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Primary Care and Cancer Control Workshop

Join Dr. Richard Roope and the RCGP and Cancer Research UK teams for a workshop on primary care's expanding role in cancer control. Explore topics such as cancer prevention, early diagnosis, survivorship, and end-of-life care.

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Primary Care and Cancer Control Workshop

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  1. Stafford and Cannock Trainers’ 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

  2. Trainers’ Workshop Housekeeping • Fire Exits • Toilets • Mobile phones • Questions • Certificates • Thanks to the team who have set up the day: • RCGP and Cancer Research UK Teams • Yarnfield Park Training and Conference Centre

  3. Trainers’ Workshop The Day: • The expanding role of Primary Care and Cancer Control • Tea and Coffee • Significant Events Audit • Lunch • Understanding cancer risk and educational tools • Cancer Prevention, Behaviour change and e-cigarettes • Tea • Early diagnosis for GP Trainers

  4. Trainers’ Workshop Primary Care and Cancer Control

  5. Trainers’ Workshop Primary Care and Cancer Control • Cancer: why all the interest? • Past – where were we? • Present – where are we? • Future – where next? • Survivorship • End of life care

  6. Cancer: why all the interest? Trainers’ Workshop

  7. Cancer: why all the interest? Trainers’ Workshop Causes of death <75 4 Cancer Circulatory Disease Other Respiratory Liver 1 Circulatory Disease Cancer Liver Respiratory Other 2 Cancer Other Circulatory Disease Liver Respiratory 3 Circulatory Disease Cancer Respiratory Liver Other

  8. Cancer: why all the interest? Trainers’ Workshop Causes of death <75 4 Cancer Circulatory Disease Other Respiratory Liver 1 Circulatory Disease Cancer Liver Respiratory Other 2 Cancer Other Circulatory Disease Liver Respiratory 3 Circulatory Disease Cancer Respiratory Liver Other Which do you think is the correct column? (high to low)

  9. Cancer: why all the interest? Trainers’ Workshop Causes of death <75 4 Cancer Circulatory Disease Other Respiratory Liver 1 Circulatory Disease Cancer Liver Respiratory Other 2 Cancer Other Circulatory Disease Liver Respiratory 3 Circulatory Disease Cancer Respiratory Liver Other

  10. Cancer: why all the interest? Trainers’ Workshop https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/307703/LW4L.pdf (last accessed 17.6.17)

  11. Cancer: why all the interest? Trainers’ Workshop 37% https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/307703/LW4L.pdf (last accessed 17.6.17)

  12. Cancer: why all the interest? Trainers’ Workshop https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/307703/LW4L.pdf (last accessed 17.6.17)

  13. Trainers’ Workshop Cancer – why is it important? The Future:

  14. Trainers’ Workshop Cancer – why is it important?

  15. Trainers’ Workshop The perfect storm:

  16. Trainers’ Workshop The perfect storm:

  17. Trainers’ Workshop The Scale of the Challenge: The perfect storm…

  18. Trainers’ Workshop The Scale of the Challenge: The perfect storm… Aging population

  19. Trainers’ Workshop Aging Population Life expectancy 1960-2015 UK Higher Income countries https://data.worldbank.org/indicator/SP.DYN.LE00.IN?end=2015&locations=GB-XD&start=1960&view=chart&year_high_desc=true (Accessed 13.1.18)

  20. Trainers’ Workshop Aging Population - Centenarians http://www.ons.gov.uk/ons/rel/lifetables/historic-and-projected-data-from-the-period-and-cohort-life-tables/2012-based/info-surviving-to-age-100.html last accessed 13.1.18 https://visual.ons.gov.uk/what-are-your-chances-of-living-to-100/last accessed 13.1.18

  21. Trainers’ Workshop Aging Population - Centenarians https://visual.ons.gov.uk/what-are-your-chances-of-living-to-100/ last accessed 13.1.18

  22. Trainers’ Workshop Aging and Cancer

  23. Male Female Mortality from all cancers Trainers’ Workshop Aging and Cancer http://www-dep.iarc.fr/WHOdb/Graph2p.asp?cancer=150&sex=1&country=4308&sYear=1950&eYear=2013&age=0&agegr=10&agen=9&orientation=1&window=1&grid=1&line=2&moving=1&scale=0&submit=%A0%A0%A0Execute%A0%A0%A0 last accessed 13.1.18

  24. Male Female Mortality from all cancers Trainers’ Workshop Aging and Cancer http://www-dep.iarc.fr/WHOdb/Graph2p.asp?cancer=150&sex=1&country=4308&sYear=1950&eYear=2013&age=0&agegr=10&agen=9&orientation=1&window=1&grid=1&line=2&moving=1&scale=0&submit=%A0%A0%A0Execute%A0%A0%A0 last accessed 13.1.18

  25. Trainers’ Workshop The Scale of the Challenge: • The perfect storm… • Aging population • Lifestyles less healthy: • Smoking • Diet • Alcohol • Exercise • Sun exposure

  26. Trainers’ Workshop The Scale of the Challenge: • The perfect storm… • Aging population • Lifestyles less healthy: • Smoking • Diet • Alcohol • Exercise • Sun exposure Increasing survival

