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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]