Implementing the European Code of Cancer Practice in Rural and Remote Communities

Nelson, David (2022) Implementing the European Code of Cancer Practice in Rural and Remote Communities. In: European School of Oncology: Improving Cancer Outcomes and Leadership Course, 7th-9th July 2022, Warsaw, Poland.

Implementing the European Code of Cancer Practice in Rural and Remote Communities
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Rural people living with and affected by cancer face a range of additional challenges compared to their urban counterparts. For example, they must travel longer distances for treatment, have more challenging access to health and social care services, little bespoke support, are more likely to have unmet psychosocial needs, as well as being at risk for poorer health outcomes and long-term survival. At the same time, there are benefits to rural living in terms of improving physical and mental health such as access to green spaces and increased community support. For the most part, the literature that explicitly considers the effect of rurality on cancer outcomes has tended to come from North America and Australia. There is now an opportunity to explore these issues in the European context.

The European Code of Cancer Practice (ECCP) brings together ten salient requirements for improving cancer outcomes across Europe. The newly established Lincoln International Institute for Rural Health (LIIRH) conducts interdisciplinary research to address the most important health issues facing rural communities locally, nationally, and internationally. Co-located at the Lincoln Medical School with the National Centre for Rural Health and Care (NCRH) and the Lincoln Clinical Trials Unit (LinCTU), LIIRH aim to shine a light on the unacceptable health inequities that exist across the rural-urban divide and to find innovative ways of reducing that inequality. Working with Cancer Research UK, Macmillan Cancer Support, East Midlands Cancer Alliance, NHS trusts, and health and social care professionals LIIRH now has an ongoing portfolio in relation to cancer research (quantitative/qualitative datasets on post-treatment experiences and outcomes of UK rural cancer survivors) and intends to use the ECCP to explore its relevance and potential impact (and implementation needs) in rural and remote communities across Europe. Together with our European partners there is potential that the ECCP could be used as a framework to evaluate cancer care within rural and remote settings.

The LIIRH supports the annual Lincolnshire Cancer Summit an event that showcases improvements and challenges in cancer care focusing on the whole care pathway from prevention and screening to recovery and end of life care. The next event is on 8th June 2022 at the Lincoln Medical School and will have a rural theme where we will develop and shape a new strategy that will build on the successes of the past with a view to developing technical approaches to supporting people affected by cancer that are person-centred and in line with the needs of rural populations. The event will be attended by healthcare professionals, researchers, cancer support organisations, people with lived experience and will be used to engage with the local population to increase awareness, screening uptake, prompt access to treatment and survivorship care. Following the event, LIIRH will evaluate this prospectively using both quantitative and qualitative methods.

For discussion:

• What are the opportunities and challenges with delivering cancer care in rural and remote settings?

• To explore the relevance, potential impact and implementation needs of the European Code of Cancer Practice in rural European communities.

Keywords:cancer survivorship, rural health, European code of cancer practice
Subjects:B Subjects allied to Medicine > B990 Subjects Allied to Medicine not elsewhere classified
A Medicine and Dentistry > A900 Others in Medicine and Dentistry
B Subjects allied to Medicine > B900 Others in Subjects allied to Medicine
L Social studies > L510 Health & Welfare
A Medicine and Dentistry > A990 Medicine and Dentistry not elsewhere classified
Divisions:College of Social Science > Lincoln International Institute for Rural Health
ID Code:50139
Deposited On:18 Jul 2022 08:32

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