Anne Snow, Lead Cancer NurseDr 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 1 Year Survival Index England 69.3% Wessex 70.5%

NHS Dorset CCG 70.9% NHS Fareham and Gosport CCG 68.2% NHS Isle Of Wight CCG 69.1% NHS North East Hampshire and Farnham CCG 73.3% NHS North Hampshire CCG 70.2% NHS Portsmouth CCG 67.4% NHS South Eastern Hampshire CCG 68.7% NHS Southampton CCG 69.5% NHS West Hampshire CCG 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