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Join us at the Trainers' Workshop on Early Diagnosis for GP Trainers to learn about the importance of early cancer diagnosis. Dr. Richard Roope, a Cancer Clinical Champion, will discuss the impact of early diagnosis on cancer survival rates.
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West MidlandsTrainers’ Workshop Yarnfield Park Training and Conference Centre Yarnfield, Stone, ST15 0NL 18th January 2018 Dr Richard Roope RCGP and Cancer Research UK Cancer Clinical Champion Senior Clinical Advisor Cancer Research UK
Trainers’ Workshop Early Diagnosis for GP trainers
Trainers’ Workshop Early Diagnosis for GP trainers What are we there for?
Trainers’ Workshop Early Diagnosis for GP trainers What are we there for?
Trainers’ Workshop Early Diagnosis for GP trainers What are we there for?
Trainers’ Workshop Early Diagnosis for GP trainers What are we there for?
Trainers’ Workshop Early Diagnosis for GP trainers What are we there for?
Why is early diagnosis important? Trainers’ Workshop
Why is early diagnosis important? Trainers’ Workshop
Why is early diagnosis important? Trainers’ Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/breast-cancer/survival#heading-Three (last accessed 3.11.17)
Why is early diagnosis important? Trainers’ Workshop
Why is early diagnosis important? Trainers’ Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/prostate-cancer/survival#heading-Two (last accessed 3.11.17)
Why is early diagnosis important? Trainers’ Workshop
Why is early diagnosis important? Trainers’ Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/bowel-cancer/survival#heading-Three (last accessed 3.11.17)
Why is early diagnosis important? Trainers’ Workshop
Why is early diagnosis important? Trainers’ Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/lung-cancer/survival#heading-Three (last accessed 3.11.17)
Why is early diagnosis important? Trainers’ Workshop
Why is early diagnosis important? Trainers’ Workshop All Cancers www.cancerresearchuk.org/health-professional/cancer-statistics/incidence/all-cancers-combined#heading-Two (last accessed 3.11.17)
Why is early diagnosis important? Trainers’ Workshop All Cancers Stage Shift www.cancerresearchuk.org/health-professional/cancer-statistics/incidence/all-cancers-combined#heading-Two (last accessed 3.11.17)
Minimum increased 5 year survival with 10% increase in stages 1 & 2 Trainers’ Workshop https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/388160/fourth_annual_report.pdf (last accessed 3.11.17)
Why is early diagnosis important? • Cost Trainers’ Workshop
Why is early diagnosis important? Trainers’ Workshop http://www.cancerresearchuk.org/sites/default/files/saving_lives_averting_costs.pdf
Why is early diagnosis important? Trainers’ Workshop ↓72.8% ↓62.7% ↓64.9% ↓38.9% http://www.cancerresearchuk.org/sites/default/files/saving_lives_averting_costs.pdf
How have we done? Trainers’ Workshop
Cancer – where have we come from? January 2011 - Improving Outcomes: A Strategy for Cancer
How have we done? Trainers’ Workshop Avoidable deaths pa if survival in England matched the best in Europe Breast ~2000 Myeloma 250 Colorectal ~1700 Endometrial 250 Lung ~1300 Leukaemia 240 Oesophagogastric 950 Brain 225 Kidney ~700 Melanoma 190 Ovary ~500 Cervix 180 NHL/HD 370 Oral/Larynx 170 Bladder 290 Pancreas 75
How have we done? Trainers’ Workshop
How have we done? Trainers’ Workshop
How have we done? Trainers’ Workshop • Research stream • Primary Care Engagement • Input to Cancer Network and SCNs • RCGP Education Events • etc
How have we done? Trainers’ Workshop
How have we done? Trainers’ Workshop https://fingertips.phe.org.uk/profile/cancerservices
How have we done? Trainers’ Workshop https://fingertips.phe.org.uk/profile/cancerservices (last accessed 21.1.17)
How have we done? Trainers’ Workshop http://www.ncin.org.uk/publications/routes_to_diagnosis (last accessed 13.1.18)
How have we done? Trainers’ Workshop ↑66.0% ↓1.2% ↑77.8% http://www.ncin.org.uk/publications/routes_to_diagnosis (last accessed 7.11.17)
Trainers’ Workshop NHS Stafford and Surrounds CCG – Cancer Emergency Admissions
Trainers’ Workshop NHS Stafford and Surrounds CCG – Cancer Emergency Admissions http://www.ncin.org.uk/cancer_type_and_topic_specific_work/topic_specific_work/cancer_outcome_metrics(last accessed 13.1.18)
Trainers’ Workshop NHS Stafford and Surrounds CCG – Cancer stage at presentation
Trainers’ Workshop NHS Stafford and Surrounds CCG – Cancer stage at presentation http://www.ncin.org.uk/cancer_type_and_topic_specific_work/topic_specific_work/cancer_outcome_metrics(last accessed 13.1.18)
Trainers’ Workshop PHE Press release 16.9.15: “Cancers are being diagnosed earlier in England” https://www.gov.uk/government/news/cancers-are-being-diagnosed-earlier-in-england (last accessed 21.1.17)
However compared to Europe? Trainers’ Workshop
However compared to Europe? Trainers’ Workshop http://scienceblog.cancerresearchuk.org/2015/08/05/cancer-survival-in-england-is-improving-but-still-lagging-behind-similar-countries/
However compared to Europe? Trainers’ Workshop http://scienceblog.cancerresearchuk.org/2015/08/05/cancer-survival-in-england-is-improving-but-still-lagging-behind-similar-countries/
Why do we lag behind other Health Systems? Trainers’ Workshop
Why do we lag behind other Health Systems? • International Cancer Benchmarking Partnership • As gatekeepers – the gate needs to be wider • Outcomes closely linked to “readiness to act” • Patients fear wasting GP time Trainers’ Workshop Differences in cancer awareness and beliefs between Australia, Canada, Denmark, Norway, Sweden and the UK (the International Cancer Benchmarking Partnership): do they contribute to differences in cancer survival? British Journal of Cancer (2013) 108, 292–300. doi:10.1038/bjc.2012.542 (last accessed 3.11.17)
Trainers’ Workshop Gate openers…
Cancer Strategy 2015-2020 has three core aims: • Save thousands more lives • Transform patient experience and quality of life • Invest now to save later Trainers’ Workshop www.cancerresearchuk.org/sites/default/files/achieving_world-class_cancer_outcomes_-_a_strategy_for_england_2015-2020.pdf (last accessed 3.11.17)
Cancer Strategy 2015-2020 has three core aims: • 1. Save more lives • Early Diagnosis Trainers’ Workshop
Cancer Strategy 2015-2020 has three core aims: • 1. Save more lives • Early Diagnosis • Enhance screening uptake • Implement NICE Guidance (NG12) • Invest in diagnostic capacity • Direct access to diagnostic capacity • 28 days to diagnosis (to replace 2WW) • Education – Undergraduate, postgraduate, CPD Trainers’ Workshop