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SHQM37 Organising Health Care Question: Evaluate the Scotland’s Strategy for Tackling Cancer. Answer: Scotland’s Strategy For Tackling Cancer The incidence of cancer in Scotland was approximately 31,331 in 2016 (ISD Scotland, 2018) The rate of cancer declined by 6% for males but increased by 2% for women (ISD Scotland, 2018) Older adults are disproportionately by cancer affected because of the high risk of malignancies (ISD Scotland, 2018) Lung, liver, kidney, bowel and thyroid pancreatic cancers are most common in Scotland (ISD Scotland, 2018) The mortality rate for cancer has increased by 76% for women and 46% for men with approximately 15,814 deaths in 2016 (ISD Scotland, 2017) Per capita expenditure on cancer in Scotland was $2072 in 2010/2011 (Steel & Cylus, 2012) Scotland’s Programme For Preventing And Treating Cancer The programme is called “Beating Cancer: Ambition and Action” (Scottish Government, 2017) The programme pillars includee prevention, early detection, diagnosis, intervention and care for affected individuals (Scottish Government, 2016) The programme aims are to improve patients’ experience, enhance service delivery and minimize health inequalities (Scottish Government, 2017) The programme has an investment of about £100 million in the next 5 years (Scottish Government, 2016) The programme is spearheaded by Cancer Policy Team, Healthcare Quality and Improvement Directorate and Strategic Planning and Quality Division (Scottish Government, 2017) Programmeevaluation SMART tool is ideal for evaluation the goals and it stands for specific, measurable, achievable, relevant and time-bound. Programmeas SMART goals (Sarah & Heath, 2006) Key evaluation steps for the programme include stakeholder engagement, programmedescription, focus on assessment design, collection of credible information, conclusion justification and dissemination of findings (Sarah & Heath, 2006) The programme lacks clear leaderships, adequate workforce and equipment, and comprehensive information of all cancer types. Recommendations A clear leadership structure should be developed since leaders can facilitate the implementation of evidence-based practices (Aarons, Ehrhart, Farahnak & Hurlburt, 2015) Health-care human resource planning is needed to ensure the programme has adequate workforce with the right skills (Lopes, Almeida & Almada-Lobo, 2015) A collection of sufficient information about all cancer types and rates is needed for the programme. Conclusion The incidence of cancer is high in Scotland and is associated with high mortality rates. The Scotland government has developed “Beating Cancer: Ambition and Action” programme to tackle the cancer problem (Scottish Government, 2017). The recommendations for improving the programme include establishment of clear leadership, addition of workforce and collection of pertinent data about cancer.   References Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Hurlburt, M. S. (2015). Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation. Implementation Science, 10(1), 11. ISD Scotland. (2017). Cancer mortality in Scotland (2016). Retrieved December 6, 2018, from ISD Scotland. (2018). Cancer incidence in Scotland (2016). Retrieved December 6, 2018, from Lopes, M. A., Almeida, Á. S., & Almada-Lobo, B. (2015). Handling healthcare workforce planning with care: where do we stand?. Human resources for health, 13(1), 38. Sarah, L. M., & Heath, G. W. (2006). A six-step model for evaluation of community-based physical activity programs. Preventing chronic disease, 3(1), A24. Scottish Government. (2016). Beating cancer: ambition and action. Retrieved December 6, 2018, from Scottish Government. (2017). Beating cancer: ambition and action – equality impact assessment. Retrieved December 6, 2018, from Steel, D., & Cylus, J. (2012). United Kingdom (Scotland): Health system review. Health Systems in Transition, 14(9), 1–150.

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