Select Committee on Health Minutes of Evidence


Memorandum by Macmillan Cancer Relief

RELATIONSHIP BETWEEN HEALTH & SOCIAL SERVICES (HSS 68)

2.  MACMILLAN CANCER RELIEF

  Macmillan works with the NHS and others to provide people who have cancer, and their families, with expert nursing and medical care, and with emotional and practical support from the point of diagnosis onwards.

  Each year in the UK more than 300,000 people develop cancer, and statistically one in three individuals will contract cancer at some time in their life. Epidemiological and demographic factors indicate, however, that by 2018 those odds will have shortened to one in two, and the one million people currently living with cancer will have doubled.

  Macmillan has developed a unique partnership with the NHS in the field of cancer care. The charity currently uses a considerable proportion of its budgeted £50 million annual income to promote the development of cancer services within the NHS by pump priming or grant aiding the introduction of supportive and innovative forms of care and other facilities, as well as clinical, educational, academic and research-based activities designed to achieve advances and improvements in the range, level and standards of care available to patients. The charity also works with other organisations to provide people who have cancer, and their families, with specialist nursing and medical care and with emotional and practical support, from the point of diagnosis onwards, in order that they may carry on living their lives despite cancer.

  Macmillan has been at the forefront of innovation in cancer care. At the heart of Macmillan's pump priming work are more than 1,600 Macmillan nurses—employed by the NHS as specialists in cancer care, offering expert information and advice on treatment, skills in pain and symptom control and emotional support to people living with cancer. Working in hospitals and in the community, they have an important role to play in ensuring that each patient receives the best possible care and achieves the highest quality of life from the time they are diagnosed, whatever the outcome.

  The charity also pump primes Macmillan doctors and funds, designs and builds projects like day care centres, run by the NHS, which help to improve the environment in which people receive treatment and care. In addition, the charity makes cash grants to patients with cancer who are in financial need, to supplement the welfare benefits to which they may be entitled.

  The annual budget for this service is currently running at about £5 million. Practical problems can often, from the patient's perspective, be worse than the cancer.

  The above has sought to demonstrate how the charity's work in response to cancer patients' needs spans both health care and social services provision.


 
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Prepared 10 August 1998