1. Cancer Care in the UK 2015 The Challenge Ahead - Driving Down Costs, Treating More, Whilst Increasing Quality

2. The Challenge  More cancer not less – I in 2 by the end of the decade  Increased use of all modalities  Increasing costs e.g. inflation on drugs  Able to treat recurrence – more patients  A requirement to make savings/efficiencies  Limited flexibility – it’s a people business  15,000 USCs per annum to find 4000 cancers  So what is the view of the NHS and how can it move forward Can history teach us something ? Can history teach us something ?

3. So much from so few - more for less ? So much from so few - more for less ?

4. Leadership  Strategic Level  Operational level  Strong  Determined  Knowledgeable  Lead from the front

5. Optimum equipment  If not the best the most reliable  Fit for purpose

6. Exploit technology  New technologies can help efficiency and optimise what we need to do.

7. Plan and prioritise  Obtain information  Create a plan  Identify your priorities

8. Experiment  Be prepared to experiment, fail and try again

9. Multi agency approach  Work with others to achieve a shared goal

10. Luck  A little bit of luck goes a long way !

11. Focus and Spirit  Esprit De Corps – the few

12. Pride – purpose - sustainability  Part of the next generation

13. It’s on my watch

14. Hunter, P Sub Lt (A) RNVR 831 sdqn

15. Conclusion Spirit and determination is everything Spirit and determination is everything Teams in adversity often do better and history provides multiple examples of this. Teams in adversity often do better and history provides multiple examples of this. In these challenging times the NHS needs to plan and prioritise but fundamentally maintain a spirit in order to deliver a ‘can do’ mentality – that way we can get more from less. In these challenging times the NHS needs to plan and prioritise but fundamentally maintain a spirit in order to deliver a ‘can do’ mentality – that way we can get more from less.