With the growing burden of cancer and financial pressures on our health care systems, there is an urgent need to improve the efficiency in cancer care. Improving efficiency is not a question of linear cost-cutting – but of finding ways to allocate resources more efficiently to achieve better outcomes for patients. This will require tough decisions, and thinking in terms of long-term investments rather than short-term policy fixes.
All.Can is an international, multi-stakeholder policy initiative aiming to identify ways we can optimize the use of resources in cancer care by focusing on outcomes that matter most to patients – and create greater efficiency in cancer care. This involves examining what system inefficiencies exist, finding examples of how we can improve efficiency in cancer care and implementing concrete policy actions based on these findings.
All.Can is comprised of leading representatives from patient organizations, policymakers, health care professionals, research and industry. The All.Can Group consists of All.Can International, plus All.Can national initiatives currently established in 14 countries including Canada.
In April 2018, Save Your Skin Foundation (SYSF), a national patient-led not-for-profit group dedicated to leading the fight against non-melanoma skin cancers, melanoma and ocular melanoma, was established as All.Can Canada’s Secretariat to lead the initiative in Canada. SYSF convened a Working Group to discuss how to bring All.Can into the Canadian healthcare space. The Working Group completed a year one discovery phase that involved an informal literature review of nation-wide and province-specific health care reports to identify the top reported areas of waste and inefficiency in cancer care in Canada. These findings were then prioritized through anonymous surveys with cancer care stakeholder groups, including patient group representatives, health care professionals, provincial policy makers, health technology assessment bodies, and pharmaceutical industry representatives. This information was also reviewed in light of responses from over 300 Canadian cancer patients who took part in the All.Can International Patient Survey.
This information was used to produce a Consolidated Report of Waste and Inefficiency in Canadian Cancer Care: Multi-Stakeholder Insights and Recommendations. This report highlights the common themes across stakeholder groups of areas of greatest waste and inefficiency in Canadian cancer care systems.
All.Can Canada, through SYSF and its working group, organized a first multi-stakeholder roundtable in late 2019 to develop consensus on a focus area to begin its work. The consensus statement developed for All.Can Canada is to focus on optimizing patient entry into Canadian cancer care systems, ensuring swift, accurate and appropriately delivered diagnosis and that patients experience coordinated, effective support throughout their treatment experience. The preliminary focus will be on ensuring swift, accurate and appropriately delivered diagnosis as the entry point into the cancer care system.
To direct All.Can Canada’s activities, a multi-stakeholder, patient-led Interim Steering Committee was established to direct an environmental scan to evaluate the capacity of the current cancer care systems in Canada to achieve the consensus statement and provide the basis of the future objectives and action plan for All.Can Canada; to organize a second, multi-stakeholder roundtable to assess the results of the environmental scan; and to determine the objectives and action plan. The final report from this research, Optimizing Entry into Canadian Cancer Care Systems: An Environmental Scan, is in the final stages of production and will be used to direct conversations at the second roundtable meeting in late 2021.
The All.Can Canada Steering Committee includes representation from all stakeholder groups and supports, guides and oversees the progress of this multi-year project. For more information please contact email@example.com.
All.Can Canada publications and press releases:
November 2019: All.Can Canada Roundtable event, Toronto, Ontario
September 2019: All.Can Canada Report: Patient Insights on Canadian Cancer Care
January 2018: All.Can International launches survey of cancer patients
As a member of All.Can, Save Your Skin Foundation is working in this area, adding Canadian perspective to the global project. For more information please visit the All.Can website, and read more about the All.Can Canada initiative. To learn more about All.Can Canada or to inquire about getting involved, please email: firstname.lastname@example.org
Making awareness and education available is crucial. Since 2006, the Foundation has worked to raise awareness of melanoma and non-melanoma skin cancers focusing on education, prevention and the need for improved patient care.