1. West Cheshire & Wirral Cancer Summit West Cheshire CCG Data Paul Wright – Specialist Public Health Analyst

2. Cancer Incidence in West Cheshire Number of cases of cancer has increased 25% since 2001-03. 4 cancers amount for 53% of all cancer incidence in West Cheshire.

3. Colorectal cancer (ICD10 C18-C20) Lung Cancer (C33-C34) Breast Cancer (C50) Prostate Cancer (C61) The Four “Big” Cancers

4. The vast majority of cases of these cancers occurred in people aged over 60. Breast cancer has a slightly younger age profile – approximately 40% of cases occur in people aged under 60. Age Profile

5. Age standardised incidence is higher than nationally, the difference is not significant but historically the rate of increase has been faster than national. The incidence rate fell slightly in 2008-10. Colorectal Cancer (ICD10 C18-C20) Incidence

6. One year survival in NHS Western Cheshire is higher than the national figure. Five year survival is similar to the England percentage. Both relative survival rates have fallen recently. Colorectal Cancer (ICD10 C18-C20) Survival

7. Age standardised mortality is higher than nationally but the difference is not significant. Mortality has fluctuated, against a slowly declining national rate. Colorectal Cancer (ICD10 C18-C20) Mortality

8. Age standardised incidence is higher than nationally, this difference is not significant. In Western Cheshire the rate has increased by 15% since 2006-08. Lung Cancer (C33-C34) Incidence

9. One and five year survival in NHS Western Cheshire is higher than the national figure. Lung Cancer (C33-C34) Survival

10. Age standardised mortality is lower than nationally but the difference is not significant. Mortality rates have fallen slightly in Western Cheshire since 2006-08. Lung Cancer (C33-C34) Mortality

11. Age standardised incidence is higher than nationally, the difference is not significant and the rate is decreasing. Breast Cancer (C50) Incidence

12. One year survival in NHS Western Cheshire is similar to the national figure. Five year survival is significantly higher than the England percentage. One year survival is falling yet five year survival is increasing. Breast Cancer (C50) Survival

13. Age standardised mortality is similar to national. Mortality has been falling since 2005-07. Breast Cancer (C50) Mortality

14. Age standardised incidence is higher than nationally, but the difference is not significant. Prostate Cancer (C61) Incidence

15. Both one and five year survival rates in the cancer network are higher than nationally but the difference is not significant. Prostate Cancer (C61) Survival

16. Age standardised mortality is lower than the national rate. Mortality fell by a quarter between 2001-03 and 2008-10. Prostate Cancer (C61) Mortality