Download Overview, Trends and Organisation of Cancer Services

The National Cancer Control
Programme
Dr Marie Laffoy
Community Oncology Advisor
NCCP
Overview
1.
What the NCCP does
2.
Some statistics – why cancer prevention, evidence based,
multidisciplinary care and long term care are important
3.
Your advice to the NCCP on nurse training needs:
•
•
•
4.
In primary care, hospital non-specialist nursing roles, patient after care,
Integrating care between primary and hospital care
From prevention to survivorship
What more can we do? We value your feedback
About the National Cancer Control
Programme
Established in 2007 to
implement the national
cancer strategy
NCCP Structure
Director
Surgical Oncology
Network East
Radiation Oncology
Network South
Medical Oncology
Network West
Community Oncology
8 cancer centres and a satellite centre
Community Oncology
Community Oncology
General Practice /
Primary Care
GP Guidelines / Standards /
Integration
Prevention
Information
Communication
Survivorship
Why is cancer such an important
health issue?
Number of new invasive cases (1995 to 2008) [solid
line] with projected numbers to 2035
Age standardised survival at 5 years for cancers diagnosed in
2000 - 2002 (all), 2002 - 2006 (Ireland)
and 2005 – 2007 (others)
Source: Irish data NCRI 2008 & international data Lancet 2010
Focus of the existing NCCP
Nurse Training Programmes
1. Primary care
–
–
–
–
Prevention
Early referral and referral guidelines
Management of common cancers
Supporting patients in primary care
2. Community Oncology Nurse Programme
–
For patients who are receiving chemotherapy
Healthy lifestyle can prevent
at least 30% of cancers
1.
2.
3.
4.
5.
Never smoking
Maintaining a healthy weight
Being physical active
Limiting alcohol
Taking care in the sun and never using a sun bed
People with all five healthy behaviours live an average
of 14 years longer than people who do not have any of
them; are less likely to die from cancer or heart
disease
Tobacco damages every organ of the body
90% of lung cancer caused by smoking
New England Journal of Medicine 354(4): January 26, 2006
Lung Cancer Incidence and Projections
1994-2025
2500
1500
1000
500
2028
2026
2024
2022
2020
2018
2016
2014
2012
2010
2008
2006
2004
2002
2000
1998
1996
1994
0
1992
Number
2000
Year
females
males
National Cancer Registry Estimates
Lung cancer - Men
Lung cancer - Women
Smoking cessation before surgery
• Why does smoking causes poor
wound healing?
• How soon should I quit smoking
before surgery?
• Why does smoking increase my
risk of chest problems after
surgery?
• Advice and support
Smoking cessation when diagnosed
with cancer
• How will quitting help my
cancer treatment?
• What the benefits of quitting
before:
– Surgery
– Chemotherapy
– Radiotherapy
• Advice and support
Social Change & Obesity
– More energy in ………
Mealtimes, food types
& amounts
Increasing Physical Activity
Physical activity reduces the
risk of cancer of the:
•
Breast (Post menopausal)
•
Prostate
•
Endometrial
•
Ovarian
•
Lots of other benefits…
Our environment doesn’t help!
GP Exercise Referral
Skin Cancer can be prevented
8000 cases in Ireland diagnosed each year
700 cases of melanoma
• Ultraviolet (UV) light exposure
– The main cause of skin cancer
– Sunburn in childhood
• Fair skin, freckling, and light
hair
– The risk of skin cancer is much higher
for light skinned people than for those
with darker skin
• Immune Suppression
– People who have been treated with
medicines that suppress the immune
system, such as organ transplant
patients, have an increased risk of
developing skin cancer
Red flags
ABCs of detecting cancer early
A: Abnormal Lump -breast, testis; anywhere
B: Bleeding that is unusual
Coughing up blood. Blood in the bowel motion. Blood in the urine.
Vaginal bleeding after the menopause
C: Change in body functioning
Cough / hoarseness for more than 3 weeks
Difficulty swallowing
Change in bowel habit - especially loose stools for 6 weeks
S: Skin
Changing mole; a sore that is not healing
These signs / symptoms may not be due to cancer but must be checked by a GP.
• What are the testicles?
• What is testicular cancer?
• What are the risk factors?
• What are the symptoms?
• How to do a testicular
self-examination
• What am I looking for?
Your suggestions and feedback to..
[email protected]
[email protected]