Chapter 1 – Introduction 1 Background 2 Issues in

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Chapter 1 Introduction 1 Background 2 Issues in London and West Essex: Half of people born since 1960 will be diagnosed with cancer in their lifetime with that proportion continuing to rise. Cancer is the biggest cause of death from

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Chapter 1 – Introduction 1<br>
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Background 2 Issues in London and West Essex:
Half of people born since 1960 will be diagnosed with cancer in their lifetime with that proportion continuing to rise. Cancer is the biggest cause of death from illness or disease in every age group, from the very youngest children through to old age.
There are groups of patients for whom outcomes and quality of life are particularly poor. Whilst survival has improved significantly in some types of cancer for others it has remained stubbornly low e.g. lung.
Inequalities in health mean poorer health, reduced quality of life and early death for many people. These inequalities are reflected in cancer outcomes. Certain population groups have higher incidence, poorer survival and poorer experience of care. Reducing these inequalities is challenging because they are often deep-rooted with multiple causes. Everyone should have the same opportunities to lead a healthy life, no matter where they live or who they are.
Health inequalities mean there is potentially avoidable variation in survival outcomes.<br>
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Developing a strategy to reduce inequalities in cancer care and outcomes in London and West Essex 3 The Transforming Cancer Services Team has produced a strategy to reduce inequalities in cancer care and outcomes in London and West Essex.

The strategy underpins delivery of the three agreed London Cancer Priorities 2019/20:

Early detection of cancers including through screening and education activities;
Delivery of the Faster Diagnosis Standard;
Access to personalised care

The strategy covers clinical, psycho-social and patient experience dimensions and provides recommendations for all organisations that plan, commission and deliver cancer care for Londoners.

The strategy and recommendations are based on a comprehensive needs and assets assessment which includes analysis of published data, evidence of effective interventions (including relevant NICE guidance), consultation with a range of stakeholders, the views of people affected by cancer and insights drawn from these sources.<br>