Cancer Care in the UK 2015Cancer Care in the UK 2015

The Challenge Ahead - Driving The Challenge Ahead - Driving Down Costs, Treating More, Down Costs, Treating More,

Whilst Increasing QualityWhilst Increasing Quality

The ChallengeThe Challenge

More cancer not less – I in 2 by the end of the decadeMore cancer not less – I in 2 by the end of the decade Increased use of all modalities Increased use of all modalities Increasing costs e.g. inflation on drugsIncreasing costs e.g. inflation on drugs Able to treat recurrence – more patients Able to treat recurrence – more patients A requirement to make savings/efficienciesA requirement to make savings/efficiencies Limited flexibility – it’s a people businessLimited flexibility – it’s a people business 15,000 USCs per annum to find 4000 cancers15,000 USCs per annum to find 4000 cancers

So what is the view of the NHS and how can it move So what is the view of the NHS and how can it move forwardforward

Can history teach us something ? Can history teach us something ?

So much from so few - more for So much from so few - more for less ?less ?

LeadershipLeadership

Strategic LevelStrategic Level Operational levelOperational level StrongStrong DeterminedDetermined KnowledgeableKnowledgeable Lead from the frontLead from the front

Optimum equipmentOptimum equipment

If not the best the most reliableIf not the best the most reliable Fit for purposeFit for purpose

Exploit technologyExploit technology

New technologies can help efficiency and New technologies can help efficiency and optimise what we need to do.optimise what we need to do.

Plan and prioritisePlan and prioritise

Obtain informationObtain information Create a planCreate a plan Identify your prioritiesIdentify your priorities

ExperimentExperiment

Be prepared to experiment, fail and try again Be prepared to experiment, fail and try again

Multi agency approachMulti agency approach

Work with others to achieve a shared goal Work with others to achieve a shared goal

LuckLuck

A little bit of luck goes a long way ! A little bit of luck goes a long way !

Focus and SpiritFocus and Spirit Esprit De Corps – the fewEsprit De Corps – the few

Pride – purpose - sustainabilityPride – purpose - sustainability

Part of the next generationPart of the next generation

It’s on my watchIt’s on my watch

HunterHunter, , P Sub LtP Sub Lt (A) RNVR 831 sdqn (A) RNVR 831 sdqn

ConclusionConclusion

Spirit and determination is everythingSpirit and determination is everything

Teams in adversity often do better and history Teams in adversity often do better and history provides multiple examples of this.provides multiple examples of this.

In these challenging times the NHS needs to In these challenging times the NHS needs to plan and prioritise but fundamentally plan and prioritise but fundamentally maintain a spirit in order to deliver a ‘can do’ maintain a spirit in order to deliver a ‘can do’ mentality – that way we can get more from mentality – that way we can get more from less.less.