‘If the treatment doesn’t work, they tell you to go home and enjoy the time you have.”

Sadie Rose Clifford with her            parents, Katie and Darren Sadie Rose Clifford with her parents, Katie and Darren

FAMILIES of child cancer victims have to spend hundreds of thousands of pounds on treatment abroad, because British care is not good enough, it has been claimed.

North Yorkshire families and national campaigners today called for a rethink on NHS care for young victims, to prevent families having to spend huge amounts of time and money flying to the United States or Germany for treatment.

John Inglis, father of York neuroblastoma victim Jamie, and Katie Clifford, mother of two-year-old Sadie Rose who has been fighting the condition most of her young life, led the calls for change.

Mrs Clifford, of Knaresborough, said she felt let down that the UK had no action plan for children with the disease.

She said: “When we were in America, we met a few families from Norway who have had everything, from treatment to living costs, paid for by the Norwegian government, and this makes us feel let down by our own.”

Mr Inglis said he hoped to organise a meeting in York for affected parents, and said he was looking to lobby on the fact that families were “having to put themselves through this”.

He said neuroblastoma affected about 100 new families a year, but said every family he knew would prefer treatment in the UK, and he now wanted to lobby the Government and NHS bosses to provide better care for victims who relapse.

He said: “Here, it is almost as if they have written children off. We know it is an aggresive cancer and the chances are not good. But in the US, kids live to their teens. Here, they hit relapse and it is not good. They give chemotherapy, but if the treatment does not work, they tell you to go home and enjoy the time you have.”

He praised the treatment in Germany and America, where he said antibodies and viruses had been developed to attack the cancer, and said it gave families more hope.

He said: “Kids can have a good quality of life. Jamie had a good quality of life, and maybe that treatment he had has bought him two years, so it was worth that £350,000.”

He said the Neuroblastoma Alliance was supporting 17 families, potentially at a cost of £500,000 each.

He said: “They have been very supportive and we are hoping to have a conference with the neuroblastoma alliance in May up here in York.”

John Rogers, secretary of a group of families affected by neuroblastoma and whose daughter, Stella, underwent treatment in Philadelphia at the same time as Jamie Inglis, also called on the Government to do more.

He said they should invest in research so breakthrough treatments could be developed here, should try to cut through red tape so promising treatments developed elsewhere could be made available more quickly in Britain, and should fund any British families in the meantime that had to travel abroad.

He said: “Even if we gave £100 million tomorrow, it would take years to do anything. The best chance you have got is making the treatments being developed abroad available here more quickly.

“We will not change things overnight – people will still have to get on planes. There is talk about making the German treatments available here, but it will take years. In the meantime, children are going to die.”

He said that 20 years ago, virtually nobody survived neuroblastoma, but now about two-thirds of children treated by the specialists in America lived for at least five years.

Mrs Clifford said: “Because neuroblastoma isn’t one of the most common forms of cancer, no one wants to fund research, and this is why we have to raise hundreds of thousands of pounds to get treatment abroad”.

Meanwhile, Mr Inglis said: “I think there is an ethos that because you have such an aggresive cancer and the prognosis is not good, they give up. It’s very disheartening. We know this cancer could beat Jamie in the end – but we will not go without a fight.”

Yesterday, The Press reported four year-old Thomas Cammack from Selby, had lost his battle with neuroblastoma on Wednesday.

Comments(7)

lezyork1966 says...
10:13am Fri 20 Apr 12

A lot of the time these 'cures' from other countries are not available here is because there do not show themselves to work, and the 'doctors' in these cases are often just taking money for nothing, and while they may have prolonged the life of some of their patients, thats no cure.

It really is as simple as a doctor in country A copying the doctors treatment in country B if B has something that works, if there not doing that, you have to ask why.

By all means always look at all the options, but look below the glossy firstpage of hype, and see if figures exist, when you have to choose and choose once, then hard facts is what you need.

Daisy75 says...
5:51pm Fri 20 Apr 12

Both the Press and the families often refer to these options in the States as 'treatments', but they should really be referred to as trials, or even more aptly as experiments. Whilst they may result in an extra few months of life for these poor kids, the children often have to go through endless cycles of painful or unpleasant treatment, and the extra months may be spent in pain too. No one in the NHS 'writes off' children, they just lack a magic wand to fix an awful situation- hard as it is to accept, modern medicine still can't cure everything.

Birdni says...
11:56pm Fri 20 Apr 12

These treatments are not money making scams. Yes they are clinical trials, but that is the foundation of almost all pediatric oncology. For some children (not all) they provide long-term stable disease with excellent quality of life. For others they provide long-term remission with a real possibility of cure. For the rest they provide hope where otherwise there would be none. For families not prepared to give up the fight knowing other children have responded positively on these treatments there is no option but to raise these enormous sums of money. There is no miracle cure. There is no amount of money that can be raised to purchase a positive outcome. But there is much more that the UK could be doing, and out of that more children would survive than do currently. And that is the only truth that matters.

Daisy75 says...
5:34pm Sat 21 Apr 12

Is there an evidence base for these treatments though? I appreciate all paed oncology is trial based due to the small numbers, and that this has made huge advances in survival for other cancers like childhood leukaemia. But some cancers remain less easy to cure, particularly in these kids' cases with widespread recurrent disease. Sometimes trials like these represent false hope- they are a last ditch attempt rather than happening earlier in the treatment process when success might be more likely. I can appreciate the desperation of the family, but question the wisdom of putting the kids through more chemo etc for minimal chance of success.

When it comes to what the NHS offers/ doesn't, I'm sure there are trials going on here not on offer elsewhere in the world, equally though, the healthcare available in the US without health insurance is of far poorer quality than that available here, and such families are equally dependent on fundraising and pro bono work from medical staff.

