What is CCAF?
The Cancer Clinician Advocacy Forum (CCAF) is a network of cancer care clinicians from across Canada—including pharmacists, nurses, and physicians—who are committed to improving care for patients. Together, they aim to address public policy issues that impact the quality, accessibility, and outcomes of cancer care.
CCAF emerged out of a two-day Forum in Toronto in September 2023, which resulted in a formal report being published in Current Oncology in February 2024. This report highlights the frustration clinicians experience due to lengthy delays in the approval and funding of optimal technologies and therapies for their patients.
Vision
A future where optimal cancer care is rapidly and equitably accessible to all Canadians.
Mission
To amplify and strengthen the voice of cancer clinicians in advocating for reforms to enhance and expedite patient access to optimal cancer care across Canada.
Our Goals
Barriers and Challenges
Cancer clinicians across Canada are facing challenges and barriers to providing optimal cancer care for their patients:
This can result in a lengthy path to diagnosis and increased suffering, with patients being diagnosed in later stage disease when cancer is harder to treat effectively.
Cancer clinicians face unacceptable delays and restrictions when trying to access optimal technologies and therapies to treat their patients.
High degrees of variability exist across provinces in Canada’s readiness for a future of genomic medicine.
We are motivated to improve care for our patients by:
Uniting and strengthening the voice of cancer clinicians across Canada in partnership with patients to address shared public policy issues
Raising awareness with decision makers of the challenges and barriers that cancer clinicians face in trying to provide optimal care for patients and recommending actionable solutions
These are our priority areas:
Expand access to diagnostic testing, including molecular genetics testing
Ensure faster, more equitable access to new cancer therapies
Improve efficiencies in patient care and address human resource constraints
Our Leadership
Dr. Sandeep Sehdev, Co-Chair
Medical Oncologist,
Ottawa
Hospital Cancer Centre
Dr. Sandeep Sehdev, Co-Chair
Medical Oncologist,
Ottawa
Hospital Cancer Centre
Sandy Sehdev is a medical oncologist and Assistant Professor at The Ottawa Hospital Cancer Centre, focusing on the treatment of breast and skin cancers and lead for the breast cancer disease site. He previously worked at William Osler Health System (Toronto) and while there was Chief of the Pharmacy & Therapeutics Committee, and lead of the oncology clinical trials program and continuing medical education in oncology. He was a past lead of continuing medical education (CME) for the Community Oncologists of Metropolitan Toronto (COMET), and a past Director of the Cancer Advocacy Coalition of Canada. He is a scientific advisor for the Canadian Cancer Survivor Network, and the Canadian Breast Cancer Network.
Dr. Mita Manna, Co-Chair
Medical Oncologist,
Saskatchewan
Dr. Mita Manna
Medical Oncologist,
Saskatchewan
Dr. Mita Manna is a Medical Oncologist in Saskatoon, Saskatchewan, and Associate Professor within the Department of Oncology, University of Saskatchewan. She is the Provincial Disease Site Lead for Breast Malignancies and Chair for the REAL Alliance Breast Cancer Canada (Research Excellence and Active Leadership). Her research interests include quality improvement and real-world evidence. She is the 2025 recipient of the College of Medicine Annual Excellence in Research Award at the University of Saskatchewan. She is also actively involved in medical education. When she is not at work, she can be found cycling and leading the Pedal Wench group at Bike Doctor.
Steering Committee Members:
Dr. Arif Awan
Medical Oncologist,
Ottawa
Hospital Cancer Centre
Dr. Arif Awan
Medical Oncologist,
Ottawa
Hospital Cancer Centre
Arif Ali Awan completed his BSc (Biochemistry) and MDCM in 2013 from McGill University while working on projects in cancer cell signaling and bioinformatics. He completed his residency in internal medicine and medical oncology in 2018 from McGill University. He completed a breast cancer fellowship at the University of Ottawa under the guidance of Drs. Mark Clemons and John Hilton. He’s currently a medical oncologist and an Assistant Professor at the University of Ottawa where he leads the tumor agnostic clinical trials group, breast cancer clinical trials and precision oncology initiatives.
Dr. David Stewart
Medical Oncologist,
Ottawa Cancer Centre
Dr. David Stewart
Medical Oncologist,
Ottawa Cancer Centre
Dr. David Stewart trained in medical oncology in the Department of Developmental Therapeutics at Houston’s MD Anderson Cancer Center, 1976-1978. He was on staff at MD Anderson 1978-1980 and 2003-2011, and at the University of Ottawa (Ottawa, Canada) 1980-2003 and 2011 to the present. His areas of research interest have included pharmacology of cisplatin and other anticancer agents; anticancer drug resistance mechanisms; new drug development; use of nonlinear regression analysis of survival curves to provide new insights into factors limiting therapy efficacy; and assessment of how markedly dysfunctional clinical research regulation drives up drug costs while delaying access to effective new drugs that could save lives and alleviate suffering. He has more than 340 peer-reviewed publications. He has also published several Op Eds in the lay press dealing predominantly with patient access to care. In April 2022 he published a book intended for both patients and physicians covering the full spectrum of cancer, entitled A Short Primer on Why Cancer Still Sucks, available through Amazon books. The aims of the book are to educate and to advocate. He has given a free copy to all Canadian MPs and senators and offers a free PDF copy to all his patients and trainees. He has also launched and accompanying YouTube channel: https://www.youtube.com/@DavidJStewartMD
Advocacy
National NewsWatch op-ed: Three things Canada’s health ministers could do to help Canadians with cancer
CDA-AMC’s Consultation on Clinician Group Input into Drug Reimbursement Review Process
The Evan Bray Show interview with Dr. Mita Manna
Pauline Chan, CTV Health Reporter, Toronto: Interviewed Dr. Sehdev.
CTV News Saskatoon: Reporter John Flatters interviewed Dr. Manna
CBC’s Saskatoon Morning Radio Show: Interviewed Dr. Manna
Saskatoon StarPhoenix: New cancer clinician forum targets delays in Sask. cancer treatment
Canadian cancer clinicians call for urgent, vital improvements to cancer care
CCAF Publication - Access to Oncology Medicines in Canada: Consensus Forum for Recommendations for Improvement, Current Oncology, 2024
CCAF is funded through a partnership with the CanCertainty Coalition – the united voice of more than 35 Canadian patient groups, cancer health charities and caregiver organizations working with oncologists and cancer care professionals to improve the affordability and accessibility of cancer treatment. CanCertainty’s funding is supported by in-kind collaboration and support from more than 35 partner organizations and corporate donations, support from physician and healthcare organizations, and funding from Kidney Cancer Canada. Corporate supporters on the CCAF project include unrestricted financial contributions from Merck Canada, Eli Lilly Canada, Novartis Canada, AbbVie Canada, Gilead Canada, AstraZeneca Canada, Pfizer Canada and Johnson & Johnson Innovative Medicine Canada. CCAF and its partner CanCertainty only accept corporate support under the terms of the Corporate transparency and code of conduct of Kidney Cancer Canada – Cancer du Rein Canada which can be found here: https://www.kidneycancercanada.ca/about-us/kidney-cancer-canada-cancer-du-rein-canada-code-of-conduct-governing-corporate-funding/.