Improving the early detection and treatment of cancer in Croydon
This is a key Clinical Commissioning Group (CCG)'s priority; 945 die from cancer in Croydon each year and the CCG wants to improve one year survival rates and diagnosis at stage 1 and 2 (early diagnoses).
Prostate cancer is higher in Afro-Caribbean population. Fieldway has the highest rate of breast cancer in Croydon.
The CCG has been working towards early diagnoses and its commissioning intentions for 2016-17 include:

  • All GPs to have direct access to colonoscopy and diagnoses services
  • Services to be commissioned to support Ultrasound and CA125 concurrently to promote early diagnoses of ovarian cancer
  • All GPs to have direct access to same day x-ray for high risk cancer and access for low risk

It's a good time to join forces and bring existing programmes in line, including Livewell, Together for Health across Partnership (CCG, Primary Care Commissioning NHS England, Public Health England, Local Authority). Also in view of the fact that 40% of cancer cases could be prevented by lifestyle changes (World Health Organisation) including smoking, drinking, eating healthy. Smoking causes 28% of all cancer deaths in the UK.

Health challenges in Croydon from JSNA Key Dataset
The Joint Strategic Needs Assessment key data set for September 2016 shows an increase in Looked After Children rate, temporary accommodation (compared to London rate), repeat abortion rate, people presenting with HIV at late stage, first time entrants to the youth justice system and decrease of MMR vaccination coverage to two doses and DTaP/IPV booster vaccination coverage for 5 years olds.

Voluntary Sector Mental Health Day Services in Croydon commissioned by the CCG
Provision of good quality day care services in the borough, that meets the needs of the population, helps to promote a positive experience of care. The CCG needs to review the commissioned services in a more strategic way, also strengthening monitoring of the users' experience but also reviewing delivery based on new needs and geographical spread of population.

(From Health & Well Being Board meeting, 14/9/2016)