comprehensive cancer centres
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A presentation by Australia's Chief Medical Officer, Professor Jim Bishop AO, to the RACS Annual Scientific Congress 4 May 2010TRANSCRIPT
COMPREHENSIVE CANCER CENTRES
Royal Australasian College of SurgeonsAnnual Scientific Congress
Tuesday 4 May 2010
Professor Jim Bishop AO
Chief Medical Officer
Australian Government Department of Health and Ageing
USA COMPREHENSIVE CANCER CENTRES
Initial model- Rosewell Park, Buffalo- Memorial Sloan-Kettering, NY
- MD Anderson, Houston - Fox Chase, Philadelphia
Currently 40 NCI-designated CCC and total of 61 Centres
Cancer Centres Directors Group, NCCN
MILESTONES US CANCER CENTRES PROGRAM
1960 NIH Grant Clinical Research Centres
1961 Cancer Research Facilities Grant
1963 12 Institutions $6m
1968 National Cancer Advisory Board Guidelines
1971 National Cancer Act – Cancer Centres Branch NCI
1973 Cancer Centre Support Grant: Guidelines
1980s Basic, Clinical and Comprehensive Centres
1991 Integration of Research elements
1997 Cancer Centres, Clinical Cancer Centres, Comprehensive Cancer Centres
SIX ESSENTIAL CRITERIA FOR NCI CCC
• Physical facilities dedicated to the conduct of cancer research
• Organisational capability to plan and implement research strategies
• Trans-disciplinary collaboration and co-ordination of research
• Cancer Research Focus
• Institutional Commitment to the Cancer Centre
• Centre Director with Institutional authority to manage the Centre
USA – COMPREHENSIVE CANCER CENTRES
Trans-disciplinary and Translational interaction
Laboratory Research
Clinical Research
Prevention, Control and Population Research
Sources of Cancer Research funding in
NSW (2004-2006)
SOURCE: Cancer Research in NSW 2001-2006Cancer Institute NSW Monograph – March 2008
Sources of Cancer Research funding in NSW
by Survey year
SOURCE: Cancer Research in NSW 2001-2006Cancer Institute NSW Monograph – March 2008
Total funding by broad research area (2004-2006)
SOURCE: Cancer Research in NSW 2001-2006Cancer Institute NSW Monograph – March 2008
Total Funding by geographical hub (2004-
2006)
SOURCE: Cancer Research in NSW 2001-2006Cancer Institute NSW Monograph – March 2008
Geographical Hub
Total funds to hub in survey
period % of total
% Funds to Basic
Research % Funds to
Public Health% Funds to
Clinical research
% Funds to Psycho-social /
behavioural research
Camperdown $32,207,999 24.0% 55.7% 6.6% 27.0% 10.8%
Randwick $26,317,086 19.6% 81.6% 0.9% 13.5% 4.0%
Hunter $20,809,422 15.5% 27.2% 14.4% 43.4% 15.1%
Western Sydney $20,329,413 15.1% 81.0% 2.5% 16.3% 0.2%
Darlinghurst $19,746,918 14.7% 84.3% 2.6% 13.1% 0.0%
Northern Sydney $8,623,733 6.4% 79.5% 0.0% 19.6% 0.9%
Illawarra $2,623,924 2.0% 30.9% 15.5% 37.6% 16.0%
The Cancer Council NSW $1,328,357 1.0% 3.7% 93.5% 2.2% 0.6%
ANSTO $1,113,950 0.8% 81.9% 0.0% 18.1% 0.0%
South Western Sydney $817,329 0.6% 3.4% 55.0% 1.4% 40.2%
Distributed Rural Network $395,733 0.3% 0.0% 5.1% 92.1% 2.8%
CSIRO $150,000 0.1% 100.0% 0.0% 0.0% 0.0%
Total $134,463,864 100%
Funding within Geographical hubs: proportion
of funds by board research category
SOURCE: Cancer Research in NSW 2001-2006Cancer Institute NSW Monograph – March 2008
The number of publications on cancer for the years 1999-2006 allocated over the eight Australian States according to SCI-SSCI
SOURCE: Cancer Research in NSW 2001-2006Cancer Institute NSW Monograph – March 2008
NHMRC Funding by RESEARCH AREA
2007 2008 2009 2009 ($m) ($m) ($m) %
Laboratory 251 294 346 51%Clinical 152 176 205 30%Public Health 68 79 84 12%Prevention 9 11 14 2%____________________________________________________Totals 500 586 677 100%______________________________________________________________________________
* Additional infrastructure funding not tabulatedNHMRC Strategic Plan 2009
Australian Government Budget 09-10
COAG Agreements $1.1 billion for medical and health
training $872 million for preventative health
NHMRC Funding Increased by 13% to $703m
HHF $1.3 billion for cancer projects * $560 million for regional cancer
centres $1.5 billion for hospital infrastructure
REGIONAL CANCER CENTRE PRINCIPLES
Demonstrated need/impact
Align with Cancer Services
Link to Comprehensive Cancer Care
Provide equitable and affordable access
Address sustainability and workforce
Support Clinical Research Networks
Monitor and evaluate performance
CANCER CARE IN THE FUTURE
Increasing burden of cancer
Research and research information will drive improvement
Integration of research findings into daily practice is everybody’s business
Role delineation, sizing enterprises for function and multidisciplinary research interactions remain a major challenge