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The North Star Vision

The North Star Vision

We know that children and young people with cancer and their families deserve better from the systems that seek to support them.

 

Our ambitious North Star vision will transform the future of cancer care for young people – from before diagnosis to post treatment. And we’re joining forces with Teenage Cancer Trust, Children’s Cancer and Leukemia Group and Ellen MacArthur Cancer Trust to make it happen.

THE CURRENT LANDSCAPE – AND WHY IT NEEDS TO CHANGE

Gaps in care and barriers to support. Unique needs not understood or even acknowledged. Moments when voices aren’t heard and times when vital help isn’t being provided. The systems, networks and organisations that surround children and young people with cancer aren’t good enough.

At Young Lives vs Cancer, we couldn’t continue to watch the children, young people and families we support being failed time and time again. We had a responsibility to improve the landscape of cancer care and we had to act now.

But we knew we couldn’t make ground-breaking, seismic change alone. So, we’ve partnered with the Teenage Cancer Trust, Children’s Cancer and Leukemia Group and Ellen MacArthur Cancer Trust. Together, we’ll identify what it is that children and young people with cancer need and how together, as a system, we can make that future a reality 

THE CURRENT LANDSCAPE – AND WHY IT NEEDS TO CHANGE

Gaps in care and barriers to support. Unique needs not understood or even acknowledged. Moments when voices aren’t heard and times when vital help isn’t being provided. The systems, networks and organisations that surround children and young people with cancer aren’t good enough.

At Young Lives vs Cancer, we couldn’t continue to watch the children, young people and families we support being failed time and time again. We had a responsibility to improve the landscape of cancer care and we had to act now.

But we knew we couldn’t make ground-breaking, seismic change alone. So, we’ve partnered with the Teenage Cancer Trust, Children’s Cancer and Leukemia Group and Ellen MacArthur Cancer Trust. Together, we’ll identify what it is that children and young people with cancer need and how together, as a system, we can make that future a reality 

BUILDING A FOUNDATION FOR CHANGE

Back in 2022, we set out to develop a solid evidence base, to fully understand the needs and experiences of children and young people with cancer and to identify what change needs to look like.

Together with our charity partners, we commissioned Dartington Service Design Lab, to carry out an in-depth programme of research. They surveyed over 1500 children, young people and families, who spoke openly about the barriers they faced, the things that made life even harder before, during and after treatment and the impact that those barriers had on their wellbeing.

Two years on and we now have a robust and in-depth set of findings; a State of the System report. It’s an evidence base which we can learn from, be guided by and use to make change happen. And it’s not just for us. It can be used across the entire system, to inform change and inspire innovation.

The State of the System report highlights the immense impact cancer has on wellbeing, the numerous gaps in support and exactly where the system is failing young cancer patients.

From the research we now have our North Star vision.

THE NORTH STAR VISION

Every child and young person facing cancer receives care that’s tailored to them. They feel informed and in control, and along with their families can make knowledgeable decisions about their care and future. They feel empowered every step of the way, facing no gaps in support or barriers to access. They have everything they need from the beginning of their cancer journey, during treatment and for as long as they need it afterwards. 

 

This is more than a vision for children and young people with cancer, it’s a vision that’s been built by them too. It’s big and ambitious. And it’s a journey that we need to go on collectively.  

Mum and daughter cuddling together

A WHOLE SYSTEM APPROACH

We’re a force to be reckoned with. But we still can’t do it alone. Reaching our North Star vision is an entire societal challenge and that requires a collective, while system approach.

We need all those who are a part of the networks that surround children and young people with cancer to play their part. From charity partners to NHS colleagues, education professionals, and financial support systems . Decision makers and service providers, we all have a role.

We’ll combine knowledge, share resources and harness our collective power across the whole sector to make ground-breaking change. And we’ll use the voices of children and young people with cancer and their families to guide us.

WHAT WE KNOW AND WHAT WE CAN DO

All four of our organisations have different roles to play in reaching the vision – we’ll use our individual strengths and expertise to carve our own areas of change and responsibilities which we’ll be held accountable for.

We know there are some areas that our charity partners are better placed to tackle. In these instances, we’ll use our voice whenever and whenever it’s needed to raise awareness of their campaigns, we’ll support their work and help influence change that’s led by them.

But there are many areas we will take ownership of. From our specialist social work to our extensive knowledge of psychosocial support practice, our forceful campaigning and policy work to our making voices heard. We have a huge depth of knowledge, experience and resources that we can utilise to lead the way in reaching the North Star vision and dismantling the barriers highlighted by the State of the System report.

Here are just some of the areas we will focus on transforming…

Mental health support

The research shows that across the entire cancer journey, from before diagnosis through to post treatment, there’s a lack of mental health support. And it comes with long-lasting, damaging impact.
Receiving a cancer diagnosis can be traumatic and there is rarely enough time or headspace to process the information. This is made worse for some, who find it challenging to access the support they need from healthcare professionals.

