Download Approaches to promoting earlier diagnosis

Getting it right: Approaches to
promoting earlier diagnosis of cancer
The national perspective
Housekeeping
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Toilets
Fire alarm
Tea and Coffee
Wifi: MSE-meeting rooms
Password: mselondon
• Twitter - #gettingitright
Agenda
10.00 – Welcome and introductions
10.15 – Cancer aspirations within the Strategic
Transformation Plans
10.30 – National/media campaigns
10.45 – 20 Approaches to promoting earlier diagnosis
11.45 – Tea break
12.00 – Table discussions
12.30 – Closing remarks
Table discussions at 12.00
1. How can we focus on campaigns that are
sustainable and replicable?
2. How can we use utilise existing resources?
3. What should the sector focus on in 17/18?
Purpose of today
Sharing and learning of initiatives that have
been delivered across the country
Providing a source of information (brochure
and website) to start discussions about further
work that can be developed locally
Consider ways that existing resources can be
utilised to promote cancer awareness
National Cancer Vanguard
The National Cancer Vanguard is a partnership between
The Royal Marsden Partners, Greater Manchester
Cancer and UCLH Cancer Collaborative
The goal: Working together to improve cancer
pathways, increase earlier diagnosis and
standardise high quality care
UCLH Cancer Collaborative
Collaboration and system
leadership: aims to take a
step change approach to
shared workforce, capacity,
capability and financial
understanding across the
sector to drive best practice,
efficiencies and improve
patient experience
Impact of the work
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Patients will have better outcome and experience
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faster diagnosis,
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started treatment earlier,
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improved quality of life
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have follow up with GPs and are supported in their community
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Scalability – the following are all scalable nationally
• The Integrated cancer system with pathway boards
• Franchises
• Quality kite marks
• Innovative early diagnostic models
• Integrated diagnostic ICT system
Earlier Diagnosis workstream
There is a strong case for earlier diagnosis of cancer to improve
survival outcomes and patient experience, especially given the
UK’s comparatively poor performance in this area compared to
other developed countries.
Several projects of work within the UCLH Cancer Collaborative
workstream including a lung health check and low dose CT
programme, multi-disciplinary centres, qFIT pilot, straight to test,
endoscopy efficiency, bowel scope and an education and
awareness programmes
Cancer in our sector – one year survival
Source: ONS and London School of Hygiene and Tropical Medicine
Cancer diagnosis by stage
Lung cancer has the highest proportion of stages 3 and 4 cancer, and melanoma of skin (followed by breast cancer)
have the highest proportion of stages 1 and 2
Source: CancerStats, PHE
Thank you
May I now welcome Kathy Pritchard Jones
Cancer aspirations within the STPs
UCLH Cancer Collaborative covers 3 STPs
• North East London
• North Central London
• Hertfordshire and West Essex
Cancer themes within the STPs
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Prevention
Smoking cessation & obesity
Earlier Diagnosis - deliverables
Implementing NICE referral guidelines
GP direct access to investigate tests for suspected cancer
Innovative tests (qFIT)
Multidisciplinary Diagnostic Centres (MDCs)
Lung health check
Earlier Diagnosis – vanguard projects
• Save lives in lung cancer through introduction of lung ‘health check’ &
low-dose CT scan for asymptomatic people at high-risk of lung cancer
• Accelerate introduction of ‘Bowel Scope’ - the new colorectal cancer
screening test - by working as a system to improve capacity
• Improve testing for suspected bowel cancer by GP’s by:
• Introduce a more sensitive test for ‘blood in poo’ (quantitative FIT)
• Triage ‘Straight to Test’ for colonoscopy to improve pathway
• Expand the Multidisciplinary Diagnostic Centre (MDC) concept that
provides rapid diagnostic testing of people with ‘vague symptoms’ to
more sites and more symptoms
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London Cancer conducted an A&E audit of 953 patients across
12 A&E depts over 9 months in 2013.
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One third of emergency presentations of colorectal cancer
were in people under 60 years of age (below national
screening age).
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A&E Audit – Key
Findings
Cancers most commonly
identified by emergency
presentation
A Primary Care root cause analysis of 138 patients showed:
• 78% of patients had one or more co-morbidities
35%
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63% of patients had seen their GP for the same problem
prior to A&E. Over half of these patients deteriorated
whilst waiting for tests.
30%
Highlighted complexity of patient pathway to A&E and poor
access of GP’s to rapid diagnostics and expert advice
10%
Overall, only 36% alive at 1yr :
• 1yr survival rates were half those of patients presenting
through a managed referral route for colorectal cancer*
25%
20%
15%
5%
0%
Earlier Diagnostics – aims
• Cancers diagnosed at an earlier stage
• Reduce diagnoses in A&E
• Improve patient experience
• Improve survival
• Improve efficiencies of local healthcare
system
Thank you
National / Media Campaigns
#Smear for Smear
• Social media campaign to promote cervical cancer
screening
• Encourages people to post a lipstick smeared selfie
on social media
• Launched in 2015 and reached
over 150 million people in
35 different countries
#Get It Off Your Chest
• Media campaign focusing on breast cancer
• Raises awareness of signs and symptoms of breast
cancer amongst young people
• Video about signs and symptoms produced and
distributed
Be Clear on Cancer
• National campaign led by PHE, CRUK, DoH and NHSE
• Aim to raise public awareness of signs and symptoms
of cancer and encourage people to see their GP
without delay
• Previous campaigns: Blood in pee,
Bowel cancer, Breast cancer in
women over 70, lung cancer and Know for Sure
Movember and Decembeard
• Movember – focus on helping to
change the face of men’s health
around prostate and testicular
cancer as well as mental health
• Decembeard – focuses on raising
awareness of bowel cancer
Moving onto the 20 Approaches to promoting
earlier diagnosis