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GP Trainers' Workshop Mercure Hotel, 2 George Street, Lace Market, Nottingham NG1 3BP

GP Trainers' Workshop Mercure Hotel, 2 George Street, Lace Market, Nottingham NG1 3BP 7 th November 2018 Dr Richard Roope RCGP and Cancer Research UK Cancer Clinical Champion Senior Clinical Advisor Cancer Research UK. GP Trainers' Workshop Housekeeping Fire Exits Toilets Mobile phones

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GP Trainers' Workshop Mercure Hotel, 2 George Street, Lace Market, Nottingham NG1 3BP

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  1. GP Trainers' Workshop Mercure Hotel, 2 George Street, Lace Market, Nottingham NG1 3BP 7th November 2018 Dr Richard Roope RCGP and Cancer Research UK Cancer Clinical Champion Senior Clinical Advisor Cancer Research UK

  2. GP Trainers' Workshop Housekeeping • Fire Exits • Toilets • Mobile phones • Questions • Certificates • Thanks to the team who have set up the day: • RCGP, HEE and Cancer Research UK Team • Mercure Hotel Staff

  3. GP Trainers' Workshop The Day: • The expanding role of Primary Care and Cancer Control • Tea and Coffee • Primary Care role in Cancer Prevention • Lunch and networking • Early Diagnosis of Cancer Recognition and Referral of Suspected Cancer • Analysis of Learning Events (SEAs) and Educational Tools • Key take home learning, reflections and evaluation

  4. GP Trainers’ Workshop Aims for the day…

  5. GP Trainers’ Workshop What are we there for?

  6. GP Trainers’ Workshop What are we there for? Discuss with your neighbour…

  7. GP Trainers’ Workshop Early Diagnosis for GP trainers What are we there for?

  8. GP Trainers’ Workshop Early Diagnosis for GP trainers What are we there for?

  9. GP Trainers' Workshop Primary Care and Cancer Control

  10. GP Trainers' Workshop Primary Care and Cancer Control • Cancer: why all the interest? • Why is prevention important? • Why is early diagnosis important? • Past – where were we? • Present – where are we? • Future – where next?

  11. Cancer: why all the interest? GP Trainers' Workshop

  12. Cancer: why all the interest? GP Trainers' Workshop Causes of death <75 4 Cancer Circulatory Disease Other Respiratory Liver 1 Circulatory Disease Cancer Liver Respiratory Other 2 Cancer Other Circulatory Disease Liver Respiratory 3 Circulatory Disease Cancer Respiratory Liver Other

  13. Cancer: why all the interest? GP Trainers' Workshop Causes of death <75 4 Cancer Circulatory Disease Other Respiratory Liver 1 Circulatory Disease Cancer Liver Respiratory Other 2 Cancer Other Circulatory Disease Liver Respiratory 3 Circulatory Disease Cancer Respiratory Liver Other Which do you think is the correct column? (high to low)

  14. Cancer: why all the interest? GP Trainers' Workshop Causes of death <75 4 Cancer Circulatory Disease Other Respiratory Liver 1 Circulatory Disease Cancer Liver Respiratory Other 2 Cancer Other Circulatory Disease Liver Respiratory 3 Circulatory Disease Cancer Respiratory Liver Other

  15. Cancer: why all the interest? RCGP and Cancer Research UK Workshop 38% https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/657152/Longer_Lives_summary_7_November_2017.pdf Last accessed 27.10.18

  16. Cancer: why all the interest? RCGP and Cancer Research UK Workshop https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/307703/LW4L.pdf (last accessed 27.10.18)

  17. RCGP and Cancer Research UK Workshop Cancer – why all the interest? The Future:

  18. RCGP and Cancer Research UK Workshop The perfect storm:

  19. RCGP and Cancer Research UK Workshop The perfect storm:

  20. RCGP and Cancer Research UK Workshop The Scale of the Challenge: The perfect storm…

  21. RCGP and Cancer Research UK Workshop The Scale of the Challenge: The perfect storm… Aging population

  22. RCGP and Cancer Research UK Workshop Aging Population Life expectancy 1960-2015 UK Higher Income countries https://data.worldbank.org/indicator/SP.DYN.LE00.IN?end=2015&locations=GB-XD&start=1960&view=chart&year_high_desc=true (Accessed 9.6.18)

  23. RCGP and Cancer Research UK Workshop Aging Population - Centenarians http://www.ons.gov.uk/ons/rel/lifetables/historic-and-projected-data-from-the-period-and-cohort-life-tables/2012-based/info-surviving-to-age-100.html last accessed 27.10.18.18 https://visual.ons.gov.uk/what-are-your-chances-of-living-to-100/last accessed 27.10.18

  24. RCGP and Cancer Research UK Workshop Aging Population - Centenarians https://visual.ons.gov.uk/what-are-your-chances-of-living-to-100/ last accessed 27.10.18

