National Perspective Cancer Early Detection & Prevention Performance Review Event October 2008 National Cancer Action Team Kathy Elliott National Lead for Prevention, Early Diagnosis and Inequalities

Cancer Reform Strategy Preventing cancer Over half of cancers could be prevented by changes to lifestyle Smoking, obesity, alcohol, sun & sun beds, vaccination Diagnosing cancer earlier Late diagnosis is the major factor contributing to poor cancer survival rates in England Screening – cervical, breast, bowel Reducing cancer inequalities Major inequalities in cancer incidence, access to services and outcomes National Cancer Action Team

Initial Priorities Building links with Cancer Networks and PCTs –PCT Strategic Commissioning Plans –Cancer mortality reductions –Early detection agenda Input to Commissioning Guidance and Darzi alignment Skin cancer – 08/09 procurement decisions National Initiatives – NAEDI and NCEI National Cancer Action Team

08/09 CAT Work programme Preventing Cancer Study of sun bed use New local & national approaches for skin cancer prevention Dissemination – pilots to assess cancer genetic risks Diagnosing Cancer Earlier Support Networks to –Review the local indicators to early diagnosis –Set out commissioning intentions in PCT Strategic Plans –Develop at least one new initiative for implementation locally –Use new tools and good practice Reducing Cancer Inequalities Equality Impact Assessments Cancer mortality National Cancer Action Team

New ways of working Local priorities reflecting local needs & services National experts Sustainable effective services Local & national leadership Top down National targets Short term projects The Importance of Dialogue National Cancer Action Team

National Awareness and Early Diagnosis Initiative (NAEDI) l Co chairs: Harpal Kumar and Mike Richards l 7 work streams  Review of evidence base on awareness and early diagnosis  Measuring awareness  Interventions to promote early presentation by patients  Interventions in primary care  International benchmarking  Prospective research  Key messages on individual cancers l Launch conference: 21 st November 2008 l Newsletter

Reducing Cancer Inequalities l National Cancer Equality Initiative  Co chairs: Joanne Rule and Mike Richards  Steering group with experts from each of the inequality strands (e.g. race, age, gender, disability, religion, sexual orientation and social deprivation) l Working closely with National Awareness and Early Diagnosis Initiative (NAEDI) and with National Cancer Intelligence Network (NCIN) l Developing a matrix of local initiatives  Please contribute l Will then focus on:  Spreading good practice where this exists  Developing and evaluating new models to reduce inequalities

Cancer Networks Understanding and communicating local need –Joint Needs Assessment (JNAS) Providing leadership for prevention, early detection and inequalities –Influencing PCT Strategic Plans –Monitoring and assuring quality and outcomes Vital Signs and Local Area Agreements CRS commitments – mortality; inequalities –Development Early detection initiatives –Network expertise and work plan Good practice – spread of community engagement in early detection Development needs Challenges National Cancer Action Team

Diagnosing Cancer Earlier To have reviewed information –One year survival rates against international benchmarks –Screening uptake, overall and by general practice –Referral rates, by general practice –Emergency admission In PCT Strategic Commissioning Plan At least one initiative implemented National Awareness and Early Diagnosis Initiative Every PCT should have one early diagnosis/ detection initiative. National Cancer Action Team

Cancer Mortality What local progress has been made towards achieving the cancer mortality target? How does this compare with the England progress, other Networks/ PCTs? What is my local commitment to meet the 2010 standard? ‘Have PCTs agreed challenging goals for reducing cancer mortality in every cancer network area by 2012?’ (CRS) Are these goals in the PCT Strategic Commissioning Plans - and resourced? Do local plans reflect variations between PCT needs and health inequalities? National Cancer Action Team

Relative change in mortality rates and the level of change in mortality rates since 1997 (compared to England level) by cancer network. 5 year rolling age-standardised mortality rates ( ) for all cancers for 0-74 years age group; % change in mortality rates since 1997 Relative change in cancer mortality by cancer network since 1997 "Good" National Cancer Action Team

Emerging Good Practice Themes Priority within local plans, including pledges Leadership commitment and ownership, with clarity on why it matters –Reductions in mortality –Fair access to services Strong public and patient involvement Relationship management and communications –Close working with other networks, with explicit commitments –Building a relationship with public health – engagement, influence and work programme –Importance of all health professionals understanding their role and implementing their contribution 2 year action plan National Cancer Action Team

Kathy Elliott National Lead for Prevention, Early Diagnosis and Inequalities National Cancer Action Team Blackberry and Mobile Office Note – please use both addresses National Cancer Action Team