Cancer Reform Strategy - First Annual Report - Merseyside ...

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1ContentsLetter from Professor Mike Richards, National Cancer Director3Chapter 1 The challenge of cancer 5Chapter 2 Preventing cancer 8Chapter 3 Diagnosing cancer earlier 15Chapter 4 Ensuring better treatment 22Chapter 5 Living with and beyond cancer 31Chapter 6 Reducing cancer inequalities 39Chapter 7 Delivering care in the most appropriate setting 45Chapter 8 Information to improve quality and choice 52Chapter 9 Stronger commissioning 56Chapter 10 Funding world class cancer care 60Chapter 11 Building for the future 61 AnnexRelevant documents published since the publication of the Cancer Reform Strategy63
3Letter from Professor Mike Richards, NationalCancer DirectorDear Secretary of StateCANCER REFORM STRATEGY –MAINTAINING MOMENTUM,BUILDING FOR THE FUTUREThe Cancer Reform Strategy (CRS) committedthe National Clinical Director to deliver annualreports on progress to Ministers. I am verypleased to submit the first such report.The Strategy also said that an advisory boardof stakeholders would be convened to provideinput to each annual report. I would like tothank all the members of the CRS AdvisoryBoard who have very helpfully contributed to thisannual report.I would also like to take the opportunity tothank the wide range of stakeholders whohave worked with us over the past year onimplementation of the Strategy. We cannotimplement the Strategy without their help andsupport and we hope that they will continue towork with us in the year ahead.In this report, I have quite systematically gonethrough the CRS to report on: where progresshas been made, our priorities for the future, andany developments over the past year which needto shape future implementation of the CRS.In this covering letter, I would like to highlightsome of the most important issues within thesecategories.First, I will draw attention to the furtherconsiderable progress with reducing cancermortality. The latest data (the average for 200507) indicates that the England cancer mortalityrate has fallen by 18% since 1995-97 and theinequalities gap has narrowed by 13%. Thismeans that nearly 9000 lives will have beensaved in the under 75s in 2007 compared withthe 1996 baseline.In terms of moving forward this year withimplementing the CRS, highlights have been:• the introduction of the HPV vaccine, whichprotects against two strains of HPV thatcause over 70% of cervical cancer cases• the successful further rollout of bowel cancerscreening – so far, nearly 2000 cancers havebeen detected• the launch of the National Awareness andEarly Detection Initiative – late diagnosis hasbeen a major factor in poor cancer survivalrates, and this initiative should begin totackle this problem• the launch of the National CancerSurvivorship Initiative – we know that thereare now about 1.6 million cancer survivorsin England, and this initiative aims to ensurethat they receive the integrated, qualityservices that they need• the establishment of the National CancerIntelligence Network – better information oncancer services and outcomes will drive upquality and underpin stronger commissioning• the launch of the Cancer CommissioningToolkit, which provides the information thatcommissioners need to commission effectivelyfor their populations.
Page 1 and 2: Cancer Reform StrategyMaintaining m
Page 3: DH InformatIonPolicyHR/WorkforceMan
Page 7 and 8: 5Chapter 1:The challenge of cancerI
Page 9: CHAPTER 1: THE CHAllENgE oF CANCER7
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