East on the Move Conference Tuesday 30th June, 2015 Jo Foster - - PowerPoint PPT Presentation

Jo Foster Physical Activity Programme Lead Sarah Worbey Physical Activity Integration Manager physicalactivity@macmillan.org.uk @MacMoveMore

East on the Move Conference Tuesday 30th June, 2015

Two million of the 2.5 million UK’s cancer population live in England

1.Maddams J, Utley M, Møller H. Projections of cancer prevalence in the United Kingdom, 2010-2040. Br J Cancer. 2012.107:1195-1202. (Projections scenario 1) 2.The UK 2012 incidence rates for five-year age groups.

Total Prevalence - now Total Prevalence - 2030

Maddams J, Utley M, Moller H. Projections of cancer prevalence in the United Kingdom, 2010-2040. Br J Cancer. 2012. 107: 1195-1202.

Half of people with cancer may live more than ten years after their diagnosis

3 in 4 people living with cancer are in the survivorship stage1 1 in 4 of them deal with consequences

• f their treatment2

1 in 5 of cancer survivors may have unmet needs3

Surviving cancer does not necessarily mean living well

1.Maher J and McConnell H. New pathways of care for cancer survivors: adding the numbers. Br J Cancer. 2011. 105: S5-S10 2.Macmillan Cancer Support. Throwing light on the consequences of cancer and its treatment. 2013. London 3.Armes J et al. Patients’ supportive care needs beyond the end of treatment: A prospective, longitudinal survey. Journal of Clinical Oncology.2009. 27:36 6172-6179

Bowel dysfunction Bladder dysfunction Sexual difficulties Fatigue Pain Lymphoedema Hormonal symptoms 90,000 150,000 350,000 350,000 200,000 <63,000 >80,000

Significant numbers struggle with the consequences of treatment years after diagnosis

6

Financial needs2 83%

Cancer affects all areas of people’s lives

Loneliness1 23%

1.Macmillan Cancer Support. Facing the fight alone. Isolation among cancer patients. 2013. London 2.Macmillan Cancer Support. Hidden at home. 2015. London 3.De Boer et al. Cancer survivors and unemployment: a meta-analysis and meta-regression. JAMA. 2009. 301: 753-762

Carers also have significant unmet needs

15

Pressures on clinical and social care systems will increasingly be shaped by co-morbidities

Scottish School of Primary Care’s Multimorbidity Research Programme. Multimorbidity in Scotland. 2012.

Seven in ten people with cancer have at least one

• ther long term condition – that’s 1.8 million people

1 LTC 2 LTCs 3+ LTCs No long-term conditions (LTCs) 0.6M 0.5M

Mid-2014 1.8M

Macmillan Cancer Support. Cancer in the context of other long-term conditions. Scoping evidence review and secondary data analysis. 2015.

Cancer often co-exists with a wide range of other conditions

People living with cancer in the UK in mid-2014

Obesity 31% Mental health issues 21% Chronic Heart Disease 19% Arthritis 16% Chronic Kidney Disease 17% Diabetes

14%

Hypertension 42%

Macmillan Cancer Support. Cancer in the context of other long-term conditions. Scoping evidence review and secondary data analysis. 2015.

By 2030 the number of people with cancer and at least

• ne other LTC will increase by around 1 million

1 LTC 2 LTCs 3+ LTCs

Mid-2014 2030 0.7 M 1.3 M 0.6 M 0.5 M 0.9 M 0.8 M

Macmillan Cancer Support. Cancer in the context of other long-term conditions. Scoping evidence review and secondary data analysis. 2015.

Different people will need different levels of support

70,000 21%

Do well

Estimated prevalence Estimated incidence

Poor health Intermediate

95,000 29% 127,000 38% 460,000 22% 1,170,000 56% 180,000 9%

0% 100%

Pancreas Colorectal - Dukes D Mesothelioma Liver Lung Oesophagus Stomach Brain Distant breast cancer Metastatic prostate Cervix - Stage 2-4 Myeloma Ovary Colorectal - Dukes C Kidney - Stage 2-4 Uterus - Stage 2-4 Bladder Non-Hodgkin lymphoma Colorectal - Dukes A and B Hodgkin lymphoma Uterus - Stage 1 Melanoma of skin Cervix - Stage 1 Localised or regional breast cancer Kidney - Stage 1 T esticular Organ confined prostate Relative five-year survival

McConnell H, White R, Maher J. Understanding variations: Outcomes for people diagnosed with cancer and implications for service provision. 2014. European Network of Cancer Registries Scientific Meeting and General Assembly

We know what good looks like

There are some simple solutions

Macmillan Cancer Support. 2011. The importance of physical activity for people living with and beyond cancer: A concise evidence review

• Went live January 2015
• Lincolnshire Sport are the

host organisation

• Countywide service
• Embedded within the

existing physical activity

• ffer across Lincolnshire

• Close working relationship between partners
• Increasing the ‘menu’ of activities available to

people on the project

• Contacts with NGB’s
• Raising awareness/profile of programme

across BME groups

physicalactivity@macmillan.org.uk @MacMoveMore