1. Cancer Services Collaborative A Service Improvement Partnership between Cancer Networks, the National Cancer Programme and the NHS Modernisation Agency

2. Cancer Some facts and figures Will affect one in three people One in four will die from cancer 200,000 patients diagnosed each year 120,000 deaths each year Potential to reduce cancer deaths by prevention screening early clinical diagnosis prompt treatment

3. The cost of cancer In 1995 estimated to be over 1 billion pounds (6% of NHS expenditure) Economic effects to the country as dependants cope with disability or death of wage earner Cancer survival in the early 1990s in England & Wales lags behind Europe The overall incidence of cancer is rising

4. NHS Cancer Plan A Plan for Investment & Reform Research Prepare for the future, develop standards and goals Treatment Build for the future, invest in cancer workforce, drugs and treatment Diagnosis Streamline processes involved in care, reduce waiting times Screening Expanding existing screening, introducing new valid methods Prevention Education of public, tackle inequalities in health Care Improved support and information for patients and carers NHS Cancer Plan

5. Moving from a Cancer Collaborative Programme to an “Improvement Partnership” A partnership between cancer networks, the cancer programme and Modernisation Agency Using the collaborative methodology and approach to modernise cancer services across all 34 cancer networks

6. The Cancer Collaborative - an evolving programme Phase IPhase IIPhase III 1999 - 20012001 - 20032003 - 2006 Development stage“Push”“Pull” 9 pilots/networks34 Networks34 networks (StHAs) 51 projectsover 400 projects DHSC early adopters/innovatorsTop downBottom up national programme Mainstream testing what’s possibleCoverageCompleteness 5 tumours:5 Tumours, plusAll cancers breast, colorectal All gynae/all urologyRadiology, radiotherapy lung, prostate, ovarianRadiology, radiotherapyprimary care, endoscopy Primary care, endoscopychemotherapy, pathology palliative care

7. Building on what’s worked well... Dedicated clinical and project management support for cancer networks Practical examples of service improvement and real changes for patients Clinical leadership Momentum of a national collaborative Link to Cancer Policy/CAT Learning events, conferences and initiatives

8. Core principles Patient centred improvement Part of everyday business Building local capability Focusing on local needs/priorities Opportunities to share best practice and learning Continuous measurement to support improvement

9. The Goal To improve the experience and outcomes for patients with suspected or diagnosed cancer, through service improvement at local level using the collaborative methodology

10. The Partnership in Action …. Focus on whole patient journey Service redesign for improvement integrated with Network strategy and service delivery plans Funding linked to 3 year planning cycle Performance management - Trusts/StHAs Measurement for improvement - systems to capture tested and implemented changes

11. GP Examination Referral to Secondary care DiagnosisStaging Radio- therapy Follow-up Surgery Chemotherapy Follow-up Palliative and supportive care Rectal Cancer Colon Cancer Modernisation will continue across the whole patient journey Primary care Endoscopy Radiology Radiotherapy