Download Equity - Central Cancer Network

CCN Equity Programme
What we have done well 2008 – 2012
• Engaged with communities/stakeholders/networks
• Contributed to/Led community development/health promotion
• Contributed to the development of National and Regional Maori
and Pacific Leadership groups
• Disseminated information
• 2011 Inequalities Project Forum
• Building capacity in community stakeholders, planning ,
reporting, evaluation of projects
• Completed submissions re: reducing inequalities in cancer
• Applied HEAT lens for service planning and development
• Funded/Supported Local Cancer Network Inequalities Projects
CCN Local Cancer Networks
Inequalities Projects 2012
• Whanganui LCN Huarahi Whakamana - Pathway to
Strength - Cancer Journey Project 2011-2012
• Midcentral LCN “See me as a whole, I am more than my
cancer” Te whare tapa wha, a holistic model of well
being.
• Taranaki LCN Mäori Cancer Navigator Project
• Wellington, Hutt Valley, Porirua-Kapiti
Demystifying Cancer Workshop Series
• Hawkes Bay LCN Kaupapa Tane ; Mens Wellness Project
(current)
The uneven playing field:
ethnic inequalities in cancer outcomes
Associate Professor Diana Sarfati
Inequalities in Cancer
The brief Summary:
• Mäori 18% more likely to be diagnosed with cancer but nearly
twice as likely to die from it.
• Cancer specific survival is lower for Mäori than non-Mäori for
most cancers
• There is good evidence that at least some of this difference
in survival is due to health service factors
Associate Professor Diana Sarfati
Where to from here?
How do health systems address inequalities?
System factors
•Resourcing and location of cancer services
•Focus of cancer services (structure, organisation delivery of services
reflected Pakeha world view)
•Composition of cancer service workforce
Regional factors
•Improve access to specialists in rural areas
•Increase support for patients and whanau travelling to cancer services
•Specialist support for local clinicians
•Coordination of case management through cancer care pathway
Clinical factors
•Optimise treatment of those with co morbidity
•Evaluation of patient management against clinical guidelines/audit in peer
review context
•Training in ‘cultural safety’
Associate Professor Diana Sarfati 2013
Proposed Activities 2013/2014
Proposed Activities
• Develop an Equity Action Plan alongside MOH, RCNs,
DHB’s and Maori Cancer Leadership Aotearoa
• Implement a programme/s to target gaps identified in
service delivery
• Contribute to the National Mäori Cancer Symposium
2014
• Cancer Programme Equity Analysis and Priority Area
Implementation plan
Next Steps:
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Discussion with Key Stakeholders
Discussion on Agenda at LCN meetings
Draft Equity Plan disseminated
Feedback requested
Contact: C Wrathall
[email protected]
Ph: 06 350 8804
Mob: 027 455 4047