Cancer services in England

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Despite cancer outcomes in showing improvement over recent decades, services in England are struggling. Cancer Waiting Times in England are currently amongst their worst on record. The target that 85% of patients should start treatment with 62 days of an urgent cancer referral has not been hit since 2015.

Ensuring that as many patients as possible receive an early diagnosis, when cancer is more treatable is vital if we are to see greater improvement in cancer outcomes. The NHS Long Term Plan set a positive ambition to see 75% of cancers diagnosed at stages 1 or 2 by 2028, however, we are not on track to hit this.  Meanwhile, it is vital also that cancer patients have equitable access to high quality treatment, but we know that many cancer patients in England receive suboptimal treatment. 

We have seen some positive progress in recent years. This includes the commitment to introduce a national Targeted Lung Screening programme and the roll out of Community Diagnostic Centres. We know that NHS staff are so important for the treatment and care of cancer patients but are experiencing chronic staff shortages. That is why we welcomed the publication of the NHS Long Term Workforce Plan in June 2023. The plan shows some promise in addressing these staff shortages, but we are concerned that it will not go far enough to address the scale of the challenge facing cancer services. 

As GP referrals for suspected cancer are at record highs, services are lacking the staffing and equipment they need. Meanwhile, due to a growing and ageing population, the challenge of cancer is also only expected to grow. In this context we are lacking a coordinated effort from Government to turn the tide on cancer. That is why Cancer Research have developed our Manifesto for Cancer Research and Care, which sets out actionable policy recommendations that have the potential to transform cancer outcomes for people across England. 

Related documents

Which cancer patients in England experience long waits to treatment, and why? 

Cancer Research UK response to Major Conditions Strategy for England call for evidence (June 2023)

Cancer Research UK written submission to Health and Social Care Committee inquiry on Future Cancer (April 2023)

Cancer Research UK Spring Budget Submission 2023 (February 2023)

Cancer Research UK response to Hewitt Review of Integrated Care Systems (January 2023)

Cancer Research UK written submission to Public Accounts Committee inquiry into Managing NHS Backlogs & Waiting Times (November 2022)

Cancer Research UK Policy Briefing - Cancer Inequalities in England (June 2022)

Cancer Research UK Policy Briefing - Cancer Inequalities in England - Executive summary (June 2022)

Cancer Research UK Briefing on the Health Disparities White Paper (May 2022)

Cancer Research UK written submission to Health and Social Care Committee inquiry into the future of General Practice (December 2021)

Health and Social Care Select Committee Inquiry into Cancer Services: CRUK response (September 2021)

Scaling up improvements in cancer services: CRUK’s view on the progress and future of cancer alliances (August 2021)

How can we best incentivise world class cancer services in England (September 2019)

Driving investment in upstream cancer services – 2020 Delivery report (October 2018)

Submission to the House of Commons Health Committee inquiry on Brexit and social care (October 2016)

Response to the House of Lords Select Committee on the long-term sustainability of the NHS (September 2016)

Response to the consultation on Greater Manchester’s devolved powers (May 2016)

Submission to the Public Accounts Committee’s inquiry on NHS specialised services (May 2016)

Cancer Research UK response to the NHS Mandate consultation (November 2015)

Delivering world-leading cancer services: An analysis of the funding context for cancer services in England (September 2015)

Delivering world-leading cancer services: expert opinions on the changes required to bridge the outcomes gap with comparable countries (September 2015)

Measuring up? The health of NHS cancer services (September 2014) - executive summary

Measuring up? The health of NHS cancer services (September 2014) - full report

Cancer Services: Reverse, Pause or Progress? (December 2012) - executive summary

Cancer Services: Reverse, Pause or Progress? (December 2012) - recommendations

Cancer Services: Reverse, Pause or Progress? (December 2012) - full report

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