Wolverhampton’s Collaborative Cancer Strategy 2019-2024 Improving cancer outcomes in Wolverhampton wolverhampton. gov.uk This strategy has been developed collaboratively between: Contents Foreword 3 Introduction 6 Wolverhampton Cancer Strategy 7 National Priorities for Cancer 9 Black Country Strategic Transformation Partnership (STP) 10 Priorities and Objectives Overview of Local cancer Needs 11 Cancer incidence profile 12 Overview of local cancer incidence 18 Objective 1 19 Reduce the growth in the number of new cancers Objective 2 25 Improve survival of people diagnosed with cancer in Wolverhampton Objective 3 36 Improve the quality of life of patients after treatment 2 City of Wolverhampton Council wolverhampton. gov.uk Foreword Foreword Over the next five years we aim to The number of people diagnosed and improve the outcomes for the population living with cancer each year will continue of Wolverhampton who are affected by to grow rapidly. The primary reasons for cancer. This document proposes a this are our ageing population and our strategy for achieving this. It includes a success in increasing survival rates. This series of actions across the patient will place significant additional demand pathway. The actions emphasise the on our health and social care services. importance of prevention, screening, Cancer survival in England has improved earlier diagnosis and of living with and significantly over the last 15 years. More beyond cancer in delivering outcomes than half of people receiving a cancer that matter to patients. The document diagnosis will now live ten years or recognises that no two patients are the more. But our mortality rates remain same, either in their cancer or their high. Additionally, unacceptable health and care needs. variability exists in access to and experience of care across different At its heart, it sets out a vision for what areas, sub-groups of the population and cancer patients should expect from our cancer types. There is much we could health service, health economy and do working in partnership with our partners: effective prevention, prompt citizens to improve patient experience and accurate diagnosis; informed choice and long-term quality of life, and to and convenient care; access to the best make our care more patient-centred. effective treatments, holistic support; and the best possible quality of life, including end of life care. It is crucial that patients are treated as individuals, with compassion, dignity and respect throughout. The strategy aims to work with patients and communities, as partners in improving cancer survival across the city. wolverhampton. gov.uk Wolverhampton’s Collaborative Cancer Strategy 2019-2024 3 Foreword “Working in partnership with the local “Cancer is a terrible disease which sadly population and its local health and social claims the lives of thousands of people every care partners is recognised by year. Whilst cancer survival rates in England Wolverhampton CCG as being key to the have improved significantly over the last success of the delivery of cancer plans 15 years, early diagnosis is crucial for outlined in this strategy. We are clear that increasing these rates further. It is also there is a need to reduce the overall growth estimated that more than 40% of cancer in the number of all types of cancer cases cases each year are caused by aspects of within the city. As a CCG, we are working our lifestyles that we have the potential to closely with our GP members to ensure that, change such as smoking, obesity, poor diet within Primary Care across the city, we drive and excessive alcohol consumption. Working education and engagement to help to together we have the opportunity to slow increase screening uptake and early down the growth in the number of cases of diagnosis. We will aim to collaboratively cancer and through the commitment in this improve the survival of patients and their document improve the outcomes for those quality of life during and after treatment.” individuals affected Dr Helen Hibbs, Accountable Officer, by cancer.” Wolverhampton CCG John Denley, Director for Public Health, City of Wolverhampton Council “The Royal Wolverhampton NHS Trust is committed to working with partners to The Patient Advisory Cancer Team (PACT) improving the prevention, detection and are a group made up of Cancer patients and survivorship to end of life care for the local carers and have been advising healthcare population. We aim to reduce the growth in professionals in Wolverhampton for the past the number of all cancer cases, improve the 20 years. The PACT welcomes this strategy survival of people diagnosed with cancer and looks forward to its implementation. and improve the quality of life for those The aim of the PACT is to work together