Posts Tagged ‘Cancer’

UK cancer fund not a victory for patients

The Lancet - 6th August 2010 11:33 am

The lead editorial in this week’s Lancet criticises the government’s announcement of an emergency cancer fund, saying that is not the victory for patient groups that some believe.

The new £50m fund will be available for six months from October, until the previously announced £200m cancer drugs fund comes into effect from April next year. The fund will enable a doctor whose patient has had funding for a drug declined because it is not approved by the NICE to appeal to their regional SHA panel. These panels will have the power to overrule NICE, and draw on their share of the £50 million to fund the patient’s drugs.

The editorial says: “This raises the spectre of appeals being granted or declined not on the basis of patients’ conditions, but because of where they live: either because their SHA has exhausted its share of the fund, or because their SHA is using stricter funding criteria. Scratch the surface, and it quickly becomes clear that what this fund represents is not the victory for patient groups that some believe. Rather, it is the product of political opportunism and intellectual incoherence.”

A report by national cancer director Prof Mike Richards provided a timely opportunity for the health secretary to announce this policy. The report compared treatment for various diseases in 14 developed countries. The UK ranked highly for providing drugs to fight heart disease and stroke, but was 11th for the provision of drugs for dementia, 13th for drugs for multiple sclerosis, and 12th for cancer drugs that had been on the market for less than five years.

Lansley appeared uninterested in the potential causes of the variations in drug use, and diverted £50m of Department of Health funds earmarked for the Personal Care at Home Bill to the emergency cancer drugs fund. The editorial says: “Presumably emergency funds for dementia and multiple sclerosis drugs will be announced in due course - anything else would be intellectually indefensible.”

The editorial condemns the policy for not only undermining NICE, but also it undermining the entire concept of a rational and evidence-based approach to the allocation of finite health-care resources. It concludes: “New cancer treatments clearly challenge the cost thresholds set by NICE, but innovative schemes have been developed to reduce the cost of drugs - notably bortezomib for multiple myeloma - by rebating costs in patients who do not respond to the drug in question. Lansley’s £50 million slush fund could reduce the incentive for drug manufacturers to engage in mutually beneficial schemes of this type. With ministers claiming that the coalition government is ‘more radical than Thatcher’, there is an increasing sense that a desire to force the pace of change is starting to cloud judgement.”

Read the full editorial.

Emergency fund to fast-track cancer drugs

BBC Health - 28th July 2010 3:00 pm

The government has announced a £50m fund which should give very sick cancer patients access to drugs sooner.

It will mean that from October, rather than next year, doctors in England can offer drugs which have not been approved by the rationing body NICE.

The announcement was made at the launch of a study showing that the UK lags in providing the newest cancer drugs.

The fund will be financed by ditching the former government’s plan for free personal care for the old.

It means that cancer patients will be able to access new drugs earlier to help extend life by weeks or months or improve quality of life in the final stages of the disease.

The government’s cancer tsar Professor Sir Mike Richards, who led the research into the UK’s ranking on drug provision, stressed however it would not improve overall survival rates.

Read more at BBC Health.

Cancer survival rates double since 1970s

BBC Health - 13th July 2010 11:15 am

Survival rates for some cancers have doubled over the past four decades, a charity has said.

People with breast, bowel and ovarian cancers, and non-Hodgkin’s lymphoma, are now twice as likely to survive for at least 10 years than in the 1970s.

Cancer Research UK’s figures show leukaemia survival is now four times as high, although the charity warned there was still much work to do.

The Department of Health said it was “delighted” by the findings.

Launching a television campaign, the charity said investment in research was key to further boosting survival.

Read more at BBC Health.

Going to be guilt free by Five Year Clear Party

By Sarah Burnett-Moore - 14th June 2010 9:19 am

I had my routine follow up appointment on Monday. It’s now just over four-and-a-half years since I was diagnosed with multi-focal breast cancer, but going for check ups just doesn’t seem to get any easier. I am a jangling bag of nerves for the week preceding it.