  25. RCGP and Cancer Research UK Workshop Aging and Cancer

  26. Male Female Mortality from all cancers RCGP and Cancer Research UK Workshop Aging and Cancer http://www-dep.iarc.fr/WHOdb/Graph2p.asp?cancer=150&sex=1&country=4308&sYear=1950&eYear=2013&age=0&agegr=10&agen=9&orientation=1&window=1&grid=1&line=2&moving=1&scale=0&submit=%A0%A0%A0Execute%A0%A0%A0 last accessed 27.10.18

  27. Male Female Mortality from all cancers RCGP and Cancer Research UK Workshop Aging and Cancer http://www-dep.iarc.fr/WHOdb/Graph2p.asp?cancer=150&sex=1&country=4308&sYear=1950&eYear=2013&age=0&agegr=10&agen=9&orientation=1&window=1&grid=1&line=2&moving=1&scale=0&submit=%A0%A0%A0Execute%A0%A0%A0 last accessed 27.10.18

  28. RCGP and Cancer Research UK Workshop The Scale of the Challenge: • The perfect storm… • Aging population • Lifestyles less healthy: • Smoking • Obesity • Diet • Alcohol • Exercise • Sun exposure

  29. RCGP and Cancer Research UK Workshop The Scale of the Challenge: • The perfect storm… • Aging population • Lifestyles less healthy: • Smoking • Obesity • Diet • Alcohol • Exercise • Sun exposure Increasing survival

  30. RCGP and Cancer Research UK Workshop The perfect storm: Numbers of cancers (ex NMSC) http://gco.iarc.fr/tomorrow/graphic-line?type=0&population=900&mode=population&sex=0&cancer=39&age_group=value&apc_male=0&apc_female=0#collapse-group-0-4 Last accessed 27.10.18

  31. Cancer: why all the interest? RCGP and Cancer Research UK Workshop 1 in 2 people will be diagnosed with one or more cancers in their lifetime

  32. Cancer: why all the interest? RCGP and Cancer Research UK Workshop 1 in 2 people will be diagnosed with one or more cancers in their lifetime 10 year survival has improved to reach 50%

  33. Cancer: why all the interest? RCGP and Cancer Research UK Workshop 1 in 2 people will be diagnosed with one or more cancers in their lifetime 10 year survival has improved to reach 50% www.cancerresearchuk.org/health-professional/cancer-statistics/survival/all-cancers-combined#heading-One– last accessed 27.10.18

  34. Cancer: why all the interest? RCGP and Cancer Research UK Workshop 1 in 2 people will be diagnosed with one or more cancers in their lifetime 10 year survival has improved to reach 50%, but… Cancer survival in the UK still lags behind comparable health economies

  35. Hasn’t cancer had its turn? RCGP and Cancer Research UK Workshop

  36. Hasn’t cancer had its turn? RCGP and Cancer Research UK Workshop Cancer receives what proportion of NHS spend? • 2.0% • 5.0% • 8.0% • 11.0% • 14.0% Discuss with your neighbour….

  37. Hasn’t cancer had its turn? RCGP and Cancer Research UK Workshop Cancer receives what proportion of NHS spend? • 2.0% • 5.0% • 8.0% • 11.0% • 14.0%

  38. RCGP and Cancer Research UK Workshop 168€ 128€ http://ihe.se/wp-content/uploads/2016/08/IHE-Report_2016_4.pdf(Accessed 27.10.18)

  39. RCGP and Cancer Research UK Workshop http://ihe.se/wp-content/uploads/2016/08/IHE-Report_2016_4.pdf(Accessed 27.10.18)

  40. Why is early diagnosis important? GP Trainers' Workshop

  41. Why is early diagnosis important? GP Trainers' Workshop https://www.cancerresearchuk.org/health-professional/cancer-statistics/survival/all-cancers-combined#heading-Two Accessed 27.10.18

  42. Why is early diagnosis important? GP Trainers' Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/breast-cancer/survival#heading-Three (last accessed 27.10.18)

  43. Why is early diagnosis important? GP Trainers' Workshop

  44. Why is early diagnosis important? GP Trainers' Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/prostate-cancer/survival#heading-Two (last accessed 27.10.18)

  45. Why is early diagnosis important? GP Trainers' Workshop

  46. Why is early diagnosis important? GP Trainers' Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/bowel-cancer/survival#heading-Three (last accessed 27.10.18)

  47. Why is early diagnosis important? GP Trainers' Workshop

  48. Why is early diagnosis important? GP Trainers' Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/lung-cancer/survival#heading-Three (last accessed 27.10.18)

  49. Why is early diagnosis important? GP Trainers' Workshop

  50. Why is early diagnosis important? GP Trainers' Workshop All Cancers www.cancerresearchuk.org/health-professional/cancer-statistics/incidence/all-cancers-combined#heading-Two(last accessed 27.10.18)

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