1. Achieving World-Class Cancer Outcomes A Strategy for England 2015-2020
A brief overview for the CUP SSG
Provided by Anthony Walsh
Cancer Services Manager, GLOS

2. Achieving World-Class Cancer Outcomes
What is it?
What does it say?
What should we do?
23/02/2019
Presentation for Urology SSG – 15Oct15

3. Presentation for Urology SSG – 15Oct15
What is it?
An Independent Cancer Taskforce was established in January 2015 by NHS England on behalf of the Care Quality Commission, Health Education England, Monitor, National Institute for Health and Care Excellent, Public Health England and the Trust Development Authority to help develop a five-year strategy for cancer services.
Aim was to improve survival rates and save thousands of lives.
The report was informed by responses to a Call for Evidence. Nearly 100 workshops and meetings were held, involving around 600 participants, the proactive involvement of patients, consultation with around 30 cancer charities, and professional groups.
The Independent Cancer Taskforce has published the strategy on 19th July 2015
23/02/2019
Presentation for Urology SSG – 15Oct15

4. What does it say? Six strategic priorities
Outlines how an additional 30,000 patients every year could survive cancer for 10 years or more by 2020 (11,000 through earlier diagnosis).
Upgrade in prevention and public health
Achieve earlier diagnosis
Patient experience on a par
Support for living with and beyond cancer
Investment to deliver modern high-quality service
Overhaul for commissioning, accountability & provision
23/02/2019
Presentation for Urology SSG – 15Oct15

5. What does it say? - Prevention
A radical upgrade in prevention and public health
Outlines how the NHS should work with the Government to improve public health, including:
Adopting a new tobacco control strategy within the next 12 months
National action plan on obesity.
The Taskforce wants to see a reduction in smoking from 18.4 per cent now, to less than 13 per cent by 2020.
Currently, patients urgently referred for suspected cancer by their GP need to be seen by a specialist within 14 days of referral, but no guidance exists for when patients can expect to get the results.
23/02/2019
Presentation for Urology SSG – 15Oct15

6. What does it say? – Earlier Diagnosis
A national ambition to achieve earlier diagnosis
Ambition, by 2020, 95 per cent of patients referred for testing by a GP are definitively diagnosed with cancer, or cancer is ruled out, and that patients get this result within four weeks.
Requires increase in diagnostic capacity, giving GPs direct access to key investigative tests
Testing of new models which could reduce the burden and reliance on GPs.
The Taskforce wants to see a reduction in smoking from 18.4 per cent now, to less than 13 per cent by 2020.
Currently, patients urgently referred for suspected cancer by their GP need to be seen by a specialist within 14 days of referral, but no guidance exists for when patients can expect to get the results.
23/02/2019
Presentation for Urology SSG – 15Oct15

7. What does it say? – Patient Experience
Patient experience on a par with clinical effectiveness and safety
Recommends giving all consenting patients electronic access to all test results and other communications involving further care by 2020.
Access to a clinical nurse specialist or other key worker to help coordinate their care.
The NHS must continue to develop and adopt meaningful ways to measure a patient’s experience, including the annual Cancer Patient Experience Survey.
The Taskforce wants to see a reduction in smoking from 18.4 per cent now, to less than 13 per cent by 2020.
Currently, patients urgently referred for suspected cancer by their GP need to be seen by a specialist within 14 days of referral, but no guidance exists for when patients can expect to get the results.
23/02/2019
Presentation for Urology SSG – 15Oct15

8. What does it say? – Beyond Cancer
Transformation in support for people living with and beyond cancer
By 2020 every person with cancer should have access to elements of a ‘Recovery Package’ – a comprehensive plan that outlines treatment as well as post-treatment support and care.
Quality of life metric should be developed by 2017 to ensure better support for people after treatment has ended.
The Taskforce wants to see a reduction in smoking from 18.4 per cent now, to less than 13 per cent by 2020.
Currently, patients urgently referred for suspected cancer by their GP need to be seen by a specialist within 14 days of referral, but no guidance exists for when patients can expect to get the results.
23/02/2019
Presentation for Urology SSG – 15Oct15

9. What does it say? – Investment
Investment to deliver a modern high-quality service
Replacement plan for radiotherapy machines as they reach 10-years and upgrading of existing linacs by the time they have been operational for six years
Sustainable model for the Cancer Drugs Fund
Nationally-commissioned, regionally-delivered, molecular diagnostics service, to guide more personalised prevention, screening and treatment
Address critical deficits in the cancer workforce.
The Taskforce wants to see a reduction in smoking from 18.4 per cent now, to less than 13 per cent by 2020.
Currently, patients urgently referred for suspected cancer by their GP need to be seen by a specialist within 14 days of referral, but no guidance exists for when patients can expect to get the results.
23/02/2019
Presentation for Urology SSG – 15Oct15

10. What does it say? - Commissioning
Overhauled processes for commissioning, accountability and provision.
Clearer expectations need to be set by the end of 2015 for how cancer services should be commissioned, with most treatment then being commissioned at population sizes above CCG level.
Network of Cancer Alliances should be established across the country.
Dashboard of key metrics to address variation and support service redesign. The Taskforce has recommended that a National Cancer Team (NCT) should oversee the delivery of the Strategy
The Taskforce wants to see a reduction in smoking from 18.4 per cent now, to less than 13 per cent by 2020.
Currently, patients urgently referred for suspected cancer by their GP need to be seen by a specialist within 14 days of referral, but no guidance exists for when patients can expect to get the results.
23/02/2019
Presentation for Urology SSG – 15Oct15

11. Presentation for Urology SSG – 15Oct15
What should we do?
Review of each priority – what are we doing to deliver this?
Well-being events, eHNAs, direct access?
How does this fit along side other local, network activities?
Review of diagnostic capacity
Review of pathways alongside new NICE guidance
“Use” strategy as a lever for change?
23/02/2019
Presentation for Urology SSG – 15Oct15