We want to deliver this by: Planning ‘without walls’; managing our resources as ‘one budget’; working collaboratively; challenging the status quo.
We are committed to breaking down the organisational boundaries which are irrelevant to those affected by cancer. Our Alliance comprises organisations responsible for commissioning and providing NHS services; local councils and other agencies who commission and provide social care and public health; national, regional and local charities; individual patients and patient groups.
As an Alliance, we work with and through our local ‘places’ who understand the challenges and the opportunities within the communities we serve. We focus on delivering transformational programmes of work that benefit from a system-level approach to support the best possible outcomes for patients.
The principles of the Cancer Alliance are based on our experience of collaborative working around Cancer care in South Yorkshire, North Derbyshire & Bassetlaw.
Based on these principles the Cancer Alliance will aspire to:
Despite improvements in one-year survival over recent year, our rates continue to be below the national average rate, there remains a higher incidence and there are significant variations in clinical outcomes. Although the foundations have been initiated to transform cancer services and outcomes there continue to be a number of key challenges:
• Incidence of cancer is rising in our Alliance in line with England – however mortality rates are falling. Incidence and mortality rates are significantly higher than average.
• Nearly two thirds of cancer diagnoses occur in the over 65s and the 65 and over population is predicted to increase by about 20% over the next twenty years.
• Smoking rates are significantly higher than the England average but have declined significantly since 2010.
• By 2035 it is predicted that some 5,375 cancers could be prevented through lifestyle changes
• Incidence and mortality rates from lung cancer are significantly higher than in England as a whole and disproportionately affect the most deprived groups.
• Despite high incidence and mortality rates for lung cancer, survival is as good as or better than average.
• Significant improvements have been seen in cancer survival over the last ten years for the majority of cancer sites, although some work is still to be done for specific cancers.
• Screening uptake is significantly higher than the England average for all cancer screening programme.
• One year survival is lower than the national average for cervical, colorectal and prostate despite having better than average uptake in cervical and bowel screening programmes.
• 1 in 2 patients are diagnosed at a late stage (3 & 4) with our rate being worse than the national average.
• More people are diagnosed through emergency presentation than the England average.
• Performance against the 62 day cancer waiting time standard is increasingly challenged and not always meeting the 85% operational threshold due to increased demand, diagnostic and workforce pressures.
We work alongside the South Yorkshire and Bassetlaw Integrated Care System (ICS) who are responsible for ensuring that the care and services provided to their population are of the highest standard.
Cancer Alliances provide the clinical, operational and transformational leadership to the local cancer system by bringing together their constituent commissioners and providers on behalf of their ICSs, to ensure system-wide oversight and transformation of services and outcomes.
For more information see our priority work programme around cancer.
Fall in adult smoking rates
13% by 2020 (21% in routine & manual workers)
One year survival
Increase to 75% by 2020
Ten year survival
57% surviving 10 years or more by 2020
Stage at diagnosis
75% cancers diagnosed at stage 1 or 2 and increase in proportion of cancers staged by 2028
75% uptake for bowel cancer screening
All patients to have access to personalised care by 2021
Risk Stratified Pathway
RSP to be offered to all clinically appropriate pathways by 2023
Access to Key Worker
All patients to have access to a CNS/ key worker
Achievement of Cancer Waiting Times
Faster diagnosis standard (day 28), 31 and 62 day targets
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Swallows are holding an event on Wednesday 16th September between 10.30am – 14.30pm in Worksop
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