Macmillan Cancer Support

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  • At Macmillan, we know how a cancer diagnosis can affect everything. So we’ll help you find your best way through.

    From advice about money and work, to someone who’ll listen if you just want to talk, we’re here when you need us most.

    Improving Services for Older People

    Just over half of all people newly diagnosed with cancer in the UK are over 70 years old.

    We’re concerned that the UK has some of the worst survival rates in Europe for older people. Although late presentation and diagnosis plays a part, there is a growing body of evidence to suggest that older people with cancer are under-treated.

    This may explain why, while mortality rates are improving significantly for the under-75s, they are improving at a much slower rate in those aged 74-84 and actually getting worse for those aged 85 and over.

    The project has identified key areas of good practice. Age-friendly cancer services will:

    • engage elderly care specialists as an active part of the cancer care team and adopt a multidisciplinary approach to the assessment and management of all patients.
    • ensure an early and appropriate assessment of an older person is undertaken. The assessment should not only inform a dialogue about cancer treatment, but should identify and address unmet physical, psychological and social support needs. Follow up assessments should be undertaken at various stages throughout treatment to identify and address changes in need.
    • ensure everyone gets the maximum benefit from cancer treatment and associated supporting therapies by effectively managing other health conditions and incorporating reasonable adjustments to care planning to address additional needs.
    • establish services and clear referral pathways for both outpatients and inpatients to address needs identified by assessment. This includes establishing clear links with voluntary sector agencies, social services, and specialist teams such as falls prevention teams, continence specialists and dementia specialists.
    • ensure effective communications systems are in place to facilitate coordinated care and informed decision making.
    • ensure clinical and non-clinical staff are supported with the training and access to resources required to conduct appropriate assessment and follow up care of all patients. In order to do this, it is vital systems allow sufficient clinic time to undertake this work in day-to-day practice.