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Anne Snow, Lead Cancer Nurse Dr Andrew Woolley – Consultant Physician 2 main characteristics are: uncontrolled growth of abnormal cells in the human body and the ability of these cells to migrate from the original site and spread to distant sites Half of people with cancer survive at least 10 years In 2010 2 million people were living with cancer; there will be 4 million by 2030 50% increase in suspected cancer referrals since 2009/10 • The NHS has a £30bn funding gap between 2013/14 and 2020 TUMOUR SITE 2009 2010 2011 2012 2013 2014 Brain/CNS 6 0 0 0 0 0 Breast 215 689 572 536 619 666 Children’s 5 9 16 16 9 5 Gynae 96 223 267 273 311 280 Haematology 13 31 34 26 35 38 Head/Neck 103 237 334 413 453 504 Leukaemia 7 5 0 2 3 0 LGI (Colorectal) 216 650 753 970 847 896 Lung 49 124 116 136 138 141 Other 6 22 7 1 4 10 Sarcoma 5 13 17 22 32 25 Skin 168 369 492 519 682 744 Testicular 24 32 58 37 39 38 UGI 106 292 291 372 420 463 Urology 136 407 476 531 623 603 TUMOUR SITE 2012-2013 2013-2014 2014-2015 Breast (includes insitu) 175 171 143 Cancer of Unknown Primary 7 18 15 Colorectal 122 115 124 Gynae 68 49 49 Haematology 60 99 87 Head & Neck 37 34 38 Lung 108 111 124 Sarcoma 3 1 6 Skin (MM) 58 65 23 Skin (Non MM) 303* 778 780 Upper GI 83 74 84 Urology 322 285 356 2012 data England Wessex NHS NHS NHS NHS NHS NHS NHS NHS NHS West Hampshire CCG 1 Year Survival Index Dorset CCG Fareham and Gosport CCG Isle Of Wight CCG North East Hampshire and Farnham CCG North Hampshire CCG Portsmouth CCG South Eastern Hampshire CCG Southampton CCG 69.3% 70.5% 70.9% 68.2% 69.1% 73.3% 70.2% 67.4% 68.7% 69.5% 72.2% Five year forward view – what might this mean for cancer? Cancer is one of 10 priority areas in the NHS England Business plan Improvements in outcomes will require action on three fronts: 1. Better prevention 2. Swifter access to diagnosis 3. Better treatment and care for all those diagnosed with cancer What do they do? Consist of Core team members Physician, Surgeon, Radiologist, Pathologist, Clinical Nurse Specialist, Oncologist, Research Nurse, Palliative Care. Individualised patient care. Meet weekly to decide treatment plan Surgery Chemotherapy Radiotherapy Biochemical agents Stereo Tactic Radiotherapy/Cyber knife Proton Beam Therapy Wessex Cancer Trust – Travel Support A nominated individual with specialised knowledge of a specific disease and cancer who can provide support to patients and their carers, during the malignant disease rapid diagnosis pathway and co-ordinate further ongoing care and/or treatment. GP District Nurses Occupational Health Medical Social Workers Benefits advisors Dietician Care Navigator Volunteers Holistic Needs Assessment Treatment Summary Survivorship Programme – SCIP (Surviving Cancer Information Programme) 1 hour education – 1 psychological support “My Life A Full Life” Carers IW Wessex Cancer Trust Macmillan John Cheverton Centre Age UK Red Cross Community Action Penny Brohn Cancer Support Groups