I did a radio interview about breast cancer last Friday, and the presenter asked if he could be invited to my ‘Five Year Clear Party’. Obviously I said “of course” in a suitably chirpy voice, but cracked as soon as I came off air. I simply don’t know how I would cope if I had to have all that surgery and treatment for a second time. I can’t bear the thought of putting my family through it again, either. Worse than the thought of a second primary would be to find I have metastatic disease, obviously. But, strangely, being perfectly fit and well, which I am - thank you - still bears an odd psychological curse. My best friend’s sister-in-law died of breast cancer on New Year’s Eve, leaving a husband, and a nine-year-old daughter. There’s a bit of me going: “How awful, that could have been me”, then the part that goes “thank god it isn’t me”, then I feel bad for being OK.

I didn’t have a name for this until yesterday. I texted a friend who had her mastectomy on the same day as me, and we met when we were having chemo at the same three weekly intervals. She’d had her check up on Tuesday, and I wanted to make sure that she was all right. I got this as a response: “Hi. Yeh, all good. My aunty has only a few weeks max to live and I have had the worst survivor guilt you can imagine then this morning read about that little girl who sang for Simon Cowell on Saturday and died yesterday of brain tumour. I spent an hour in starbucks this morning in floods of tears and have struggled to hold it together all day! F**king pathetic.” Lyn didn’t use the asterisks.

Survivor guilt, so that’s what it’s called. I rang Lyn. “Look, we’ve had our shit, and just because our shit’s not been as bad as other people’s shit, doesn’t mean it wasn’t shit for us, so we can’t feel shit about still being here.”

“It was shit wasn’t it?” she replied.

So we are going to hold a joint party in November. I know that the five years clear thing doesn’t really hold true for breast cancer, but stuff it. Any excuse for a party, and we’ll raise a glass to those who didn’t make it.

Bowel cancer test could save many lives, study claims

BBC Health - 28th April 2010 8:56 am

A five-minute, one-off screening test could prevent thousands of people dying from bowel cancer every year, a study published in The Lancet suggests.

There are now calls for the test to be rolled out across the UK after results from 200,000 people aged 55-64 found it cut deaths by 43% over 10 years.

Cancer Research UK described the results from the Imperial College, London, study as a “rare breakthrough”.

The independent bowel cancer screening committee will discuss whether it would be cost-effective to incorporate the procedure - known as sigmoidoscopy - into the UK’s screening programmes.

Scientists from Imperial College, London, who carried out the research, argue the costs would be outweighed by the savings generated through reducing the incidence of the disease, the UK’s second biggest cancer killer.

Read more at BBC Health.

We’ve all been conned over five-a-day

By Sarah Burnett-Moore - 16th April 2010 3:41 pm

We are being fed a constant tissue of lies about what we are supposed to consume. Governmental goalposts change on a regular basis. Cholesterol OK at six? Nah, let’s reduce it to five, my mate runs an outfit wot knocks art kickin’ drugs for it. Ok, I know people at the Department of Health don’t talk like that, but wouldn’t life be more fun if they did?

Alcohol? Pick a number, any number. Three, that’s a magic number, we’ll use that. In the 1940’s folks thought cigarettes were good for you. Perhaps that is an example too far, but we suffer the guilt on a daily basis of going over these imaginary limits. So, how come my fruit is undergoing inflation, when everything else is dropping? 

When I were a lass, it were an apple a day to keep t’doctor away. I don’t know why I wrote that like that, I come from Surrey. I’ll stop it with the accents. Now it’s five bloody portion of fruit and veg a day. Yet only last week, the Journal of the National Cancer Institute, published a study showing that we have all been conned.

Not for the first time, this seems to be a cynical collusion between the government and the food industry. Just think how you can go into any supermarket, and buy chopped up apple in a plastic bag, with “One Of Your 5 A Day”, written on it? I expect they cost twice as much as buying…an apple.

Apparently nursery school children are being taught to count with fruit and veg. One potato, two potato, three potato. More bloody targets. Five was chosen because it was a nice round figure.

Well, I’ve got a nice round figure, and it’s not fruit and veg that got me that way.

