A presentation by Australia's Chief Medical Officer, Professor Jim Bishop AO, to the RACS Annual Scientific Congress 4 May 2010

1. COMPREHENSIVE CANCER CENTRES
Royal Australasian College of Surgeons
Annual Scientific Congress
Tuesday 4 May 2010
Professor Jim Bishop AO
Chief Medical Officer
Australian Government Department of Health and Ageing

2. USA COMPREHENSIVE CANCER CENTRES
 Initial model
- Rosewell Park, Buffalo
- Memorial Sloan-Kettering, NY
- MD Anderson, Houston
- Fox Chase, Philadelphia
 Currently 40 NCI-designated CCC and total of 61
Centres
 Cancer Centres Directors Group, NCCN

3. MILESTONES US CANCER CENTRES PROGRAM
1960 NIH Grant Clinical Research Centres
1961 Cancer Research Facilities Grant
1963 12 Institutions $6m
1968 National Cancer Advisory Board Guidelines
1971 National Cancer Act – Cancer Centres Branch NCI
1973 Cancer Centre Support Grant: Guidelines
1980s Basic, Clinical and Comprehensive Centres
1991 Integration of Research elements
1997 Cancer Centres, Clinical Cancer Centres,
Comprehensive Cancer Centres

4. SIX ESSENTIAL CRITERIA FOR NCI CCC
• Physical facilities dedicated to the conduct of cancer
research
• Organisational capability to plan and implement research
strategies
• Trans-disciplinary collaboration and co-ordination of
research
• Cancer Research Focus
• Institutional Commitment to the Cancer Centre
• Centre Director with Institutional authority to manage the
Centre

5. USA – COMPREHENSIVE CANCER CENTRES
Trans-disciplinary and Translational interaction
 Laboratory Research
 Clinical Research
 Prevention, Control and Population Research

6. Sources of Cancer Research
funding in NSW (2004-2006)
SOURCE: Cancer Research in NSW 2001-2006
Cancer Institute NSW Monograph – March 2008

7. Sources of Cancer Research
funding in NSW by Survey year
SOURCE: Cancer Research in NSW 2001-2006
Cancer Institute NSW Monograph – March 2008

8. Total funding by broad
research area (2004-2006)
SOURCE: Cancer Research in NSW 2001-2006
Cancer Institute NSW Monograph – March 2008

9. Total Funding by geographical
hub (2004-2006)
SOURCE: Cancer Research in NSW 2001-2006
Cancer Institute NSW Monograph – March 2008

10. Funding within Geographical hubs: proportion
of funds by board research category
SOURCE: Cancer Research in NSW 2001-2006
Cancer Institute NSW Monograph – March 2008

11. The number of publications on cancer for the years
1999-2006 allocated over the eight Australian States
according to SCI-SSCI
SOURCE: Cancer Research in NSW 2001-2006
Cancer Institute NSW Monograph – March 2008

12. NHMRC Funding by RESEARCH AREA
2007 2008 2009 2009
($m) ($m) ($m) %
Laboratory 251 294 346 51%
Clinical 152 176 205 30%
Public Health 68 79 84 12%
Prevention 9 11 14 2%
____________________________________________________
Totals 500 586 677 100%
______________________________________________________________________________
* Additional infrastructure funding not tabulated
NHMRC Strategic Plan 2009

13. Australian Government
Budget 09-10
 COAG Agreements
 $1.1 billion for medical and health training
 $872 million for preventative health
 NHMRC Funding
 Increased by 13% to $703m
 HHF
 $1.3 billion for cancer projects
* $560 million for regional cancer centres
 $1.5 billion for hospital infrastructure

14. REGIONAL CANCER CENTRE PRINCIPLES
 Demonstrated need/impact
 Align with Cancer Services
 Link to Comprehensive Cancer Care
 Provide equitable and affordable access
 Address sustainability and workforce
 Support Clinical Research Networks
 Monitor and evaluate performance

15. CANCER CARE IN THE FUTURE
 Increasing burden of cancer
 Research and research information will drive
improvement
 Integration of research findings into daily practice
is everybody’s business
 Role delineation, sizing enterprises for function
and multidisciplinary research interactions
remain a major challenge