CANCER CARE POLICY Flashcards

1
Q

what did Eurocare-5 show?

A

that overall survival rates in England and Wales is poorer than many other countries and cancer survival in the Uk is one of the worst in Europe

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2
Q

Who generated the Calman Hine report?

A

Expert Advisory Group

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3
Q

what was the Calman-hine report?

A

an examination of cancer services in the Uk and the proposed restructuring of the services to achieve a more equitable level of access to high levels of expertise across the country

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4
Q

what were some key features of the Calman-hine report?

A

all patient have uniform access to high quality care
public and professionals should have better education on recognising early symptoms of cancer
Patients should be given clear information about treatment options and outcomes
Cancer services should be patient centred
Primary care should be central to cancer care
Psychosocial needs of cancer patient should be recognised

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5
Q

what were the Calman-hine 3 levels of care?

A

primary care
cancer units serving district general hospitals
cancer centres serving populations over 1000000

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6
Q

What are some potential causes of poor performance of cancer survival rates in the UK?

A
  • differences in data collection
  • age differences
  • differences in socio-economic status
  • differences in treatment and access to it
  • delays in pathway to diagnosis
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7
Q

what is the NHS cancer plan 2000?

A

the first time any government has drawn up a major programme action linking prevention, diagnosis, treatment, care and research in cancer

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8
Q

what is the aim of cancer networks?

A

to bring together health service commissioners, providers, the voluntary sector and local authorities

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9
Q

what are the 6 areas of action proposed by the 2007 cancer reforming strategy?

A
prevention
diagnosing cancer earlier
ensuring better treatment
living with and beyond cancer
reducing cancer inequalities
delivering care in the most appropriate setting
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10
Q

What is NAEDI?

A

National Awareness and Early Diagnosis Initiative

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11
Q

how did the cancer reforming strategy ensure better treatment?

A

reduced waiting times
introducing a training programme for laparoscopic bowel surgery
increasing radiotherapy capacity
all new cancer drugs to be referred to NICE
chemotherapy audits

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12
Q

What is the National Cancer Survivorship Initiative?

A

a partnership between NHS England and Macmillan Cancer Support with the aim to ensure that those living with and beyond cancer get the care and support they need to lead as healthy and active a life as possible, for as long as possible.

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13
Q

what is the role of primary care in the diagnosis of cancer?

A

main setting where cancer is suspected and diagnosed
main setting for pre-symptomatic risk assessment
helps with treatment decisions, care coordination and managing treatment side effects

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14
Q

why are multidisciplinary teams important?

A

improved health outcomes and enhanced satisfaction for clients, and the more efficient use of resources and enhanced job satisfaction for team members.

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15
Q

outline the structure of MDTs?

A

core includes medical staff, specialist nurses and an MDT coordinator
extended includes physios, dieticians, palliative care and chaplain

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16
Q

outline the function of MDTs?

A

to discuss new diagnosis of cancer, to decide on management plans, to inform primary care of this plan, to designate a key worker for the patient, to create an audity