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GP Trainers' Workshop Westbridge Place, 1 Westbridge Close Leicester LE3 5DR 13 th September 2018

GP Trainers' Workshop Westbridge Place, 1 Westbridge Close Leicester LE3 5DR 13 th September 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 Westbridge Place, 1 Westbridge Close Leicester LE3 5DR 13 th September 2018

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  1. GP Trainers' Workshop Westbridge Place, 1 Westbridge Close Leicester LE3 5DR 13th September 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 • Westbridge Place

  3. GP Trainers' Workshop The Day: • The expanding role of Primary Care and Cancer Control • Tea and Coffee • Preventing Cancer and Primary Care • Lunch and networking • Early Diagnosis of Cancer Recognition and Referral of Suspected Cancer • Significant Event Analysis and Educational Tools to Support GP Trainees • Key take home, evaluation and close

  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 14.8.18

  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 7.9.18)

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

  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 9.6.18

  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 9.6.18

  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 9.6.18

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

  30. 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

  31. 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.

  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

  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%

  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% www.cancerresearchuk.org/health-professional/cancer-statistics/survival/all-cancers-combined#heading-One– last accessed 17.2.18

  35. 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

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

  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% Discuss with your neighbour….

  38. 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%

  39. RCGP and Cancer Research UK Workshop 168€ 128€ http://ihe.se/wp-content/uploads/2016/08/IHE-Report_2016_4.pdf(Accessed 14.8.18)

  40. RCGP and Cancer Research UK Workshop http://ihe.se/wp-content/uploads/2016/08/IHE-Report_2016_4.pdf(Accessed 14.8.18)

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

  42. Why is early diagnosis important? GP Trainers' Workshop https://www.cancerresearchuk.org/health-professional/cancer-statistics/survival/all-cancers-combined#heading-Two Accessed 7.9.18

  43. 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 3.11.17)

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

  45. 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 3.11.17)

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

  47. 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 3.11.17)

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

  49. 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 3.11.17)

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

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