Wednesday , September 28 2022

Cancer Survival 'Still Lagging Behind Other Countries'



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A lack of diagnostic equipment and a lack of staff to operate the machinery and report scan results are hampering England's ambition to close the 5-year cancer survival rate gap with the best in Europe, an audit has concluded.

The report by The Health Foundation identifies other problems that need to be addressed, such as familiarizing people with cancer symptoms, so they are more likely to seek early medical intervention.

Unfinished Business of Cancer Survival Rates

The report, Unfinished Business , zocht naar vorderingen in kankerzorg over twee decennia sinds de introductie van het NHS Cancer Plan in 2000, die de eerste algemene nationale strategie voor het verbeteren van kankerzorg in Engeland vormde. The Plan noted that people with cancer had poorer outcomes than those in other European countries and promised that by 2010 'our 5-year survival rates for cancer will compare with the best in Europe.'

The report found progress had been made on reducing mortality, and improving the chances of survival and the experience of care, for cancer patients in England.

Men, på trods av forbedringer, Englands 5-årige overlevelsesrenter, og de andre i England, har ikke fanget med andre sammenlignbare lande. Med undantag for bröstcancer, har forskellen ikke snæver, da andre lande også har forbedret.

Den rapport noter, for eksempel at en person diagnosticeret med tyktarmskræft i Storbritannien har en 60% chance for overlevelse efter 5 år, sammenlignet med 71% for dem som bor i Australien.

Continuing failings were also noted in early disease detection, where the proportion of people being diagnosed with cancer at an early stage remained almost static between 2015 and 2017.

The report called for:

  • The NHS to make a significant investment in more diagnostic equipment and staff trained in its use. Det ble funnet at UK rangert 35. ut av 37 land for CT-skannere, og 31. ut av 36 for MRI-scannere.

  • More support for GPs to refer patients suspected of cancer for diagnostic tests and adequate primary care funding to keep up with the demand for appointments. Dette bør aktivere undersøgelsen af ​​patienter som har symptomer som indikerer en 3% eller højere risiko for kræft, som anbefalet av NICE-retningslinjene.

  • Med ny forskning som tyder på at 22% av befolkningen var bekymret for å miste en GPs tid, måtte offentligheden være mer oppmerksom på kreft symptomer, så de kunne søke hjelp tidlig og forbedre deres sjanser for overlevelse.

Rekommendasjoner om diagnostikk omfatter forbedringer av bowel cancer screening, som tilbyder lave doser CT-scanning for mennesker med risiko for lungekreft, og akselerere et program av raske diagnostiske sentre.

Cancer Care Aims 'Have Not Been Achieved'

Professor Sir Mike Richards, former National Cancer Director, who helped compile the report, said: "The NHS Cancer Plan in 2000 and all subsequent cancer strategies have set ambitions for England to match the best in Europe or the world in relation to cancer survival.

"Selv om fremskridt har gjort fremskridt på mange aspekter af kræft, har disse mål ikke været opnået. Hvert år kan tusindvis af dødsfall undgås, hvis vi nå disse mål. . "

The Department of Health and Social Care said cancer was a priority for the government. A spokeswoman said: "We have committed to delivering a new 28-day standard from April 2019, which will see patients with suspected cancer receive a diagnosis or have cancer ruled out within 28 days.

"We also announced a new cancer strategy last month that will radically overhaul the system and ensure 75% of all cancers are detected at an early stage by 2028."

Sir Mike commented: "The Prime Minister's ambitious target to increase early detection of cancer from 1 in 2 people today, to 3 in 4 by 2028, is welcome, but if we are serious about moving the dial on early diagnosis, then setting targets and handing out money will not be enough.

"The NHS must change the way that care is currently organized to make it easier for people to be seen and diagnosed as quickly as possible, as we know this gives them the best chance of survival."

Staff Shortages and Underfunding

Ruth Thorlby, Assistant Director of Policy at The Health Foundation, said: "Although investments are clearly needed in workforce and equipment, the experience of the past 20 years in cancer shows that staff need support, evidence and skills to implement change. Without these, de injectie van middelen alleen zal niet effectief zijn. "

Emma Greenwood, Cancer Research UK's director of policy, said: "Preventing more cancers and diagnosing people at the earliest stage are key to achieving world class cancer care. Every part of the health system has its part to play, especially encouraging more people to seek Rådgivning når de har symptomer som gør at flere mennesker er diagnosticeret tidligt.

"Men de betydelige mangler i personale som er kvalificerede til at diagnosticere kræft forbliver et stort hinder for fremskridt, og vi må, som et spørgsmål om uopsættelighed, se en klar plan for at styrke det kræftfulde arbejdsstyrke – støttet af vital investering – som en del af NHS long- term plan. "

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