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Modernising Cancer ServicesSome Thoughts from Western Europe
Jean MossmanFebruary 2013
Key issues
• Make cancer a priority for policy makers• Develop and implement a national cancer
strategy– National protocols– Audit outcomes
• Get healthcare professionals to work together• Strengthen the patient voice• Cost containment
Make cancer a priority for policy makers
• Develop an evidence base to demonstrate how outcomes compare to those in other countries
• Use personal stories to illustrate the data• Demonstrate what could be achieved if cancer
services are improved– Solutions, not just problems
Develop and implement a national cancer strategy
• Work with clinical experts, epidemiologists and health economists to develop a framework
• Consult wisely to gain ‘buy-in’ from oncology thought leaders
• Publish the strategy so everyone knows what they have to achieve
• Audit against strategy at regular (but not necessarily frequent) intervals
Get healthcare professionals to work together
• Without agreement on how to manage patients, difficult to demand change
• Patient groups can have a role in bringing healthcare professionals together
• Work with professional associations• Need to have support for specialisation
Strengthen the patient voice
• Become professional in your organisations– Get organised
• Work together• Learn from the experience in other countries• Use the media• Work with healthcare professionals– Let them see what value you bring
• Don’t rely on emotion
Cost containment
• As more treatments become available, cost of cancer care will increase
• Cost-containment measures such as HTA will be implemented
• Be prepared:– Collect patient evidence about the illness and how
patients value the treatments– Learn about these processes so you can contribute
Conclusion
• You can make change happen• It takes time and persistence• Let others help