Thames Valley Strategic Clinical Network TV Cancer SCN Head and Neck Cancer Workshop Bernadette Lavery Cancer Clinical Director 24 th February 2016

Thames Valley Strategic Clinical Network Thames Valley – NHS Geography Part of NHS England South (South Central) – Oxfordshire, Bucks, Berks, plus Bath, Glos, Swindon and Wiltshire. TV Cancer SCN also includes MK and Swindon

Thames Valley Strategic Clinical Network Thames Valley Cancer Network Total Population: Hospital Trusts 12 CCGs

Thames Valley Strategic Clinical Network National Cancer Strategy 2015 Published 19 th July 2015 Independent task force established by NHS E on behalf of the 6 ALBs (CQC, HEE, Monitor, PHE, TDA, NHSE) Charged with developing a 5-year strategy for cancer services to deliver the vision set out in the Five Year Forward View, working across the entire health system

Thames Valley Strategic Clinical Network Five Year Forward View: Ambitions for cancer Better prevention Faster diagnosis Better treatment and care for all – reduce variation Appropriate consolidation into specialist centres Expand chemo provision in the community Support and aftercare, and EOLC, to be increasingly provided in community settings

Thames Valley Strategic Clinical Network Cancer Strategy Intended to: Build on –First Cancer Plan (2000) –Cancer Reform Strategy (2007) –Improving Outcomes Strategy(2011) Align with FYFV principles Pay attention to whole pathway Address variability in access and outcomes Encourage pro-active approaches Generate ambition

Thames Valley Strategic Clinical Network Strategy (a) 96 recommendations, apparently have the support of Simon Stevens Split into themes around 6 priority areas – Prevention/public health – Early diagnosis – High quality services – LWBC – Patient experience – New models for commissioning and organisation

Thames Valley Strategic Clinical Network Head and Neck Cancer Around 10,000 new cases annually in UK by CRUK data 2013 Currently new cases in Thames Valley per year Approximately 3% of cancer numbers by incidence in TV, stable proportion

Thames Valley Strategic Clinical Network Experiencing cancer Common Frequently ‘invisible’ Patients and families buoyed up by being able to continue ‘normal life’ Why is this not the case for many with H&N cancer? What are appropriate ‘outcomes’ of quality for H&N cancer?

Thames Valley Strategic Clinical Network Thames Valley Head & Neck Cancer Scoping Project “Thames Valley Cancer Strategic Clinical Network in partnership with Macmillan Cancer Support and Central Southern Commissioning Support undertook a one year project across Thames Valley to scope rehabilitation support services available to patients diagnosed with head and neck cancer (HNC) in long term survivorship. The project’s aim was to identify and understand key areas within the rehabilitation support services where the support and care for HNC patients is being unmet and could be enhanced.”