Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Better, faster cancer care Dr Andrew Simpson National Clinical Director, Cancer PREPARED BY Ministry of Health New Zealand Cancer Plan 2015-18 The New Zealand Cancer Plan sets out all activities underway and planned for the next three years to implement the Government’s priorities for cancer. The New Zealand Cancer Plan is guided by the following principles: • equitably, effectively and sustainably meet the future demand for cancer services • maintain high quality of care and improve the quality of life for people with cancer • ensure fiscal responsibility. Cancer incidence 1948-2011 25000 400.0 350.0 20000 Numbers 300.0 ASR 250.0 15000 200.0 10000 150.0 100.0 5000 50.0 2010 2008 2006 2004 2002 2000 1998 1996 1994 1992 1990 1988 1986 1984 1982 1980 1978 1976 1974 1972 1970 1968 1966 1964 1962 1960 1958 1956 1954 1952 1950 0.0 1948 0 Source: NZ Cancer Registry Cancer mortality 1948-2011 Source: NZ Cancer Registry Our survival rates are behind Australia Source: NZMJ 19 December 2014, Comparison of cancer survival in New Zealand and Australia, 2006–2010, Phyu S Aye, J Mark Elwood, Vladimir Stevanovic And inequities in treatment and outcomes Survival (%) Māori 100 Non-Māori 90 80 70 60 50 40 30 20 10 0 0 1 All adult cancers, 2010-11 2 3 4 5 6 Years since diagnosis 7 8 9 10 Source: Cancer patient survival covering the period 1994–2011 : Ministry of Health, 2015 Timely access to excellent cancer services National cancer programme • Brings together the work of DHBs, regional cancer networks and the Ministry. • Aims to improve cancer outcomes for all New Zealanders. • Key themes Waiting times: all people get timely services Access: all people have access to services that maintain good health and independence Quality: all people receive high quality services wherever they are Financial sustainability: all services make best use of available resources. Activity underway in the Programme Bowel screening pilot and colonoscopy • Bowel cancer screening pilot began in 2011 to inform a decision on a national roll-out. • Particular focus on increasing number of colonoscopies. • Budget 2015 allocated a further $12.4 million to extend the bowel cancer screening pilot to December 2017. • July 2015 Minister announced consultation with the health sector to inform next steps towards potential roll out of a national bowel screening programme. • Consultation underway & business case development Cancer Health Information Strategy • The purpose of the Strategy is to: define a cohesive vision for Cancer Health Information detail how this vision can be achieved align with the IT Health Board Strategy and enable the National Cancer Programme. • The Strategy will be used to prioritise cancer initiatives and inform funding. National radiation oncology plan • To help DHBs manage rising demand with plan for linear accelerator and workforce capacity for next 5-10 years. • Reviewing metrics to ensure quality and consistency across centres and support service improvement. • Procurement aims to promote equity, clinical and costeffectiveness. Medical oncology models of care • To help DHBs manage rising demand have developed new models of care for medical oncology services. • Focus is on workforce, key performance indicator development and measurement, and quality improvement: Knowledge and Skills Framework for Cancer Nursing education programme for chemotherapy administration for nurses implement recommendations from Guidance for Medical Oncology Senior Medical Officer Roles. Faster cancer treatment programme Service improvement projects – Midlands • Midland Routes to Cancer Diagnosis and Treatment Project (October 2015 - June 2018) • Midland Cancer Patient Information Project (December 2016 June 2018) • Waikato DHB Endometrial Cancer and Post-Menopausal Bleeding Service Improvement Project (October 2015 - November 2016) • Lakes Faster Cancer Treatment Project (October 2015 - June 2018) • Waikato Faster Access to Cancer Services with a Staged Approach to Tumour Streams and Treatment (October 2015 - June 2018) • Determine, Test and Implement Viable Ways of Improving the FCT Pathway for Māori in the Bay of Plenty (October 2015 - June 2018) Faster cancer treatment health target 85% of patients receive their first cancer treatment (or other management) within 62 days of being referred with a high suspicion of cancer and a need to be seen within two weeks by July 2016 Increasing to 90% by June 2017 We know targets work Percentage achieving target 100.0 80.0 60.0 8 week target 4 week wait target 6 week wait target 40.0 20.0 0.0 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 07/08 07/08 07/08 07/08 08/09 08/09 08/09 08/09 09/10 09/10 09/10 09/10 10/11 10/11 10/11 10/11 11/12 11/12 11/12 11/12 12/13 12/13 12/13 12/13 13/14 13/14 % 96.0 96.0 91.0 97.0 97.0 96.0 97.0 98.4 99.5 97.5 96.9 99.3 99.5 100.0 98.9 99.9 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 99.9 100.0 Measure the whole cancer pathway Hospital Triage Faster cancer treatment – results (percent) DHB Q2 Q3 Q4 Bay of Plenty 57 66 74 Lakes 54 37 55 Tairawhiti 74 79 61 Waikato 68 65 57 National 66 67 68 While remembering to… keep the patient at the centre Don’t hit the target but miss the point Questions?