In Charity News

“I’ve got a grade 3 oligodendroglioma and feel deeply sad that my precious time is jeopardised” – patient

This is the landscape we find ourselves in currently. People whose lives have already been devastatingly impacted by a brain tumour diagnosis, are now facing the added complexity and uncertainty that the nation is experiencing as a result of Coronavirus. Now more than ever, we need to be here for our community, but our fundraising capabilities have been decimated and we are working now with hugely limited resources.

Our Chief Executive, Will Jones, has filmed a video and written a letter to shed some light on the circumstances facing brainstrust and our community at this time:

The coronavirus pandemic has impacted on us all hugely. At brainstrust, with the cancellation of all events, we have effectively had to stop all public fundraising at our busiest time of year. There are no marathons or challenges taking place until the autumn, we have had to postpone the Follow the Seagulls Treks and community fundraising has ceased as families and friends can’t get together to support our work.

Supporter led income is vital to charities. It is unrestricted fundraising that can be used for our general work, and typically March, April, May and June are our busiest periods, that carry us through a quieter July and August.

The impact is a dramatic fall in income, probably around 60% during the Spring. We need to raise £52,000 each month to provide the support we do to thousands of people across the UK. We are now looking at around £30,000 in March, £16,000 in April and less than £10,000 in May. In the space of 10 days, we have shifted from planning for a year of growth in reach and impact, to planning for survival.

Without filling this hole in revenue (estimated to be about £250,000 all told) we won’t be able to be there for our patients at a time when they need us more than ever. They are facing delays to treatment, increased isolation and increased fear. Just yesterday I was talking to a recently diagnosed grandfather, who whilst feeling fit and well, has been told he cannot see his grandchildren, and that his chemotherapy has been delayed. We could be doing more to help, but instead we are facing having to do less simply because we don’t have the funds to deliver a service.

 There is currently no relevant government support for charities to help them through this crisis, and we are supporting our professional bodies to lobby for change here.

 So income is dramatically down, but opportunity to have an incredible impact is up. We want to build on the impact that we have had for our patients in better times.

We are adept at managing organisational and operational change. In the past 10 days our entire team of 14 has moved to home working, we have cancelled or postponed all of our patients events and taken all of our beneficiary services online. We have established new ways to reach out, connect and help in times of isolation, fear and uncertainty. Our policy work has changed tack completely to support patients and families with up to date information on care and treatment in the face of the Coronavirus crisis. In the face of massive operational upheaval, the brainstrust team have risen to the challenge and we’re ready to do more for our community who need us more than ever.  But to do this, we need your help. We have to ask for your donations to address the shortfall in income at this important time of year, and we absolutely have to be here for our patients and caregivers.

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WEBINAR: How to live with uncertaintyPast Events, Uncategorized
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If you think you have Coronavirus – how to make the most of your GP consultationUncategorized

Introduction

The Brain Tumour Data Dashboard lets you explore up -to-date, population level data about the brain tumours diagnosed in England between 2013 and 2015. Using the drop down menus on the left you can select different groups of patients to view in the charts below. In these charts the number of patients for every 100 diagnoses is displayed as images of people. Patients have been grouped by date of diagnosis, type of tumour, age, gender, and region in England.

For each group of patients you can explore the different routes to diagnosis, the proportion of those who received chemotherapy or radiotherapy, as well as the survival of the patients within each group. For more information about what these metrics mean please see the glossary.

How to use

  1. Select the year of diagnosis using the drop down menu.
  2. Select your patient group of interest from the four drop down menus in the following order:
    1. Tumour group
    2. Age at diagnosis
    3. Region of England
    4. Gender of patient
  3. To view a second chart to compare different groups of patients, click the ‘compare’ button.The second chart will appear below the first chart.

*Note that the tool is best used on a laptop or tablet rather than a mobile phone*

Unavailable data

Some of the data in these charts is not available.There are two main reasons for this:

  1. How the data has been grouped

If you cannot select a patient group from the drop down menus, the data is unavailable because of how the data has been organised.

Public Health England has grouped the data like a branching tree. The bottom of the tree contains all the patients with brain tumours, and then each branch divides the data by a certain characteristics, like age, or location of tumour. But the data is divided in an order, starting with location of the tumour (endocrine or brain), then by age, region, and gender. Age is at the start because it makes a bigger difference to survival rates and treatment rates than gender or region. Sometimes, after the data has been split by type of tumour and age, there is not enough data to be split again. This is because to protect patient confidentiality groups cannot contain less than 100 patients. Because some groups cannot be split further, you cannot create ‘totals’ for everyone by region or gender. For example, you cannot see results for all ages by region, or all brain tumours by gender. If these totals were calculated and released, it might be possible to identify patients, which is why Public Health England cannot release this data.

