standard • 11 Trusts across England are testing the FDS • Reporting against the standard to start from April 2020 • Targeted Lung Health Check Programme • First patients to be seen in October 2019 • Approximately 3,400 cancers will be found over four years • Primary care • The Cancer Programme is working with stakeholders to develop a specification for PCNs on supporting early cancer diagnosis • This will be subject to GP contract negotiations in winter 2019 ahead of implementation in April 2020 9 9 | | NHS Cancer Programme
NHS Cancer Programme Personalised care and support – progress and next steps • Quality of life metric • 2,190 patients completed questionnaires up to August 2019. • Wider launch of model to be launched in 2020. • Personalised stratified follow-up • Handbook to be published • Audit Support Tool to be shared with Alliances • Outpatient algorithm to demonstrate total number of outpatient appointments saved • Q1 data • 72% of trusts nationally are already offering personalised care interventions to people with breast cancer • 46% of trusts are already ensuring that 2/3 of people who finish treatment for breast cancer are on a supported self- managed follow up pathway • 2018 CPES results • Patients have once again given their overall care an average rating of 8.8 10 10 | | NHS Cancer Programme
NHS Cancer Programme Workforce – progress and next steps Delivering the Cancer Workforce Plan • We invested £8.6m in cancer specific workforce activities last year (2018/19) • The size of cancer workforce grew by between 745 and 833 FTE between 2015 and 2017 across six of the key occupations . • Specialist roles identified in the Cancer Workforce Plan: • 200 additional clinical endoscopists by 2021 (in addition to 200 already committed in wave 1) • 300 reporting radiographers by 2021. 150 started or completed training by April 2019. • HEE has supported employers to develop four new apprenticeship standards. 11 11 | | NHS Cancer Programme
NHS Cancer Programme Support from the national team Materials and resources Cancer Alliance webinars + Share & Learns Cancer Alliances Events Cancer Alliance Workspace Patient and Public Engagement 12 12 | | NHS Cancer Programme
NHS Cancer Programme – Quality of Life Metric • 55,000 more people each year will survive five years or more following diagnosis. • Three in four cancers will be diagnosed at an early stage.
NHS Cancer Programme Quality of Life (QoL) outcomes • NHS England is leading the way in cancer care by recognising that QoL outcomes are as important to patients as survival. • Monitoring QoL outcomes will help us understand the impact of cancer and its treatment. • The new metric aims to measure quality of life after a diagnosis of cancer at a scale and depth that is not being matched anywhere else in the world. 14 14 | | Quality of Life metric
NHS Cancer Programme The rationale The LTP Ambition ‘From 2019, we will begin to introduce an innovative quality of life metric…to track and respond to the long-term impact of cancer.’ . The LTP Implementation Framework “local systems should engage with their Cancer Alliances to set out practically how they will deliver the Long Term Plan commitments for cancer over the next five years including … roll out of personalised care interventions, including stratified follow up pathways, to improve quality of life.’ The LTP Implementation Framework Support Offer We will support systems by ‘setting the data collection method and threshold for the national quality of life metric in 2020.’ . 15 15 | | Quality of Life metric
NHS Cancer Programme The QoL metric(s) Inform discussions on Importance of quality of life where to focus effort to outcomes improve the quality of services Prompt improvement discussions at a Cancer Empower patients Alliance, commissioner and provider level 16 16 | | Quality of Life metric
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