“I had to seek external therapy that wasn’t provided by the hospital to cope with medical anxiety” – Young person

The lack of mental health support continues to have an impact through to post treatment. Anxiety levels for young people who were treated for cancer are 36% higher than the population at large, and this remains true more than six years after treatment.

“I found the lack of aftercare disappointing. To go from years of being closely monitored and cared for, to just being entirely on my own was terrifying.” – Young person

We can help change this. We’re experts in providing vital psychosocial support throughout cancer treatment, end-of-life, and bereavement. The research shows us where improvements need to be made and what needs to be a priority.

We’ll work to fill gaps within our own organisation; enhancing and repositioning our social work provision wherever we can to better meet the needs of children and young people with cancer.
But we know this isn’t a problem we can fix alone. The responsibility also lies outside of Young Lives vs Cancer; within the wider system of support. Some things we just can’t transform ourselves. But we can influence and educate the system, working with key groups such as the NHS, social care providers, education, and welfare to make sure these areas are improved; using our research as an evidence base to guide change.

The research confirmed that the financial pressures that come with a cancer diagnosis have a direct impact on mental health. We have established credibility and experience in influencing policy to drive national change. So, we’ll continue to lead and ignite shifts within the system to provide better financial support to help with the daily struggles and costs that families experience because of cancer – travel costs, bills, debt. Their mental health shouldn’t have to suffer because of these extra concerns on top of their cancer.

Marginalised groups

The research highlighted the needs of people within marginalised groups not being met. Wellbeing needs are consistently higher for those such as LGBTQ+ young people and young people and families from minoritised ethnicities. However, once again their unique needs are not recognised and there isn’t enough mental health support provided. Support isn’t equitable and children, young people and families are not met at their level.

Equity is a priority for all of us at Young Lives vs Cancer.

We know there’s always work to do and improvements to be made, so we’ll continue to scrutinise our practices, take the time to listen and evolve our ways of working and services. But we know that this is an issue that extends beyond the realms of our own charity. So, we’ll continue to raise the voices of children and young people from marginalised communities; to raise awareness of their experiences and hold those across the system to account to be responsible for making change happen within their areas of support.

There is more to learn on this. Although in-depth, the research report is just the beginning of our deep dive into the experiences of children and young people with cancer. We’ll continue to learn and understand the barriers these communities face and work with them to make lasting improvements to the state of the system for marginalised groups.

Bereavement support

The report highlights a lack in support when it comes to bereaved families too. Unsurprisingly, they reported worse wellbeing across all measures. At a time when their wellbeing should be priority, the systems that surround them continue to let them down. 34% of bereaved parents and carers saying they didn’t receive support around bereavement.

“There was a lack of help and support after I had lost my son. I was totally alone and felt that life was not worth living.” Parent/carer

Our specialist social workers are there to support families in many ways before a child dies and during bereavement. This includes planning ahead for the time families have left with their child, helping parents deal with the immediate priorities like letting people know what’s happened, to completing the death certificate, and getting a Young Lives vs Cancer compassionate grant to help with funeral costs.

The research tells us there’s still work to be done in this area. We’ll continue to review our work in bereavement to understand any gaps in our provision that we can fill ourselves. We work closely with and signpost to a number of bereavement charities; we can use the research report to guide conversations with them and work collaboratively to improve our collective work in this area.

The research tells us that bereaved families also look for help being connected with others who are also experiencing the loss of a child. Our Facebook group for bereaved parents offers a welcoming, friendly space to share thoughts and advice. This is something we can learn from and develop in collaboration with our partners; learning from each other and building bigger communities of support for those who seek it.

LOOKING AHEAD

Over the next few months, we’ll be working behind the scenes to finalise the Young Lives vs Cancer strategy. It will be a three-year plan and it will define how, as a charity, we can make our first steps towards the North Star vision.

We know we won’t reach the North Star overnight. In fact, it will take many years for us to get there. But together, we’re a force to be reckoned with. So far, the response from other charities and NHS colleagues to our report shows there is will and commitment and investment to reach the North Star together. And in terms of our supporters, we know they will step up to the challenge and be there to make a life-changing difference for children and young people with cancer.

As a sector, as a system, as a society, we have the power to make it happen. Children and young people with cancer are counting on us.

LOOKING AHEAD

Over the next few months, we’ll be working behind the scenes to finalise the Young Lives vs Cancer strategy. It will be a three-year plan and it will define how, as a charity, we can make our first steps towards the North Star vision.

We know we won’t reach the North Star overnight. In fact, it will take many years for us to get there. But together, we’re a force to be reckoned with. So far, the response from other charities and NHS colleagues to our report shows there is will and commitment and investment to reach the North Star together. And in terms of our supporters, we know they will step up to the challenge and be there to make a life-changing difference for children and young people with cancer.

As a sector, as a system, as a society, we have the power to make it happen. Children and young people with cancer are counting on us.

Our North Star Vision

Help us reach our North Star