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News -
January 2007
- Ed Newlands, recently retired from
Charing Cross sadly died suddenly in October. The ACP are making a
donation in his memory to the "Cancer Treatment and Research Trust"
which is a charity founded by Professor Newlands and his former
colleagues. You can read his Times Obituary
here.
- Patricia Hewitt and Mike Richards
recently announced a new Cancer Reform Strategy. It all sounds a bit
vague at the moment but you may want to read about it
here and
here in case you want to get involved.
- You can download presentations
given by Alison Jones and Chrissie Thirlwell at the ACP AGM 2006
here. It includes information
on ACP issues, manpower, training, new appointments.
Old News
- Funding opportunities for academic
training can be found
here
An ACP Committee meeting took place in
June and the following was discussed:
- NCEPOD will be looking into
deaths within 30 days of administering chemotherapy.
- The
Medical Oncology Curriculum
and provisional "Competencies in Systemic Therapy" documents
can be reviewed here and will be discussed at the AGM at the NCRI Annual Meeting. STCs will
be involved in developing tumour-specific competencies.
- MRCP Part III in Oncology
will probably be developed in the next year or so for lucky trainees
to complete sometime before obtaining CCT. It will hopefully be an
exam designed to test the basic level of knowledge required by a
medical oncologist that should be passable by most trainees before
the end of training.
- A directory of taught courses
such as MSC should be compiled and the courses validated
- National Chemotherapy Advisory
Group - The DoH wants guidance on: how chemotherapy services
should be organised, what will happen to services in the future, how should
out-of-hours cover be provided, national neutropaenic sepsis
guidelines, how Commisioning and Payment by Results will work
together
- National Clinical Excellence
Awards: ACP can now make nominations
- Manpower: There are 233
trainees 45 of whom will obtain CCT in the next 12 months.
- The table below gives an
analysis of current medical oncology consultants:
| Age |
No. of consultants |
Percent in Academic positions |
| <40 |
25 |
20 |
| 40-44 |
67 |
31 |
| 45-49 |
46 |
43 |
| 50-54 |
27 |
66 |
| 55-59 |
27 |
62 |
| >60 |
8 |
62 |
| |
Total 200 |
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Prizes: The McElwain Scholarship
was won by Jay Naik from Leeds who plans to spend time in Richard Vile's
lab at the Mayo Clinic. The McElwain Prize by Laura Kenny for
her work on PET scanning in cancer at the Hammersmith Hospital. She will be presenting at the NCRI Annual
Meeting. Congratulations to them both.
Joint Specialty Committee and ACP
Committee meetings took place in March 2006. Agenda issues included:
- New Chairman Dr Alison
Jones has taken over from Peter Clark.
- New Treasurer Dr Paul Ross has taken over as
Treasurer of the ACP
- New Royal College Training Requirements
If you are interested in checking out the sort of performance
assessments trainees are soon going to have to take part in go to
this section of the JCHMT website. Basically evaluation of
patient consultations, chemo prescribing, procedures, 360 degree
assessment (what people around you think of you) and a patient
satisfaction questionnaire! Also a multi-choice exam is coming,
possibly the ESMO exam.
- Workforce There has been a
roughly 10% increase in medical oncology consultants per year. The
number of trainees approximately equals the number of consultants
and 30-50 are likely to obtain CCT in 2006/7. The majority of
consultants are aged 40-44 yrs with only 8 over 60. If contracts are
limited to 10 PAs and the EWTD is adhered to a substantial increase
in consultant numbers will be required.
- Developing "Competencies in
Systemic Therapies" A draft document of the requirements
for various levels of competency has been produced by Helena Earl
and Graham Darke and is out for consultation. This will provide a core
part of training for medical oncologists. You can download it here
in the next week or two.
- National Chemotherapy Advisory
Group Work is continuing on 7 strands which include: Models of
care, patient problems out of hours, neutropaenic guidelines,
commissioning, and eprescribing.
- Modernising Medical Careers
Structure looks to include 2 years of core medical training,
followed by specialty training, and then a senior medical
appointment which may include an open-ended sub-consultant grade.
- Management of NICE
Consultations New processes are being discussed to co-ordinate
responses to NICE consultations through the RCP on behalf of the
RCP, NCRI Clinical Studies Group, ACP, RCR, JCCO, etc.
- National Patient Safety Agency
The Faculty of Clinical Oncology seeks to encourage the use of
the keywords radiotherapy and chemotherapy in reports
to the NPSA to enable the identification of relevant incidents.
Other News:
- You may be interested to learn
about NHS expenditure on anticancer drugs that came up at a recent
ACP Committee meeting:
| Amount (million) |
Drugs |
| £560 |
Total budget (year) |
| £120 |
Support drugs, eg antiemetics, GCSF |
| £440 |
Anticancer drugs |
| £240 |
Conventional systemic |
| £200 (£150) |
Endocrine (Prostate) |
| £155 |
Appraised by NICE |
| £85 |
Not appraised by NICE |
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