Belfast Telegraph

Stud y raises alarm bells over cancer survival rate

- BY GILLIAN HALLIDAY

line than those in the least deprived areas (48%).

Over three-quarters of adults aged 18 and over drink alcohol, 83% of men and 76% of women. Almost a fifth of male drinkers (16.5%) drank on three or more days per week compared with 10% of women drinkers.

Around a fifth of respondent­s smoked cigarettes, with people in the most deprived areas (29%) more than twice as likely to smoke than those in least deprived areas (12%).

Meanwhile, around a fifth of people in Northern Ireland may have mental health problems. The Department of Health said around 18% of respondent­s to its survey on a general health questionna­ire showed signs suggesting they may have a mental health issue.

Around a fifth of respondent­s also exhibited signs of loneliness, with respondent­s living in urban areas and those in the most deprived areas more likely to suffer loneliness than those in rural areas and the least deprived.

It comes amid calls for a mental health champion at the Department of Health following a recent spate of suicides in Northern Ireland.

Four months ago the department published its Protect Life 2 strategy to tackle Northern Ireland’s suicide problem, with a greater focus on those bereaved by suicide, more support for those who care for others and enhanced working across department­s.

A new regional steering group has been set up, chaired by Chief Medical Officer Dr Michael McBride.

Finance Minister Conor Murphy and Health Minister Robin Swann met yesterday to discuss funding for the health service. Mr Murphy said: “The Executive is united in its determinat­ion to rebuild our health service.

“That was evident yesterday with the decision to restore pay parity for nurses and other health staff.

“The ‘New Decade, New Approach’ document detailed a new action plan on waiting times, reforms in health and social care, and better support for victims of contaminat­ed blood.

“That’s why we need a significan­t funding package from the British Government.

“We need to start repairing the damage to all public services caused by a decade of austerity.”

Mr Swann said: “I welcome the support of the Finance Minister and the Executive collective­ly for health.

“We have a massive task in front of us.”

A FIFTH of around 46,000 cancer patients given an emergency diagnosis in Northern Ireland had a survival rate of just 23% after three years, according to a report.

A total of 46,068 patients who received a cancer diagnosis, excluding non-melanoma skin cancer, between 2012 and 2016 were examined for a Department of Health study.

Pathways to a Cancer Diagnosis, published yesterday, is the culminatio­n of an 18-month project by analysts from the Health and Social Care Business Services Organisati­on (BSO) and researcher­s from Queen’s University Belfast.

‘Red-flag’ diagnoses — urgent GP referrals where there is a suspicion of cancer — accounted for 28% of all those carried out, while routine GP diagnoses formed 21% of diagnoses, with each route having a three-year survival rate of 72% and 71% respective­ly.

Meanwhile, the proportion of patients diagnosed through the red-flag route increased from around 26% in 2012 to just below 31% in 2015.

The study also found that the proportion of patients diagnosed through screening (6%) and emergency presentati­on (20%) here was broadly comparable to rates in England.

However, the report concluded that Northern Ireland has a greater proportion of patients diagnosed via outpatient and inpatient elective routes, but a smaller proportion of red-flag and routine GP routes when compared to England.

The research said extra study was needed to understand the reasons behind the figures.

It added: “Further work is required to understand the local factors which might be driving such difference­s, given that for many patients their route into secondary care will typically begin with a consultati­on with their GP.”

A breakdown of cancer types — female breast, colorectal, lung and prostate — also revealed differing rates of the various routes used to diagnose patients.

For both breast cancer and colorectal, the most common route was red-flag referrals at 50% and 27% respective­ly.

GP referrals ranked highest for prostate cancer patients at 37%. At a slightly lower rate (35%) was emergency presentati­on for lung cancer patients.

The emergency presentati­on route to diagnosis made up around a quarter or more of the patients with blood and lymph cancer (28%), digestive cancer (42%), upper gastrointe­stinal tract cancer (27%) and head, neck, brain and eye cancer (24%).

Overall, patients diagnosed via emergency routes had worse survival outcomes.

Welcoming the report, Dr Finian Bannon, from Queen’s University, said the findings would help “improve patient outcomes by increasing our understand­ing of how cancer services are delivered and how services can be improved”.

 ?? SOURCE: DEPARTMENT OF HEALTH ??
SOURCE: DEPARTMENT OF HEALTH
 ??  ?? Crucial research: Dr Finian Bannon
Crucial research: Dr Finian Bannon

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