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Join us at the workshop to learn about the expanding role of primary care in cancer control, early diagnosis importance, survivorship, and more. Explore causes of death and the aging population's impact on cancer.
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RCGP and Cancer Research UK Workshop Hallmark Hotel, Leyland Way, Leyland, Preston, PR25 4JX 11th July 2018 Dr Richard Roope RCGP and Cancer Research UK Cancer Clinical Champion Senior Clinical Advisor Cancer Research UK
RCGP and Cancer Research UK Workshop Housekeeping • Fire Exits • Toilets • Mobile phones • Questions • Certificates • Thanks to the team who have set up the day: • RCGP and Cancer Research UK Team • Hallmark Hotel Staff
RCGP and Cancer Research UK Workshop The Day: • The expanding role of Primary Care and Cancer Control • Tea and Coffee • Implementation of NG12 (recognition and referral of suspected cancer) and vague symptoms • Lunch and networking • Bowel Cancer Screening North West Project • Insights from the National Cancer Diagnosis Audit and Multi-Diagnostic Centre Evaluation • Optimal Lung Cancer Pathway • Key take home, evaluation and close
RCGP and Cancer Research UK Workshop Primary Care and Cancer Control
RCGP and Cancer Research UK Workshop Primary Care and Cancer Control • Cancer: why all the interest? • Why is early diagnosis important? • Past – where were we? • Present – where are we? • Future – where next? • Survivorship • End of life care
Cancer: why all the interest? RCGP and Cancer Research UK Workshop
Cancer: why all the interest? RCGP and Cancer Research UK 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
Cancer: why all the interest? RCGP and Cancer Research UK 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)
Cancer: why all the interest? RCGP and Cancer Research UK 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
Cancer: why all the interest? RCGP and Cancer Research UK Workshop https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/307703/LW4L.pdf (last accessed 17.6.17)
Cancer: why all the interest? RCGP and Cancer Research UK Workshop 37% https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/307703/LW4L.pdf Last accessed 9.6.18
Cancer: why all the interest? RCGP and Cancer Research UK Workshop https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/307703/LW4L.pdf (last accessed 9.6.18)
RCGP and Cancer Research UK Workshop Cancer – why all the interest? The Future:
RCGP and Cancer Research UK Workshop The perfect storm:
RCGP and Cancer Research UK Workshop The perfect storm:
RCGP and Cancer Research UK Workshop The Scale of the Challenge: The perfect storm…
RCGP and Cancer Research UK Workshop The Scale of the Challenge: The perfect storm… Aging population
RCGP and Cancer Research UK 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 9.6.18)
RCGP and Cancer Research UK 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 9.6.18 https://visual.ons.gov.uk/what-are-your-chances-of-living-to-100/last accessed 9.6.18
RCGP and Cancer Research UK Workshop Aging Population - Centenarians https://visual.ons.gov.uk/what-are-your-chances-of-living-to-100/ last accessed 9.6.18
RCGP and Cancer Research UK Workshop Aging and Cancer
Male Female Mortality from all cancers RCGP and Cancer Research UK 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 9.6.18
Male Female Mortality from all cancers RCGP and Cancer Research UK 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 9.6.18
RCGP and Cancer Research UK Workshop The Scale of the Challenge: • The perfect storm… • Aging population • Lifestyles less healthy: • Smoking • Weight • Diet • Alcohol • Exercise • Sun exposure
RCGP and Cancer Research UK Workshop The Scale of the Challenge: • The perfect storm… • Aging population • Lifestyles less healthy: • Smoking • Weight • Diet • Alcohol • Exercise • Sun exposure Increasing survival
RCGP and Cancer Research UK 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 last accessed 9.6.18 http://www.cancerresearchuk.org/health-professional/cancer-statistics/worldwide-cancer/incidence#heading-Five Last accessed 9.6.18
RCGP and Cancer Research UK 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.
Cancer: why all the interest? RCGP and Cancer Research UK Workshop 1 in 2 people will be diagnosed with one or more cancers in their lifetime
Cancer: why all the interest? RCGP and Cancer Research UK Workshop 1 in 2 people will be diagnosed with one or more cancers in their lifetime 10 year survival has improved to reach 50%
Cancer: why all the interest? RCGP and Cancer Research UK 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 17.2.18
Cancer: why all the interest? RCGP and Cancer Research UK 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
Hasn’t cancer had its turn? RCGP and Cancer Research UK Workshop
Hasn’t cancer had its turn? RCGP and Cancer Research UK Workshop Cancer receives what proportion of NHS spend? • 2.0% • 5.0% • 8.0% • 11.0% • 14.0% Discuss with your neighbour….
Hasn’t cancer had its turn? RCGP and Cancer Research UK Workshop Cancer receives what proportion of NHS spend? • 2.0% • 5.0% • 8.0% • 11.0% • 14.0% Discuss with your neighbour….
RCGP and Cancer Research UK Workshop 168€ 128€ http://ihe.se/wp-content/uploads/2016/08/IHE-Report_2016_4.pdflast accessed 9.6.18
Why is early diagnosis important? RCGP and Cancer Research UK Workshop
Why is early diagnosis important? RCGP and Cancer Research UK Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/breast-cancer/survival#heading-Three (last accessed 17.2.18)
Why is early diagnosis important? RCGP and Cancer Research UK Workshop
Why is early diagnosis important? RCGP and Cancer Research UK Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/prostate-cancer/survival#heading-Two (last accessed 17.2.18)
Why is early diagnosis important? RCGP and Cancer Research UK Workshop
Why is early diagnosis important? RCGP and Cancer Research UK Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/bowel-cancer/survival#heading-Three (last accessed 17.2.18)
Why is early diagnosis important? RCGP and Cancer Research UK Workshop
Why is early diagnosis important? RCGP and Cancer Research UK Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/lung-cancer/survival#heading-Three (last accessed 17.2.18)
Why is early diagnosis important? RCGP and Cancer Research UK Workshop
Why is early diagnosis important? RCGP and Cancer Research UK Workshop Proportion of Cases Diagnosed at Each Stage www.cancerresearchuk.org/health-professional/cancer-statistics/incidence/all-cancers-combined#heading-Two (last accessed 17.2.18)
Why is early diagnosis important? RCGP and Cancer Research UK Workshop Proportion of Cases Diagnosed at Each Stage Stage Shift www.cancerresearchuk.org/health-professional/cancer-statistics/incidence/all-cancers-combined#heading-Two (last accessed 17.2.18)
Minimum increased 5 year survival with 10% increase in stages 1 & 2 RCGP and Cancer Research UK Workshop https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/388160/fourth_annual_report.pdf (last accessed 17.2.18)
How are we doing? RCGP and Cancer Research UK Workshop
How did we do? RCGP and Cancer Research UK Workshop https://fingertips.phe.org.uk/profile/cancerservices
How did we do? RCGP and Cancer Research UK Workshop https://fingertips.phe.org.uk/profile/cancerservices