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Work and Finance

Work and Finance. National Cancer Survivorship Initiative Work and finance workstream NCSI conference, 21 September 2009. Barbara Wilson, Workstream Chair Duleep Allirajah, Workstream Support. Work and cancer: the scale of the problem. The problem

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Work and Finance

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  1. Work and Finance

  2. National Cancer Survivorship InitiativeWork and finance workstreamNCSI conference, 21 September 2009 Barbara Wilson, Workstream Chair Duleep Allirajah, Workstream Support

  3. Work and cancer: the scale of the problem The problem • 90,000 working age people are diagnosed with cancer in the UK each year • 774,000 people of working age in the UK have had a cancer diagnosis The solutions • We have reviewed the evidence and identified the gaps • We still do not know enough about the size and scale of the problem • Macmillan will be commissioning a large scale population study on work and cancer in 2010

  4. Information and advice about work The problem • Less than 50% of patients are advised by cancer doctors about impact of treatment on their work • Patients aren’t routinely offered information about returning to work by the NHS The solutions • We are working with the Cancer Action Team to ensure that information prescriptions help people returning to work • We will be developing and testing tools to aid more effective assessment and signposting from the point of diagnosis

  5. Vocational rehabilitation The problem • NHS rehabilitation services are focused on hospital discharge • DWP services are focused on the long-term sick • Many employees have no access to occupational health services The solutions • We have developed a vocational rehabilitation model for cancer • We plan to run vocational rehabilitation pilots in 2010 • We have also commissioned a study to explore whether DWP programmes work for cancer patients

  6. Vocational rehabilitation model EMPLOYERS NAVIGATION 1 2 3 4 • Case managed approach • Rehabilitation/living well • Self management • Post-treatment • Drop-in • Signposting • Face to face • Focussed interaction • Early information and support • For employers, professionals and patient VALUES

  7. Employer support is variable The problem Only 50% of patients are offered flexible working arrangements 80% of employers are unaware that cancer is covered by the DDA The solutions Macmillan’s Working Through Cancer pilot will be testing a toolkit for employers We will be developing a strategy to raise employer awareness of information and tools We are planning to commission a study to explore the specific challenges faced by small businesses

  8. Financial hardship The problem • 92% of people with cancer have suffered loss of income and/or higher costs • Among under 55s, the average fall in income was 50% • 77% of cancer patients receive no information about welfare benefits The solutions • Ensure information prescriptions support people with financial needs • Test tools to aid assessment of financial need and signposting to advice services • Develop policy options in light of Macmillan’s study into the drivers of financial hardship

  9. Questions • From what you have heard today, what is most important initiative we are undertaking? • What, if anything, has been left out? • What will be the difficulties in implementation? • How can we overcome these difficulties? • What other points come out of this discussion?

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