Regional Cancer Control Planning Forum 2 November 2011

Objectives Understand the national, regional and district planning context for 2012/13 Support the alignment of cancer control planning across the region Strengthen stakeholder ownership of the network

Outcome Agree a set of cancer control priority areas for 2012/13 to inform the following plans: Regional Services Plan CCN Work Plan DHB Annual plans Local Cancer Network work plans

Setting the Scene Recent, current and planned cancer control activities – districts and CCN work groups Central RSP focus and process for 2012/13 National Cancer Control Programme – focus areas for 2012/13 Bridget Allan, Director, Planning, Funding and Public Health, Hutt Valley District Health Board Dr John Childs, Clinical Director national Cancer Programme Deborah Woodley, National Programme Manager Cancer, MOH

Workshops Network Infrastructure Data and monitoring Primary care Supportive Care Tumour stream programme Inequalities programme Integrated cancer services Cancer nursing Communications *Note Central Region Palliative Care Network meeting 16 Nov People to select workshops – around 15 in each CRPCN meeting on 16th Nov will discuss priorities for pal care

Current State of Play What are the indicators telling us? What are the districts focusing on? What are the CCN work groups focussing on?

Prevention Better Help for Smokers to Quit – improving Results range from 99% - 83% (2010/11 Quarter 4) Breast feeding – improving HPV – improving Sun Protection - improving Tobacco – hospital data reported; primary care data should be coming on line by the end of the year Breast feeding - As of 2009, the majority of DHBs in the CCN region are yet to meet the national breastfeeding targets at six weeks, with even poorer results for Māori. Rates are better compared to targets for three and six months. HPV – CCN results tend to be above the national average but below the target Sun Protection – number of Sunsmart accredited schools in the region is increasing but is dependant on Cancer Society resources

Breast Screening Data provided by Cushla Lucas, Manager BSCC ?timeframe National data currently unavailable

Cervical Screening As of September 2010, two CCN DHBs are just shy (by 1% or less) of meeting the 75% target for cervical screening coverage for their total populations. All other CCN DHBs exceed the target. Rates for Maori, Pacific and Asian women increasing at a higher rate – gap closing. Unable to provide up to date data at this stage Target to be increased to 80% in 2013/14 Good initiatives around the region including: Hawkes Bays Cervical and Breast Screening Steering Group and Integrated Health Promotion plan MidCentral’s District Cervical Screening Group and plan Whanganui’s recent Health Promotion Events for Pasifika Health Screening

Treatment Radiation Oncology – consistently meeting the 4 week wait time target (100% receive treatment within 4 weeks) Medical Oncology all DHBs (CCDHB, MDHB, TDHB, TDH, HBDHB) are treating patients within 4 weeks of FSA Variable results for wait times between receipt of referral and FSA Bowel and lung cancer MDM access is increasing but datasets are not complete Wait time data currently being collated

Districts Information received from Hawkes Bay, Wairarapa, Whanganui and MidCentral Key activities and achievements for 2010/11 Key activities planned for 2011/12 Priority areas for 2012/13

Work Groups Regional Lung Steering Group Regional Bowel Steering Group Regional Head & Neck Steering Group Gynae- oncology Advisory Group Central Region Palliative Care Network Regional Oncology Social Workers Forum Consumer Representatives Group

CCN Wider Work Programme Facilitating collaborative group meetings Health Service Co-design Education Programme via video-conference National Maori Leadership Pacific Communities programme Supportive Care Community Health Development Consumer Representation – lead network

Central RSP – 2011/12 Shorter Waiting times for Oncology: Radiation Oncology Medical Oncology Access to treatment for target/priority cancer (Lung / Bowel): Standards Multidisciplinary Meetings Pathway indicators Reducing inequalities: CCN pilot funding for local cancer networks Pacific communities programme

Central RSP – 2012-15 Scope the development of single integrated specialist cancer treatment services across: Radiation Oncology Medical Oncology Clinical Haematology Surgical Oncology