  27. Trainers’ Workshop The perfect storm: Numbers of cancers http://globocan.iarc.fr/old/burden.asp?selection_pop=206826&Text-p=United+Kingdom&selection_cancer=290&Text-c=All+cancers+excl.+non-melanoma+skin+cancer&pYear=18&type=0&window=1&submit=%C2%A0Execute https://publications.cancerresearchuk.org/downloads/product/CS_REPORT_WORLD.pdf

  28. Trainers’ Workshop The Scale of the Challenge: By the end of 2016, there were 1,000 people in the UK being diagnosed with cancer every day Mistry, M., et al., Cancer incidence in the United Kingdom: projections to the year 2030. Br J Cancer, 2011. 105: p. 17951803.

  29. Cancer: why all the interest? Trainers’ Workshop 1 in 2 people will be diagnosed with one or more cancers in their lifetime

  30. Lifetime risk of cancer: Trainers’ Workshop http://www.cancerresearchuk.org/cancer-info/cancerstats/incidence/risk/

  31. Cancer: why all the interest? Trainers’ Workshop 1 in 2 people will be diagnosed with one or more cancers in their lifetime 10 year survival has improved to reach 50%

  32. Cancer: why all the interest? Trainers’ Workshop 1 in 2 people will be diagnosed with one or more cancers in their lifetime 10 year survival has improved to reach 50% www.cancerresearchuk.org/health-professional/cancer-statistics/survival/all-cancers-combined#heading-One– last accessed 3.11.17

  33. Cancer: why all the interest? Trainers’ Workshop 1 in 2 people will be diagnosed with one or more cancers in their lifetime 10 year survival has improved to reach 50%, but… Cancer survival in the UK still lags behind comparable health economies

  34. Hasn’t cancer had its turn? Trainers’ Workshop

  35. Hasn’t cancer had its turn? Trainers’ Workshop Cancer receives what proportion of NHS spend? • 2.4% • 5.4% • 8.4% • 11.4% • 14.4% Discuss with your neighbour….

  36. Hasn’t cancer had its turn? • Total NHS spend in 2012/3: £125,700,000,000 Trainers’ Workshop

  37. Hasn’t cancer had its turn? • Total NHS spend in 2012/3: £125,700,000,000 • Total NHS spend in 2012/3: £2008 per head Trainers’ Workshop

  38. Hasn’t cancer had its turn? • Total NHS spend in 2012/3: £125,700,000,000 • Total NHS spend in 2012/3: £2008 per head • Total NHS spend cancer care: £109 per head Trainers’ Workshop

  39. Hasn’t cancer had its turn? • Total NHS spend in 2012/3: £125,700,000,000 • Total NHS spend in 2012/3: £2008 per head • Total NHS spend cancer care: £109 per head • Just 5.4% of NHS spend Trainers’ Workshop http://www.nuffieldtrust.org.uk/nhs-numbers-0last accessed 1.3.17

  40. Hasn’t cancer had its turn? Trainers’ Workshop Cancer receives what proportion of NHS spend? • 2.4% • 5.4% • 8.4% • 11.4% • 14.4%

  41. Trainers’ Workshop

  42. 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)

  43. Cancer Strategy 2015-2020 has three core aims: • Save thousands more lives Cancer Control in Primary Care

  44. Cancer Strategy 2015-2020 has three core aims: • Save thousands more lives Cancer Control in Primary Care Under 75 mortality rate for cancer considered preventable 2014-16 https://fingertips.phe.org.uk/profile/public-health-outcomes-framework/data#page/8/gid/1000044/pat/6/par/E12000005/ati/101/are/E07000197/iid/40502/age/163/sex/4 (last accessed 13.1.18)

  45. Cancer Strategy 2015-2020 has three core aims: • Save thousands more lives Cancer Control in Primary Care Under 75 mortality rate for cancer considered preventable 2014-16 https://fingertips.phe.org.uk/profile/public-health-outcomes-framework/data#page/8/gid/1000044/pat/6/par/E12000005/ati/101/are/E07000197/iid/40502/age/163/sex/4 (last accessed 13.1.18)

  46. Cancer Strategy 2015-2020 has three core aims: • Save thousands more lives • Spearhead a radical upgrade in prevention Cancer Control in Primary Care

  47. Cancer Strategy 2015-2020 has three core aims: • Save thousands more lives • Spearhead a radical upgrade in prevention • Ambition: Cancer Control in Primary Care

  48. Cancer Strategy 2015-2020 has three core aims: • Save thousands more lives • Spearhead a radical upgrade in prevention • Ambition: • Fall in age-standardised incidence • Adult smoking rates to fall to 13% (currently 17.4%) Cancer Control in Primary Care

  49. Cancer Control in Primary Care Smoking prevalence in UK http://www.smokinginengland.info/latest-statistics/ (last accessed 13.1.18)

  50. Cancer Control in Primary Care Smoking prevalence in UK Apr-20 http://www.smokinginengland.info/latest-statistics/ (last accessed 13.1.18)

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