Cancer Some facts and figures

1. Cancer Services Collaborative AService Improvement Partnership between Cancer Networks, the National Cancer Programme and the NHS Modernisation Agency

2. CancerSome facts and figures • Will affect one in three people • One in four will die from cancer • 200,000 patients diagnosed each year • 120,000 deaths each year • Potential to reduce cancer deaths by • prevention • screening • early clinical diagnosis • prompt treatment

3. The cost of cancer • In 1995 estimated to be over 1 billion pounds (6% of NHS expenditure) • Economic effects to the country as dependants cope with disability or death of wage earner • Cancer survival in the early 1990s in England & Wales lags behind Europe • The overall incidence of cancer is rising

4. NHS Cancer PlanA Plan for Investment & Reform Screening Expanding existing screening, introducing new valid methods Prevention Education of public, tackle inequalities in health Care Improved support and information for patients and carers NHS Cancer Plan Diagnosis Streamline processes involved in care, reduce waiting times Research Prepare for the future, develop standards and goals Treatment Build for the future, invest in cancer workforce, drugs and treatment

5. Moving from a Cancer Collaborative Programme to an “Improvement Partnership” A partnership between cancer networks, the cancer programme and Modernisation Agency Using the collaborative methodology and approach to modernise cancer services across all 34 cancer networks

6. The Cancer Collaborative - an evolving programme Phase I Phase II Phase III 1999 - 2001 2001 - 2003 2003 - 2006 Development stage “Push” “Pull” 9 pilots/networks 34 Networks 34 networks (StHAs) 51 projects over 400 projects DHSC early adopters/innovators Top down Bottom up national programme Mainstream testing what’s possible Coverage Completeness 5 tumours: 5 Tumours, plus All cancers breast, colorectal All gynae/all urology Radiology, radiotherapy lung, prostate, ovarian Radiology, radiotherapy primary care, endoscopy Primary care, endoscopy chemotherapy, pathology palliative care

7. Building on what’s worked well ... • Dedicated clinical and project management support for cancer networks • Practical examples of service improvement and real changes for patients • Clinical leadership • Momentum of a national collaborative • Link to Cancer Policy/CAT • Learning events, conferences and initiatives

8. Core principles • Patient centred improvement • Part of everyday business • Building local capability • Focusing on local needs/priorities • Opportunities to share best practice and learning • Continuous measurement to support improvement

9. The Goal • To improve the experience and outcomes for patients with suspected or diagnosed cancer, through service improvement at local level using the collaborative methodology

10. The Partnership in Action …. • Focus on whole patient journey • Service redesign for improvement integrated with Network strategy and service delivery plans • Funding linked to 3 year planning cycle • Performance management - Trusts/StHAs • Measurement for improvement - systems to capture tested andimplemented changes

11. Modernisation will continue across the whole patient journey Rectal Cancer Radio- therapy Follow-up GP Examination Referral to Secondary care Surgery Diagnosis Staging Colon Cancer Chemotherapy Follow-up Palliative and supportive care Primary care Radiology Radiotherapy Endoscopy