GP confronts Prime Minister over cancer pledge

Pulse - 9:06 am

A GP has generated national headlines after challenging the Prime Minister to his face on Labour’s pledge for a one-week wait for cancer diagnostics.

In what was meant to be a cosy visit to the Yeadon Health Centre in Leeds to highlight his party’s commitment to the NHS, Gordon Brown found himself face to face with a less-than-compliant GP.

After Mr Brown asked his opinion of his party’s cancer pledge, Dr Andrew Wright replied frankly, warning Mr Brown: “I think you will find it quite difficult to offer that kind of service here.”

He added: “There certainly isn’t the equipment, and I think a lot of my colleagues would find it quite difficult taking on the responsibility of making those precise diagnoses.”

He went on to say that if cancer specialists were to be diverted from a hospital, that “might not be the best use of their time”.

Read more at Pulse.

“Access to new cancer drugs too restrictive”

- 4th April 2010 10:12 am

Too many new cancer drugs are being turned down or restricted to small groups of NHS patients in England, the Conservatives claim.

Shadow health secretary Andrew Lansley said doctors should have a greater role in deciding which drugs to prescribe.

The party is calling for better deals with manufacturers to reduce prices.

But the government’s medicines advisory body said it recommended drugs backed by clinical evidence, targeted at patients most likely to benefit.

On Saturday, Conservative leader David Cameron met with campaigners for kidney cancer drugs in his home constituency of Witney, Oxfordshire, where he outlined a plan for a cancer drugs fund.

He said since a Tory government would not go ahead with Labour’s planned National Insurance increase, the £200m this would cost the NHS as a large employer would instead be used to provide more people with drugs.

The Tories said they were not criticising individual decisions made by the National Institute of Health and Clinical Excellence, but wanted to see a shift in the balance of decisions.

But the chief executive of NICE, Sir Andrew Dillon, said it was wrong to recommend the use of treatments “where the additional benefit is uncertain”.

Read more at BBC Health.

Cancer blunders threaten thousands, report says

The Guardian - 31st March 2010 11:34 am

Blunders by GPs, hospital doctors and nurses jeopardised the health of thousands of patients when cancer was misdiagnosed or not spotted soon enough, according to an NHS report.

Over a period of a year, doctors failed to spot key signs of cancer, tissue samples were mixed up, some patients were wrongly given an all-clear and vital diagnostic tests were delayed because of staff and equipment shortages, the study, undertaken by the NHS’s National Patient Safety Agency (NPSA), found.

Delayed diagnosis of cancer can lead to a patient dying earlier than expected or needing more invasive treatment than would have been necessary.

The NPSA’s Delayed diagnosis of cancer: thematic review details failures by NHS staff, including pathologists and administration staff, in 1,650 incidents reported by healthcare professionals in 2007-08 which involved a cancer sufferer getting a late diagnosis. The NPSA said the 1,650 figure was “an underestimate” but could not say by how much.

When 508 cases were examined in detail, it was found that 177 patients were harmed. Two died, 25 suffered severe harm, 52 moderate harm and 88 low harm. Of a sample of 150 patients, 37% experienced delays of up to three months, 38% of more than three months and some had delays of three years.

The government estimates that 10,000 die each year because of late diagnosis of cancer. The UK is poor by international standards at diagnosing cancer, studies have shown.

Read more at The Guardian 

Prime Minister to pledge one-to-one cancer care

BBC Health - 8th February 2010 9:13 am

Every cancer patient in England will be offered free, one-to-one home care by specialist nurses if Labour wins the election, Gordon Brown is to pledge.

In a speech to the King’s Fund think tank today, the PM is expected to pledge access to home treatment for every cancer patient within five years.

Labour says this would save over £2.5bn a year by reducing hospital admissions.

But shadow health secretary Andrew Lansley called on ministers to say what they would cut to pay for the move.

The proposals on cancer treatment are expected to form part of a wider plan to give more patients the option of receiving chemotherapy, dialysis and palliative care without travelling to hospital.

But the Conservatives are sceptical, arguing that while they support specialist nursing, the plan could cost £100m.

Read more at BBC Health.