Comprehensive cancer centres

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A presentation by Australia's Chief Medical Officer, Professor Jim Bishop AO, to the RACS Annual Scientific Congress 4 May 2010

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Comprehensive cancer centres

  1. 1. COMPREHENSIVE CANCER CENTRES Royal Australasian College of Surgeons Annual Scientific Congress Tuesday 4 May 2010 Professor Jim Bishop AO Chief Medical Officer Australian Government Department of Health and Ageing
  2. 2. USA COMPREHENSIVE CANCER CENTRES  Initial model - Rosewell Park, Buffalo - Memorial Sloan-Kettering, NY - MD Anderson, Houston - Fox Chase, Philadelphia  Currently 40 NCI-designated CCC and total of 61 Centres  Cancer Centres Directors Group, NCCN
  3. 3. MILESTONES US CANCER CENTRES PROGRAM 1960 NIH Grant Clinical Research Centres 1961 Cancer Research Facilities Grant 1963 12 Institutions $6m 1968 National Cancer Advisory Board Guidelines 1971 National Cancer Act – Cancer Centres Branch NCI 1973 Cancer Centre Support Grant: Guidelines 1980s Basic, Clinical and Comprehensive Centres 1991 Integration of Research elements 1997 Cancer Centres, Clinical Cancer Centres, Comprehensive Cancer Centres
  4. 4. SIX ESSENTIAL CRITERIA FOR NCI CCC • Physical facilities dedicated to the conduct of cancer research • Organisational capability to plan and implement research strategies • Trans-disciplinary collaboration and co-ordination of research • Cancer Research Focus • Institutional Commitment to the Cancer Centre • Centre Director with Institutional authority to manage the Centre
  5. 5. USA – COMPREHENSIVE CANCER CENTRES Trans-disciplinary and Translational interaction  Laboratory Research  Clinical Research  Prevention, Control and Population Research
  6. 6. Sources of Cancer Research funding in NSW (2004-2006) SOURCE: Cancer Research in NSW 2001-2006 Cancer Institute NSW Monograph – March 2008
  7. 7. Sources of Cancer Research funding in NSW by Survey year SOURCE: Cancer Research in NSW 2001-2006 Cancer Institute NSW Monograph – March 2008
  8. 8. Total funding by broad research area (2004-2006) SOURCE: Cancer Research in NSW 2001-2006 Cancer Institute NSW Monograph – March 2008
  9. 9. Total Funding by geographical hub (2004-2006) SOURCE: Cancer Research in NSW 2001-2006 Cancer Institute NSW Monograph – March 2008
  10. 10. Funding within Geographical hubs: proportion of funds by board research category SOURCE: Cancer Research in NSW 2001-2006 Cancer Institute NSW Monograph – March 2008
  11. 11. The number of publications on cancer for the years 1999-2006 allocated over the eight Australian States according to SCI-SSCI SOURCE: Cancer Research in NSW 2001-2006 Cancer Institute NSW Monograph – March 2008
  12. 12. NHMRC Funding by RESEARCH AREA 2007 2008 2009 2009 ($m) ($m) ($m) % Laboratory 251 294 346 51% Clinical 152 176 205 30% Public Health 68 79 84 12% Prevention 9 11 14 2% ____________________________________________________ Totals 500 586 677 100% ______________________________________________________________________________ * Additional infrastructure funding not tabulated NHMRC Strategic Plan 2009
  13. 13. Australian Government Budget 09-10  COAG Agreements  $1.1 billion for medical and health training  $872 million for preventative health  NHMRC Funding  Increased by 13% to $703m  HHF  $1.3 billion for cancer projects * $560 million for regional cancer centres  $1.5 billion for hospital infrastructure
  14. 14. REGIONAL CANCER CENTRE PRINCIPLES  Demonstrated need/impact  Align with Cancer Services  Link to Comprehensive Cancer Care  Provide equitable and affordable access  Address sustainability and workforce  Support Clinical Research Networks  Monitor and evaluate performance
  15. 15. CANCER CARE IN THE FUTURE  Increasing burden of cancer  Research and research information will drive improvement  Integration of research findings into daily practice is everybody’s business  Role delineation, sizing enterprises for function and multidisciplinary research interactions remain a major challenge

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