Cancer Care Policy Flashcards
What are the disparities in cancer care outcome?
Greater incidence and worst outcomes in deprived areas in North England
What is the most common cause of death from cancer in UK?
Lung cancer
Bowel cancer
Breast cancer
Prostate cancer
Pancreatic cancer
What caused a change in UK cancer services?
Eurocare report- UK had worst performance in Europe of cancer survival rates. May be due to:
Class differences
Access to treatment
Delay in diagnosis pathway
Attitude and beliefs about cancer.
What was reported in the Calman-Hine report?
There must be education for early symptoms of cancer
All patients should have access to uniformly high quality of care
Primary care should be central to cancer care
Recognise the psychosocial needs for cancer care
What are the solutions in the Calman-Hine report?
Creating levels to cancer care from:
-> Primary care
-> Cancer units to treat common cancers in general hospital for diagnostic procedures and chemotherapy/radiotherapy
-> Cancer centres for treatment of rare cancers and complex chemotherapy
How can management of cancer service improve clinical care?
Multi-disciplinary to streamline and co-ordinate cancer care for management and treatment. They decide on a patient management plan and inform the primary care.
They designate a key worker for the patient cancer case.
What is the core team in an MDT?
Specialist nurses, MDT co-ordinators and chair.
What is the role of primary care in cancer diagnosis?
Referral via 2 week programme
Pre-symptomatic risk assessment for family history and lifestyle factors
Diagnosis of cancer
Ordering investigations.
What is the NHS cancer care plan?
Ensure people with cancer get the right professional support and care.
Bridge inequalities in care
Invest in the cancer workforce.
What is involved in cancer reform strategy?
Prevention
Diagnosis
Screening of cancer
Reducing inequalities
Deliver care in most appropriate setting locally
What are the inequalities in cancer care?
White, male, straight, and abled patients have better experiences than ethnic, female, gay and disabled patients.
Younger patients report less understanding, and those with rarer cancers report the worst experiences.
What is a policy to improve cancer care outcomes?
National awareness and early diagnosis initiative (NAEDI), that links late diagnosis with poor survival.
Independent Cancer Taskforce, to improve patient experience and quality of life for cancer care.
What is the interventions proposed by the independent cancer taskforce?
Early detection through new screening tests
Rapid diagnostic centres
Cancer workforce plan
Targeted lung cancer checks
Which cancer types have a deprivation gap that is higher in deprived areas?
Larynx
Oropharyngeal
Oral cavity
Lung
Anus
