1. DEBATE
Proposition – the health service should not provide follow on services for life for TYA cancer sufferers

2. Health Benefit Deploy resources to provide health benefit
Measure: Cancer Mortality under 75’s
CONCEPTS
Rule of Rescue
Utility
Marginal Utility / Incremental Benefit

3. Cancer Mortality The main influences on cancer mortality: Smoking
New treatments
Screening
Early diagnosis
Nutrition and physical activity
Significant health inequalities exist and gap is widening….

4. Available Resources
NHS has approx £1,400 per person in the UK to spend
NHS Bristol spends around £8.6 million per 100,000 people on cancer
Since 1993 the mortality rate in the under 75s has fallen by about 20%.
Area
£’000 per 100,000
NHS Bristol
8,599
Cluster average
8,350
South West Average
8,314
England Average
8,166

5. TOTAL NHS BRISTOL SPEND
Provider
£’000 %
North Bristol NHS Trust
6,989
19.9%
United Bristol Healthcare NHS Trust
20,462
58.2%
Other NHS Trusts
164
0.1%
GP Prescribing
2,002
5.7%
PCT Provider Services
1,008
2.9%
Other NHS Providers
804
2.3%
Other Independent Sector
1,806
5.2%
Other
1,954
5.6%