TAILIEUCHUNG - Guidance on Cancer Services Improving Outcomes in Breast Cancer

The risk of breast cancer is affected by lifestyle. Obesity is associated with a two-fold increase in risk among post-menopausal women; this has been linked with high intake of meat and dairy fat, but the precise nature of these relationships are still unclear. Regular alcohol consumption (two or more drinks per day) increases risk by about 40%. As with many other forms of cancer, eating more vegetables can reduce risk. Physical activity also seems to reduces risk (in pre- menopausal women, at least), and more intensive activity may produce greater benefits, although this is not yet certain. It seems, therefore, that there is scope for primary prevention, and intervention studies are in progress | NHS National Institute for Clinical Excellence Guidance on Cancer Services Improving Outcomes in Breast Cancer Manual Update Breast cancer service guidance Cancer service guidance supports the implementation of The NHS Cancer Plan for England 1 and the NHS Plan for Wales Improving Health in The service guidance programme was initiated in 1995 to follow on from the Calman and Hine Report A Policy Framework for Commissioning Cancer The focus of the cancer service guidance is to guide the commissioning of services and is therefore different from clinical practice guidelines. Health services in England and Wales have organisational arrangements in place for securing improvements in cancer services and those responsible for their operation should take this guidance into account when planning commissioning and organising services for cancer patients. The recommendations in the guidance concentrate on aspects of services that are likely to have significant impact on health outcomes. Both the anticipated benefits and the resource implications of implementing the recommendations are considered. This guidance can be used to identify gaps in local provision and to check the appropriateness of existing services. References 1. Department of Health 2001 The NHS Cancer Plan. Available from cancer 2. National Assembly for Wales 2001 Improving Health in Wales A Plan for the NHS and its Partners. Available from healthplanonline health plan content 3. A Policy Framework for Commissioning Cancer Services A Report by the Expert Advisory Group on Cancer to the Chief Medical Officers of England and Wales 1995 . Available from http cancer pdfs This guidance is written in the following context This guidance is a part of the Institute s inherited work programme. It was commissioned by the Department of Health before the Institute was formed in April 1999. The developers have worked

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