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RCGP and Cancer Research UK Workshop Hallmark Hotel, Leyland Way, Leyland, Preston, PR25 4JX

RCGP and Cancer Research UK Workshop Hallmark Hotel, Leyland Way, Leyland, Preston, PR25 4JX 11 th July 2018 Dr Richard Roope RCGP and Cancer Research UK Cancer Clinical Champion Senior Clinical Advisor Cancer Research UK. RCGP and Cancer Research UK Workshop Housekeeping Fire Exits

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RCGP and Cancer Research UK Workshop Hallmark Hotel, Leyland Way, Leyland, Preston, PR25 4JX

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  1. RCGP and Cancer Research UK Workshop Hallmark Hotel, Leyland Way, Leyland, Preston, PR25 4JX 11th July 2018 Dr Richard Roope RCGP and Cancer Research UK Cancer Clinical Champion Senior Clinical Advisor Cancer Research UK

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

  3. RCGP and Cancer Research UK Workshop The Day: • The expanding role of Primary Care and Cancer Control • Tea and Coffee • Implementation of NG12 (recognition and referral of suspected cancer) and vague symptoms • Lunch and networking • Bowel Cancer Screening North West Project • Insights from the National Cancer Diagnosis Audit and Multi-Diagnostic Centre Evaluation • Optimal Lung Cancer Pathway • Key take home, evaluation and close

  4. RCGP and Cancer Research UK Workshop Primary Care and Cancer Control

  5. RCGP and Cancer Research UK Workshop Primary Care and Cancer Control • Cancer: why all the interest? • Why is early diagnosis important? • Past – where were we? • Present – where are we? • Future – where next? • Survivorship • End of life care

  6. Cancer: why all the interest? RCGP and Cancer Research UK Workshop

  7. Cancer: why all the interest? RCGP and Cancer Research UK 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

  8. Cancer: why all the interest? RCGP and Cancer Research UK 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)

  9. Cancer: why all the interest? RCGP and Cancer Research UK 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

  10. 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 17.6.17)

  11. Cancer: why all the interest? RCGP and Cancer Research UK Workshop 37% https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/307703/LW4L.pdf Last accessed 9.6.18

  12. 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 9.6.18)

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

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

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

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

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

  18. 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)

  19. 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 9.6.18 https://visual.ons.gov.uk/what-are-your-chances-of-living-to-100/last accessed 9.6.18

  20. RCGP and Cancer Research UK Workshop Aging Population - Centenarians https://visual.ons.gov.uk/what-are-your-chances-of-living-to-100/ last accessed 9.6.18

  21. RCGP and Cancer Research UK Workshop Aging and Cancer

  22. 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 9.6.18

  23. 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 9.6.18

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

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

  26. RCGP and Cancer Research UK Workshop The perfect storm: Numbers of cancers http://globocan.iarc.fr/old/burden.asp?selection_pop=206826&Text-p=United+Kingdom&selection_cancer=290&Text-c=All+cancers+excl.+non-melanoma+skin+cancer&pYear=18&type=0&window=1&submit=%C2%A0Execute last accessed 9.6.18 http://www.cancerresearchuk.org/health-professional/cancer-statistics/worldwide-cancer/incidence#heading-Five Last accessed 9.6.18

  27. RCGP and Cancer Research UK Workshop The Scale of the Challenge: By the end of 2016, there were 1,000 people in the UK being diagnosed with cancer every day Mistry, M., et al., Cancer incidence in the United Kingdom: projections to the year 2030. Br J Cancer, 2011. 105: p. 17951803.

  28. 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

  29. 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%

  30. 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 17.2.18

  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 10 year survival has improved to reach 50%, but… Cancer survival in the UK still lags behind comparable health economies

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

  33. 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….

  34. 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….

  35. RCGP and Cancer Research UK Workshop 168€ 128€ http://ihe.se/wp-content/uploads/2016/08/IHE-Report_2016_4.pdflast accessed 9.6.18

  36. Why is early diagnosis important? RCGP and Cancer Research UK Workshop

  37. Why is early diagnosis important? RCGP and Cancer Research UK Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/breast-cancer/survival#heading-Three (last accessed 17.2.18)

  38. Why is early diagnosis important? RCGP and Cancer Research UK Workshop

  39. Why is early diagnosis important? RCGP and Cancer Research UK Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/prostate-cancer/survival#heading-Two (last accessed 17.2.18)

  40. Why is early diagnosis important? RCGP and Cancer Research UK Workshop

  41. Why is early diagnosis important? RCGP and Cancer Research UK Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/bowel-cancer/survival#heading-Three (last accessed 17.2.18)

  42. Why is early diagnosis important? RCGP and Cancer Research UK Workshop

  43. Why is early diagnosis important? RCGP and Cancer Research UK Workshop http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/lung-cancer/survival#heading-Three (last accessed 17.2.18)

  44. Why is early diagnosis important? RCGP and Cancer Research UK Workshop

  45. Why is early diagnosis important? RCGP and Cancer Research UK Workshop Proportion of Cases Diagnosed at Each Stage www.cancerresearchuk.org/health-professional/cancer-statistics/incidence/all-cancers-combined#heading-Two (last accessed 17.2.18)

  46. Why is early diagnosis important? RCGP and Cancer Research UK Workshop Proportion of Cases Diagnosed at Each Stage Stage Shift www.cancerresearchuk.org/health-professional/cancer-statistics/incidence/all-cancers-combined#heading-Two (last accessed 17.2.18)

  47. Minimum increased 5 year survival with 10% increase in stages 1 & 2 RCGP and Cancer Research UK Workshop https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/388160/fourth_annual_report.pdf (last accessed 17.2.18)

  48. How are we doing? RCGP and Cancer Research UK Workshop

  49. How did we do? RCGP and Cancer Research UK Workshop https://fingertips.phe.org.uk/profile/cancerservices

  50. How did we do? RCGP and Cancer Research UK Workshop https://fingertips.phe.org.uk/profile/cancerservices

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