Cancer (health and wellbeing needs in South Tyneside)

South Tyneside's high-level priorities have been identified by the South Tyneside Cancer Locality Group and endorsed by South Tyneside Clinical Commissioning Group:

• Support a comprehensive Tobacco Control Strategy for South Tyneside. Particularly supporting Stop B4 Your Op pathways and a Smoke Free Hospitals Model in South Tyneside, which includes maintaining quite attempts when patients are discharged into the community,
• Improved access to lung cancer diagnostics targeted annual reviews for people with existing chronic obstructive pulmonary disease (COPD) and 30+ pack year smoking history. Low dose spiral CT screening for this cohort could be effective. This pilot was started in January 2017 and is the first of its type in the North East.
• Cancer and lung disease public awareness
• Ensure that alcohol intake is measured in primary care interactions and brief advice is provided. This service is currently commissioned from GPs and Pharmacies by Public Health but uptake is low. Alcohol questions are also part of the commissioned NHS Health Check.
• Bowel Cancer Screening -increasing the uptake of bowel screening in primary care.

In addition to specific priorities South Tyneside is developing a number of agreed clinical pathways across primary care (GP practices) and secondary care (hospital services). This linking together of services is part of the Healthpathways project. These pathways will ensure patients get the most appropriate treatment for their conditions.

Working with the Northern Cancer Alliance the South Tyneside Cancer Locality Group will deliver the following key objectives:

• Objective 1: Preventing more cancers especially in more deprived areas: campaigning and awareness-raising
• Objective 2: Increasing uptake of screening: especially within more vulnerable groups
• Objective 3: Increasing use of 2ww referral route, and direct access to tests: reducing unwarranted variation across NCA
• Objective 4: Reducing time to and stage at diagnosis: achieving stage shift of at least 10%
• Objective 5: Ensuring delivery of cancer waiting time standards in all CCG areas
• Objective 6: Offering all patients and their families 'living with and beyond' cancer support to live well
• Objective 7: Caring for all cancer patients with high quality evidence-based treatment.

By 2020 we will have:

• Reduced adult smoking prevalence to 13% overall and 21% for routine and manual groups (with a plan to further reduce overall smoking prevalence further to 5% by 2025)
• Increased the proportion of patients with a recorded cancer stage to 90%
• Increased the proportion of cancers diagnosed at stage 1&2 to 62%
• Ensured 95% of patients referred for testing are definitively diagnosed, or cancer is excluded, within four weeks
• Ensured every person with cancer has access to all four elements of the Recovery Package
• Ensured that all patients are on Stratified Follow up Pathways starting with those diagnosed with breast and urological cancers
• Increased one-year survival for all cancers to 75%
• Increased the numbers of patients surviving ten years or more to 57%
• GPs have direct access to diagnostic tests outlined in the NICE NG12 with 2 weeks and reports within 48 hours
• Mandated cancer waiting time standards are consistently met (85% meeting 62 day; 96% meeting 31 day target)
• Ensured all cancer patients have access to a CNS or key worker.

Improved on CPES 2015 overall satisfaction results: 84 - 87% at Trust level and 87 - 90% at CCG level