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Cancer networks Wellard's NHS training wellards.co.uk May 2007

Cancer networks Wellard's NHS training wellards.co.uk May 2007. Cancer is a major challenge One in three will suffer from it One in four will die from it Aging population will make it more common Decades of under-investment Regional variations in quality of treatment

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Cancer networks Wellard's NHS training wellards.co.uk May 2007

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  1. Cancer networks Wellard's NHS training wellards.co.uk May 2007

  2. Cancer is a major challenge • One in three will suffer from it One in four will die from it Aging population will make it more common • Decades of under-investment • Regional variations in quality of treatment • Involves primary, secondary and tertiary services, charities, Royal colleges, universities and research groups • Cancer networks were put in place to face these problems

  3. Brief background • Calman-Hine report(1995) • Recognised need for change • First mention of cancer networks • Our healthier nation (1999) • Reduce cancer death rates among under 75s by 20 per cent, by 2010 • Targets for health authorities • Prime Minister's cancer summit (1999) • Cancer action team • Reviews, guidance, strategy • Patient experience • Ensure NICE to review specific breast cancer drugs

  4. Brief background • NHS Plan (2000) • Suggested re-working Calman-Hine into a NSF • The NHS cancer plan (2000) • Cancer czar Professor Mike Richards • Prevention, screening, diagnosis, treatment and care • Investment • Plans for up-to-date cancer networks • Research networks • Improving the quality of cancer services (2000) • Guidelines for cancer networks management

  5. English networks • Arden • Avon, Somerset and Wiltshire • Central South Coast • Derby Burton • Dorset • Greater Manchester and Cheshire • Greater Midlands • Humber and Yorkshire coast • Kent and Medway • Lancashire and South Cumbria • Leicestershire, Northamptonshire and Rutland

  6. English networks • Merseyside and Cheshire • Mid Anglia • Mid Trent • Mount Vernon • Norfolk and Waveney • North East London • North London • North Trent • Northern • Pan Birmingham • Peninsula

  7. English networks • South East London • South Essex • South West London • Surrey, West Sussex and Hampshire • Sussex • Teeside, South Durham and North Yorkshire • Thames Valley • Three Counties • West Anglia • West London • Yorkshire

  8. Northern Irish networks • All Ireland cooperative oncology research group • Northern Ireland cancer network • Scottish networks • North of Scotland • South East Scotland • West of Scotland • Welsh networks • North Wales • South East Wales • South West Wales

  9. What do they do? • Bring together • Health service commissioners and providers • Voluntary sector and local authorities • Serve populations of between 600,000 and three million • Are non-statutory expert commissioning bodies • Plan services across care pathways • Help reduce risk of cancer

  10. What do they do? • Three-year strategic service delivery plans • Multi-discipline teams agree common protocols for: • - Prevention - Treatment • - Screening - Supportive care • - Guidance - Palliative care • - Diagnosis • Work with PCTs and service providers on investment • Decisions on high-cost oncology drugs

  11. What do they do? • Roles: • Develop all aspects of local cancer services, prevention, screening, diagnosis, treatments, supportive care and specialist palliative care • Develop multidisciplinary teams and make arrangements to ensure that all patients are reviewed by them • Agree common protocols and service patterns to tackle variations and make best use of resources • Develop workforce education and training and facility strategies

  12. Where are we now? • 'The ability of the NHS to modernise and reform its cancer services is a litmus test for the health of the NHS as a whole.' • NHS cancer plan (2000) • Solid progress made in meeting some targets • Allocated funds are going to pay off PCT overspends • Uptake of new drugs patchy • Calman-Hine vision not fully implemented – no funds and no plan • National Audit Office report found survival rates improving but not uniformly

  13. Conclusions • Confusion over accountabilities and operational responsibilities remain • Need to adapt to fast change • Having an impact on cancer trials and targets

  14. Further information on the internet • Website: National Cancer Research Network • Department of Health (DH) website: Cancer • DH website: Good practice for user involvement • DH website: New measures for the manual cancer services • NHS Networks website: Networks by topic

  15. Further information on Wellard's Academy • Wellard's Clinical Diploma > Cancer • Wellard's Web links > Cancer networks • Wellard's Key documents > By therapeutic area > Cancer • Wellard's Academy > News

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