  1. Statistical reasons and data availability

If you can select a patient group from the chart menus, but the chart does not display, the data is unavailable for one of several reasons:

  1. Data is not yet available for the selected year from Public Health England.
  2. Data is not available because the data quality is too poor to release this statistic.
  3. Data is not available as the statistic is not appropriate for this group.
  4. Data is not available because the standard error of the estimate was greater than 20% and so the estimate has been supressed.

Up to date brain tumour data

Brain tumour data may influence the decisions you make about your care. Data also helps you understand the bigger picture, or landscape, in which you find yourself.

Brain tumour data and statistics influence the focus, and work of organisations like brainstrust. The information helps us to understand the scale and impact of the problems we are setting out to solve.

This tool helps you understand the landscape in which you find yourself having been diagnosed with a brain tumour. This landscape can be particularly tricky to navigate as there are many different types of brain tumour, all of which have a different impact.

The information you see represents the most up-to-date, official, population level brain tumour data available for England. Over time we will be adding to the brain tumour data available and publishing reports, with recommendations, as a result of what we learn from this data.

The data behind this content has come from Public Health England’s National Cancer Registration and Analysis Service (NCRAS) and is a direct result of the ‘Get Data Out’ project.

This project provides anonymised population level brain tumour data for public use in the form of standard output tables, accessible here: http://cancerdata.nhs.uk/standardoutput

Incidence

The number or rate (per head of population) of new cases of a disease diagnosed in a given population during a specified time period (usually a calendar year). The crude rate is the total number of cases divided by the mid-year population, usually expressed per 100,000 population.

Malignant

Malignant tumours which grow by invasion into surrounding tissues and have the ability to metastasise to distant sites

Mortality

The number or rate (per head of population) of deaths in a given population during a specified time period (usually a calendar year). The crude rate is the total number of deaths divided by the mid-year population, usually expressed per 100,000 population.

Non-malignant

Not cancerous. Non-malignant tumours may grow larger but do not spread to other parts of the body.

Survival

The length of time from the date of diagnosis for a disease, such as cancer, that patients diagnosed with the disease are still alive. In a clinical trial, measuring the survival is one way to see how well a new treatment works. Also called ‘overall survival’ or ‘OS’.

Routes to Diagnosis

Under the ‘Routes to Diagnosis’ tab in the Brain Tumour Data Dashboard, you can explore the ways patients have been diagnosed with brain tumours. There are many ways, or routes, for cancers to be diagnosed in the NHS. A ‘route to diagnosis’ is the series of events between a patient and the healthcare system that leads to a diagnosis of cancer. The routes include:

  1. Two Week Wait

Patients are urgently referred by their GP for suspected cancer via the Two Week Wait system and are seen by a specialist within 2 weeks where they are diagnosed.

  1. GP referral

Diagnosis via a GP referral includes routine and urgent referrals where the patient was not referred under the Two Week Wait system.

  1. Emergency Presentation

Cancers can be diagnosed via emergency situations such as via A&E, emergency GP referral, emergency transfer or emergency admission.

  1. Outpatient

Outpatient cancer diagnoses include diagnoses via an elective route which started with an outpatient appointment that is either a self-referral or consultant to consultant referral. (It does not include those under the Two Week Wait referral system).

  1. Inpatient elective

Diagnosis via an inpatient elective route is where diagnosis occurs after the patient has been admitted into secondary care from a waiting list, or where the admission is booked or planned.

  1. Death Certificate Only

Diagnoses made by Death Certificate Only are made where there is no more information about the cancer diagnosis other than the cancer related death notifications. The date of diagnosis is the same as that of the date of death.

  1. Unknown

For some patients with a cancer diagnosis, there is no relevant data available to understand the route to diagnosis.

 

More information

If any of the statistical terms in this section of the brainstrust website are hard to understand, we recommend looking them up here:

Cancer Research UK’s Cancer Statistics Explained

http://www.cancerresearchuk.org/health-professional/cancer-statistics/cancer-stats-explained/statistics-terminology-explained#heading-Seven

If you are looking for help understanding terms relating specifically to brain tumours, and treatment, then the brainstrust glossary is available here:

https://www.brainstrust.org.uk/advice-glossary.php