FebruaryMckay says...
2:29pm Sun 22 Apr 12

I speak as a parent of a child with relapsed Neuroblastoma.  She travels every 3 weeks to The Children's Hospital of Philadelphia for chemo.  Presently she is receives a study drug- a slow release Irinotecan and other than feel a little nauseous for a couple of days post infusion, she has a great quality of life.  She attends school, Brownies and keeps us exhausted with her social calendar.  I find it a tad condescending that it has been suggested that parents' desperation will spur them to continue to giving chemo to their terminally ill child causing them to be more sick with little chance of success.  I find this a bit of a cop out actually, a jaded and tired way of describing the poor desperate parents who won't accept their child with cancer is dying.
When my daughter initially relapsed she was given 3 rounds of salvage chemo (Irinotecan and Temozolomide) here in The UK.  Even though this practically cleared her of disease it left her with absolutely no quality of life, so sick was she that I would not allow her to have any more.  
Thankfully I was aware of many children being treated in Philadelphia and Memorial Sloane Kettering Cancer Centre in New York (mskcc).  I will only speak for The Children's Hospital of Philadelphia (CHOP) because We as a family have no experience with mskcc.  
The Philosophy at Chop is that they treat Neuroblastoma as a chronic disease.  If you cannot cure a disease then surely this is the next best desirable option?  Obviously for some children with unresponsive, rapidly progressing disease this is not an option and they will have sadly succumbed to Neuroblastoma before a plan could be formulated.  For many others 'stable disease' can become a real option.
I believe the Neuroblastoma team at Chop consists of about 9 Neuroblastoma doctors, 2 nurse practitioners, 2 research nurses and a Neuroblastoma social worker. 
My daughter's doctor is a highly respected Neuroblastoma expert, he is the Chief of Oncology at what is probably the best and largest hospital in The US, if not the world.  He has an excellent relationship with our doctor here in England where their professional respect for each other is very clear.  Hardly quackery....  The reason I say this is that my daughter's doctor at Chop has no idea about the financial cost of the treatment he prescribes- that is between the parent and their insurance company.  He doesn't make clinical decisions based on money.   He was also insistent that we see how my daughter responded to the initial salvage chemo given in The UK before we travelled.  
I see so many children who have relapsed or refractory Neuroblastoma take part in clinical study after clinical study. These often consist of low dose chemo, inhibitors, vaccines, or immunotherapy.  Again, the emphasis is on 'quality of life' as these children have already suffered (and subsequently failed) the worst cancer treatment protocol given to a person.  Call these studies what you wish- treatments, trials or even experiments- they provide many children with years of life they would certainly not have if they lived here in The UK.  
As a family we have experienced the healthcare on both the Sides of The Atlantic and while both systems have their problems, I know where I would like to be treated if I was a child with cancer- without a doubt!
Whereas I prefer science and advances in medicine over a magic wand, wouldn't it be great if a wand could be waved over SOME of the doctors in The Uk, magic them into being a little more forward thinking, realistic and less defeatist  (could also use it to rustle up that trial that may be going on here but not on offer anywhere else in the world....).

john647 says...
3:15pm Sun 22 Apr 12

Granted this debate is centred around a small cohort of children and may not be deemed by the NHS to be cost effective, however the basic ethos of any health profession is to 'save life and prevent disease' As this group represents the youngest and most vulnerable group of patients then they deserve adequate resources and access to robust treatment regimes. The NHS have an ethical and moral responsibility to facilitate these children with effective care! Taking a child abroad for treatment is not simply a desperate act but culminates from extensive research, planning and due consideration and is no easy option! I do not know of any family that has embarked on this journey without such treatments being advocated by thier oncologist and ensuring that treatment is appropriate and offers medically significant value to the childs prognosis. Sadly this disease is aggressive by nature and has a propensity for relapse and therefore treatment requires a multi modal and intensive approach! No family would willingly put their child through unecessary suffering, however no parent would willingly stand by and watch their children fade away whilst suffering a potentially painful and undignified death because of plain economics or inertia from their Health system.

The staff on the oncology teams within the NHS from our experience are excellent and supportive, however it is the ethos and culture within the NHS at the higher levels that do not promote change and development into this and other orphan groups of paediatric cancers. Currently there is encouraging R&D across the world and advanced trials which show promising results! With further collaboration and resources being put into NB research then perhaps we are on the cusp of a curative approach!

Birdni says...
11:39am Mon 23 Apr 12

Daisy75, If you truly wish to engage in this debate I would encourage you to research for yourself rather than make generalized statements without any evidence to back up what you are saying. And please don't take my word for it, do the research. The UK offers chemotherapy and radiation therapy. There are some new drugs in the pipeline from places like ICR but these are very few and far between. Novel agents, vaccine therapies, oncolytic viruses, immunotherapy? America. Immunotherapy, haplo-indentical transplant? NK cell therapy? Austria/France/Germa
ny. Of course they are trials and have no guarantee of success. But yesterday's Phase I/II trials are today's standard treatments. It is about selecting the best choice of therapy, for a particular type of disease as neuroblastoma can affect soft-tissue, bones and bone marrow. It is about being lucky enough to have the right type of disease to be able to enrol on the right trial at the right time. Germany were trying to cure relapsed neuroblastoma a decade ago with intensive relapse treatment. Sadly, most children still passed away, but some are alive and well and cancer-free today many years later. What neuroblastoma parent wouldn't want to keep trying if there's a chance, however small, that their child could still be cured? One such young man introduced himself at a conference in Germany recently. Diagnosed with neuroblastoma 20 years ago, twice relapsed, now free from cancer for more than a decade and studying to work in the department that treated him. Find me a similar story in the UK ... please.

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