A strategy for cancer in England

over the next five years

Pop-up University session

Wednesday 2nd September

Format Quiz

Presentations: – Sean Duffy, National Clinical Director for Cancer, NHS England

– Fran Woodard, Director for England and Policy & Research, Macmillan Cancer Support

– Nigel Acheson, Regional Medical Director (South), NHS England

Q&A

Quiz

Quiz How many people will be diagnosed with cancer per year by 2020?

• 150,000 people

• 300,000 people

• 470,000 people

Incidence

In 2013, 280,000 new diagnoses 80,000 additional cases in 2030

Quiz

What percentage of people

with cancer currently survive for at least 5 years?

• 32%

• 49%

• 73%

Survival

Survival in England lags behind countries of similar wealth

Quiz

How many people with cancer are diagnosed through an

emergency route?

• More than 5%

• More than 15%

• More than 20%

Diagnosing cancer earlier

One-year survival is far less likely following emergency presentation

Quiz

What percentage of people with cancer have at least one other

long-term condition that needs

managing?

• 70%

• 80%

• 90%

Long-term conditions

Because the majority of cancer patients are over the age of 65 many have multiple morbidities

Panel presentations

Sean Duffy

National Clinical Director for Cancer

NHS England

Independent Cancer Taskforce • The NHS Five Year Forward View (FYFV) presents a vision for

improving health, including for all those diagnosed with cancer:

- better prevention

- swifter diagnosis

- better treatment, care and aftercare

• Taskforce established in January 2015 to produce a new five-year

national cancer strategy for England, delivering this vision

• Taskforce report of recommendations published in July and

welcomed by the six health ALBs: Care Quality Commission,

Health Education England, NHS England, NICE, Public Health

England, NHS Improvement

Taskforce report: six strategic priorities

1. Spearhead a radical upgrade in prevention and public health

2. Drive a national ambition to achieve earlier diagnosis

3. Establish patient experience on par with clinical effectiveness and

safety

4. Transform our approach to support people living with and beyond

cancer

5. Make the necessary investments required to deliver a modern,

high-quality service

6. Overhaul the processes for commissioning, accountability and

provision

Next steps

• Spending review will determine phasing of implementation

• ALBs will set out more detailed plans by end of the year

• NHS England very keen to work with partners to shape plans

Fran Woodard

Director for England, Policy & Research

Macmillan Cancer Support

Nigel Acheson

Regional Medical Director (South)

NHS England

Local support for implementation

• Taskforce recognises local leadership for implementation will be key

• Cancer Alliances:

• To sit at sub-regional level as owners of local metrics and the

main vehicles for local service improvement and accountability • To bring together CCGs, providers, patients, carers and

professionals at local level to address variation and ensure

effective integration and optimisation of treatment and care pathways

New models

• Taskforce recommendations seek to clarify commissioning

responsibilities and test new models

• Commissioning and provider models:

• NHS England and Monitor to pilot the commissioning of the

entire cancer pathway through a fully devolved budget in at

least one area

• NHS England to pilot all secondary/tertiary cancer treatment

services provided through a ‘lead provider’ which would

manage the entire treatment budget

Data and metrics • Taskforce recognises importance of bringing together key

cancer metrics in one place to understand variation and

support improvement

• Cancer Dashboard:

• To include metrics on early diagnosis, survival,

experiences of care, quality of life

• Metrics at both a CCG and provider level • To be reported and reviewed regularly by Cancer

Alliances

Q&A

Thank you