1. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Caroline Brook Assistant Director – Strategic Policy and Information Northern and Yorkshire Cancer Registry and Information Service (NYCRIS) Cancer Mortality Rates in the under 75s - An overview of the position within the North East and Yorkshire and the Humber

2. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009

3. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 ~9,000 cancer deaths in the under 75s per year across the three cancer networks (based on 2007) This has reduced in absolute numbers by 13.7% between 1996 and 2007 However, the under 75s population has also reduced between 1996 and 2006 (-0.36 YCN, -0.88 HYC, -1.27 NECN) Key facts

4. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Key facts Lung, Colorectal, Breast and Prostate account for almost 50% of all cancer deaths. Mortality rates for prostate – often erratic and difficult to interpret. Changing profile of cancer deaths across 5 year age bands.

5. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Cancer mortality rates -All cancers exc. non-melanoma skin By 5 year age groups

6. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 NHS North East Overall reduction to 2005-2007 = -19.5%

7. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Site-specific reduction in cancer mortality Colorectal = -28.9%Lung = -23.8% Breast (f) = -23.0%Prostate = +0.3% NHS North East

8. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 NHS Yorkshire and the Humber Overall reduction to 2005-2007 = -17.7%

9. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Site-specific reduction in cancer mortality Colorectal = -28.6%Lung = -20.4% Breast (f) = -22.0%Prostate = -13.3% NHS Yorkshire and the Humber

10. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 NHS Rotherham Site-specific reduction in cancer mortality Colorectal = -46.8%Lung = -22.3% Breast (f) = -43.4%Prostate = -9.3% Overall Reduction = -19.4%

11. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Reduction In inequality Gap = -33.2% However... Males = +53.8% Females = -81.7%

12. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 NHS Barnsley Site-specific reduction in cancer mortality Colorectal = -45.2%Lung = -13.3% Breast (f) = -25.3%Prostate = -45.7% Overall Reduction = -14.7% (target not met)

13. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Reduction In inequality Gap = +8.7% However... Males = -28.4% Females = +71.8%

14. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 NHS Doncaster Site-specific reduction in cancer mortality Colorectal = -29.2%Lung = -28.0% Breast (f) = -30.4%Prostate = -9.2% Overall Reduction = -18.7%

15. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Reduction In inequality Gap = -32.3 % Unlike other South Yorks PCTs Males = -14.7% Females = -70.3%

16. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 NHS Sheffield Site-specific reduction in cancer mortality Colorectal = -36.2%Lung = -18.8% Breast (f) = -20.3%Prostate = -18.7% Overall Reduction = -20.8% (target met)

17. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009

18. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Humber and Yorkshire Coast Cancer Network (HYCCN) Overall Reduction = -17.9% Site-specific reduction in cancer mortality Colorectal = -24.3%Lung = -16.7% Breast (f) = -20.2%Prostate = -15.3%

19. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Network performed well across the board with the network and all PCTs having either achieved the target to date or having a rate not significantly different from the target. Key issues are around more recent increasing trends and increased awareness and monitoring of these. HYCCN Key facts

20. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 HYCCN PCTs - Colorectal

21. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 HYCCN PCTs - Lung

22. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 HYCCN Lung cancer mortality rates

23. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 HYCCN PCTs - Breast

24. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Reduction in inequality gap = -58.4 % Males = -73.5% Females = -31.0%

25. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 Reduction in inequality gap = -13.7 % However... Males = -28.2% Females = +13.5%

26. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 North of England Cancer Network Catherine Murdoch Yorkshire Cancer Network Sarah Cuthbertson

27. Northern & Yorkshire Cancer Registry & Information Service NHS 27 July 2009 All 3 cancer networks and both SHAs doing well overall towards the 2010 target. Position is more variable when looking at gender and specific cancer sites. Recent changes in trends pose questions in relation to value of projections, local target setting and possible local actions required. To conclude