OUR PLANS FOR IMPROVING HEALTH IN BROMLEY Our commissioning intentions 2015 – 2020 CANCER Survival rates for cancer are improving and deaths are falling. However, cancer is still one of the main causes of death in Bromley (30% of all deaths) and the numbers of people with cancer continues to rise. Too many people are diagnosed late, which has an impact both on survival rates and the treatment that is required. What are the challenges in Bromley? We need to support patients to take up screening, live healthy lifestyles and seek advice early if they are showing symptoms that could be cancer. The more people are treated at an early stage, the more services will be able to manage the demand for care. Screening We know that people in some parts of Bromley are less likely to go for cancer screening. If cancer is diagnosed earlier, the chances of survival are much greater and patients are less likely to need extensive treatment. Lifestyles There are high rates of obesity and smoking in Bromley, both of which create a higher risk of cancer. Information Patients need to have clearer information about cancer so that they know how to recognise signs and symptoms and when to seek advice and treatment, and if diagnosed have better understanding of what is happening to them and how to keep well when recovering. Experience The experiences of patients undergoing cancer treatment is variable, we need to make sure that everyone gets the same high quality care when they need it and that their experience is as positive as it can be when coming into contact with clinical service. 1 Services We need to make sure that all patients with suspected cancer are seen and treated within nationally agreed timescales and receive the very best treatment that is available. What are we going to do about it? Our plans to improve care for people with cancer include: Screening Target particular communities who are not going for cancer screening and encourage more take up. GPs and community teams, such as district nurses, will be more proactive in identifying patients who may be at risk of cancer. Information Provide better information to patients about living a healthy lifestyle and looking out for the symptoms of cancer. Increase public awareness of the signs and symptoms of cancer through national campaigns, local events and by working closely with Macmillan cancer support and public health teams. Provide clear information about cancer through leaflets, patient consultations and a telephone advice line. Reach out to seldom heard communities who may not use local health services to inform them about the risks and signs of cancer. Help patients who are recovering from cancer to take control, manage their condition and have access to the right services to aid their recovery. This includes support for their mental wellbeing, such as exercise and activity schemes and support to go back to work. Provide more support for carers such as counselling and advice. Services 2 Ensure all the National Institute of Clinical Excellence (NICE) recommendations for cancer are implemented in Bromley services. Services working together to provide joined up care for patients, which is provided closer to home where possible. Speedy access to diagnostic tests that can identify or rule out a cancer diagnosis with a quick turnaround of results. Improve performance of local services to make sure all patients are treated quickly and effectively within agreed timescales. Improve the education of relevant health care staff on all aspects of cancer care, including pain management, chemotherapy, signs and symptoms. Ensure there are specialist cancer services in the hospital that are available quickly for patients who are admitted with other medical conditions. This will improve access to specialists, early recognition of cancer, better treatment, fast referral and quicker discharge. Shared care records to enable clinical staff to better co-ordinate care for patients with cancer. Ensure that patients reaching the end of their life have personalised and coordinated care from a range of services and are able, where possible, to die in a place of their choice. What benefits will patients see? Improved experience when receiving treatment for cancer. Shorted waiting times for diagnosis Consistent and high quality care provided for everyone who needs it. Specialist care available at the right time and in the right place. Improved physical and mental health and wellbeing. More information about their treatment and more choice about how and where they are treated. Feeling more in control of their condition. More awareness about cancer – the signs, symptoms, screenings and treatments. What do you think? We would like your views on our plans for cancer. Q1: Do you agree with what we are planning to do to improve cancer care in Bromley? Q2: Is there anything else you think we should consider? Q3: Do you have any other ideas about how we can meet the health and care needs of people who live in Bromley (bearing in mind limited resources and increasing demand? Contact us with your views on 01689 866 643 or complete our survey on our website at www.bromleyccg.nhs.uk by 16 October 2015. 3