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Where are the gaps in brain tumour care?

Your responses to our Improving Brain Tumour Care surveys have helped us understand what gaps exist in brain tumour care – here’s how we’re filling those gaps.

A close up of somebody completing our Improving Brain Tumour Care survey using an ipad. In their other hand, they hold a cup of tea.
A close up of somebody completing our Improving Brain Tumour Care survey using an ipad. In their other hand, they hold a cup of tea.

We’re passionate about ensuring everyone affected by a brain tumour has access to the best treatment and care. Your responses to our Improving Brain Tumour Care surveys have helped us get a clearer picture of what’s working well and what can be improved. We’ve also been able to get a better understanding of any inequalities in access to treatment and care across the UK.

This data feeds into the Tessa Jowell Centre of Excellence assessments and help determine whether each neuroscience centre achieves excellence status or not. Our Support and Information team also use the gaps in care to direct how we grow our own services. For example, in response to the huge need for more emotional support we’re growing our free counselling service and Online Brain Tumour Support Groups

These are the latest insights based on 825 experiences for adults diagnosed or treated between 31 Dec 2020 and 31 Dec 2022.

Where are the gaps and how are we planning to fill them?

Faster diagnoses and better support following a diagnosis

  • 78% people are diagnosed within three months of first seeing a healthcare professional. For 1 in 10 people it takes over a year to get diagnosed.
  • For those who sought help from their GP with their symptoms, 42% had to visit the GP three or more times to help them get a diagnosis.
  • 74% said they went to A&E about their symptoms on the way to getting a diagnosis and 46% were first told they had some form of brain tumour by an A&E doctor not specialised in brain tumours.
  • 17% people were first told about their diagnosis by phone or by letter, 23% were not told sensitively and 30% didn’t have a loved one with them when they were told

We’re helping to fill these gaps by:

Improved communication with healthcare professionals

  • 59% people need more help understanding their brain tumour and what to expect
  • 46% people needed more help understanding their treatment
  • 27% said their prognosis was not explained in a way they understood
  • 36% were not given written information about their tumour type
  • 32% were not given written information about their treatment

We’re helping to fill these gaps by:

More professional support and coordination of care

  • 43% don’t have good access to a Clinical Nurse Specialist or key worker whom they could ask anything anytime
  • 70% didn’t have a holistic assessment of their needs and a resulting plan which was working well
  • 39% were not connected to a charity team

We’re helping to fill these gaps by:

More support for significant unmet needs

  • 84% did not have all the support they needed in one or more areas.
  • 58% needed more help coping emotionally
  • 57% needed more help managing their side effects and symptoms
  • 49% people needed more help accessing the right treatment and support for them
  • 32% needed more help maintaining their finances to live comfortably

We’re helping to fill these gaps by:

New treatments and more patient participation in research

  • 45% people needed more help exploring other options for their treatment outside of the limited standard of care
  • 43% considered or used one or more alternative treatments alongside or instead of the standard of care prescribed by clinicians
  • 53% participated in research in one or more ways by donating data or tissue or genetic information or participating in clinical trials
  • 37% reported having biomarker testing of their tumour for specific genetic information
  • Only 12% respondents participated in clinical trials

We’re helping to fill these gaps by:

Better experiences during treatment so people feel confident recommending their treatment teams

  • Overall 55% strongly recommend their treatment team (rating them 9 or 10), but 25% could not recommend their treatment team (rating them 0-6 out of 10).
  • The experience is best for radiotherapy and chemotherapy – 67% Positive and 18% Negative – and worst for diagnosis – 48% Positive 33% Negative

We’re helping to fill these gaps by:

Want to help?

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