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CANCER IMPLEMENTATION GROUP Lung Cancer Initiative (LCI) Lung Cancer Awareness Campaign Professor John Watkins Spring 2016 All Wales Cancer Conference September 2015 Lung Cancer Awareness Campaign Spring 2016 • Aim: to increase survival for lung cancer patients in Wales • How: Reduce patient-related delays in the lung cancer pathway • Rationale: a more aware public will recognise symptoms and more promptly present to primary care with potential for earlier diagnosis at earlier stage so eligible for radical treatment with improved patient outcomes All Wales Cancer Conference September 2015 Lung Cancer Awareness Campaign Spring 2016 Spring 2016 • So far: Funding secured from WG Clinical Steering Group reviewed evidence and agreed national campaign with targeting to hard to reach groups Campaign based on PHE’s Be Clear on Lung Cancer Materials testing for use in Wales completed • Steering Group Leads*& 3rd sector partners: Gareth Collier, LCI Chair John Watkins, Chair LCI Awareness project , PHW Cancer Lead; Jane Hanson, PHW, Cancer NSAG & link to CIG; Jodie Moffat, CRUK; Richard Neal, GP, Bangor University; Kate Brain, Health Psychologist, Cardiff University; Dyfed Huws, PHW, WCISU, cancer epidemiology Karen Gully, GP, Welsh Government * attendees All Wales Cancer Conference September 2015 CANCER IMPLEMENTATION GROUP Lung Cancer Initiative (LCI) Improving the Outcomes for Patients with Lung Cancer in Wales using pre-treatment optimisation and Enhanced Recovery Dr Rachael Barlow All Wales Cancer Conference September 2015 Enhanced Recovery Improving Outcome Prehabilitation Primary Care Following diagnosis Peri-operative/ Intra-operative DOSA and Ward Theatre/ Recovery Post-operative Ward, Discharge, FU Marathon des Sables Marathon de Cancer To run a Marathon…… You would prepare for this….. ………so why not prepare for surgery? Aim: To improve pre-treatment health status for all patients undergoing lung cancer treatment whether this be surgery, chemotherapy of palliation How?: 1. Holistic optimisation at the point of first contact in Primary Care and continuing into secondary care setting. 2. Pre-habilitation (Nutrition and Physiotherapy ? Psychology) 3. Develop Enhanced Recovery pathway to ensure seamless care along the entire patient pathway Rationale: 1. Increased numbers of patients receiving potentially curative treatment 2. Improved short and long term survival rates 3. Reduced post-treatment recovery times 4. Shorter hospital stays, reduced critical care stay, fewer complications, fewer readmissions, less dependency on primary and social care post-treatment. 5. Improved patient experience. 6. Improved reputation of the cancer outcomes in Wales All Wales Cancer Conference September 2015 Aim: To improve pre-treatment health status for all patients undergoing lung cancer treatment whether this be surgery, Spring 2016 chemotherapy of palliation So far: Funding secured from WG Clinical Steering Group being set up Project plan being agreed Primary care engagement strategy Therapy support Evaluation strategy Leads and 3rd sector Partners: Dr Rachael Barlow (Cardiff and Vale UHB, Cardiff University), Dr Dianne Parry (Medical Lead), Mr Ira Goldsmith (Surgical Lead), Dr Jason Lester (Oncology Lead), Dr Jane Hanson, (CIG Lead) , Dr Gareth Collier, LCI Chair; All Wales Cancer Conference September 2015