patients after treatment as well as provide with health professionals to improve the support for primary care to provide support quality of Cancer services in the city of to cancer patients and families within the Wolverhampton. This collaborative strategy community.” will go a long way to improve the experience David Loughton, Chief Executive, of patients at a difficult time in their lives. The Royal Wolverhampton NHS Trust In line with the strategy we will continue to work with services in Wolverhampton, to ensure that patient experience and support is put at forefront of the development of services. Wolverhampton Patient Advisory Cancer Team (PACT) 4 City of Wolverhampton Council wolverhampton. gov.uk Foreword Many thanks to the members of Wolverhampton PACT for agreeing to be photographed for this strategy The Achieving World-Class Cancer Outcomes: A Strategy for England 2015-2020 encompasses a large number of recommendations. The strategy focuses on six strategic priorities to be achieved by 2020. These are: • Radical upgrade in prevention and • Invest to deliver high quality services public health in respect of equipment, cancer drug treatments, novel treatments, e.g. • Achieving earlier diagnosis molecular diagnostics, workforce • Establish patient experience as being needs and research on a par with clinical effectiveness • Improve the commissioning of cancer and safety services • Transform our approach to support people living with and beyond cancer, e.g. stratified pathways of care and the implementation of the Recovery Package wolverhampton. gov.uk Wolverhampton’s Collaborative Cancer Strategy 2019-2024 5 Introduction Introduction The latest figures indicate that there will Cancer is the second largest cause of be two and a half million people living death in the UK behind cardiovascular with or beyond cancer in the UK in 2015, disease. Substantial resources are a figure that is increasing by 3.2% each already dedicated to cancer care in the year and a trend that, if it continues, UK (in 2008, this amounted to £5.13 could see 5.3 million people living with billion in direct costs to the NHS, with a cancer in the UK by 2040. 1 There are further £0.36 billion for hospice care), and more than 200 different types of cancer, as our population ages, cancer treatment but four tumour groups account for more and care will absorb an increasing than half of all new cases – breast, lung, proportion of healthcare expenditure. 2 bowel (colorectal) and prostate. One in two people By 2020, almost By 2020, the proportion of people born after 1960 in one in two people who survive cancer will continue the UK will be (47%) will get cancer to rise, so that almost four in ten diagnosed with at some point in people (38%) who have had some sort of cancer their lives. 3 cancer will survive for more than during their lifetime. 3 a decade. 3 These numbers say little of the devastating personal impact that living with cancer can have on individuals, their families and carers. Wolverhampton CCG and partners are working collaboratively to reduce the incidence rate, increase awareness and early diagnosis, reduce recurrence of cancer in patients and to reduce the number of lives cancer takes each year. 6 City of Wolverhampton Council wolverhampton. gov.uk Wolverhampton Cancer Strategy Wolverhampton Cancer Strategy The aim of this document is to describe how local partners across Wolverhampton’s health and social care economy will strive to achieve excellence across the whole cancer pathway from prevention through to survivorship and the end of life. Our Ambition This strategy sets out our local ambition to improve cancer outcomes in Wolverhampton over the next five years. Our aims are that by 2024 we will see: Fewer people being diagnosed with preventable cancer More people surviving for longer after a diagnosis More people having a positive experience of care and support More people enjoying a better long-term quality of life We will achieve this by a greater focus on: Earlier Improved Prevention detection treatment Critically, we will focus on improving health and wellbeing across all the areas but also significantly reducing inequalities and variations in outcomes between local areas and between different population groups. wolverhampton. gov.uk Wolverhampton’s Collaborative Cancer Strategy 2019-2024 7 Wolverhampton Cancer Strategy The strategy has three underpinning objectives aligned to the strategic priority areas and key initiatives described in the NHS Five Year Forward View to 2020/21 and the NHS Long Term Plan. Objective one Objective two Objective three Reduce the overall Improve survival of Improve the quality of growth in the number people diagnosed life of patients after of all cancer cases with cancer treatment and at the Page