Three in four cancer patients to survive long term under new plan

Patients will receive faster diagnosis, quicker treatment, and the support to live well with cancer under the UK government’s landmark new National Cancer Plan

NEW NATIONAL CANCER PLAN FOR ENGLAND

  • 75% of patients diagnosed from 2035 will be cancer-free or living well after five years, following record investment in the NHS    
  • NHS to meet all cancer waiting time standards by 2029, with hundreds of thousands more patients treated within 62 days   
  • Major expansion of robot-assisted surgery and faster diagnostics to slash delays     Patients will receive faster diagnosis, quicker treatment, and the support to live well with cancer under the government’s landmark National Cancer Plan, unveiled today.   

For the first time, the NHS will commit to ensuring three in four people diagnosed with cancer from 2035 onwards are cancer-free or living well after five years.  

This represents the fastest rate of improvement in cancer outcomes this century and will translate to 320,000 more lives saved over the lifetime of the plan.  

The NHS has not met its central cancer performance target - that 85% of patients start treatment within 62 days of referral - since 2014.  Survival rates are below Romania and Poland for some cancer types.  

Under this plan, that will change – by March 2029, the NHS will meet all three cancer waiting time standards, meaning hundreds of thousands more patients will receive timely treatment. This demonstrates the real change being delivered by the government’s record investment as we rebuild the NHS. 

60% of patients currently survive for 5 years or more and around 2.4m people are currently living after a cancer diagnosis.  

Health and Social Care Secretary Wes Streeting said: “Cancer survial shouldn’t come down to who won the lottery of life. But cancer is more likely to be a death sentence in Britain than other countries around the world. 

“As a cancer survivor who owes my life to the NHS, I owe it to future patients to make sure they receive the same outstanding care I did. 

“Thanks to the revolution in medical science and technology, we have the opportunity to transform the life chances of cancer patients. Our cancer plan will invest in and modernise the NHS, so that opportunity can be seized and our ambitions realised. 

“This plan will slash waits, invest in cutting-edge technology, and give every patient the best possible chance of beating cancer.”

Professor Peter Johnson, NHS national clinical director for cancer, said: “Almost everyone will know someone who has been affected by cancer – a friend, a partner, a parent or a child – and for many people it will be part of their own story too. 

“This plan sets a clear roadmap for the NHS to diagnose more cancers earlier, ensure more patients are treated on time and improve survival, so that hundreds of thousands more people live longer, healthier lives with or after cancer over the next decade. 

“This is alongside delivering the latest breakthroughs in cancer treatment and care to every corner of the country, improving access to pioneering trials and ensuring there is wraparound support for people closer to home. 

“The National Cancer Plan will see the NHS deliver world-class cancer care, offering renewed hope for millions and ensuring the health service is there for patients whenever they need it.”

Gemma Peters, Chief Executive at Macmillan Cancer Support, said: “It’s encouraging to see such bold survival ambitions in the National Cancer Plan for England. This comes at a time when people living with cancer tell us all too often that their care hasn’t been good enough, from long waits for tests and treatment to being left without the support they need once treatment ends. 

“This Plan has the potential to transform care for people living with cancer, ensuring people not only live longer but live better with their diagnosis. We look forward to working with the government to make this vision a reality: adding life to years, as well as years to life.”

Michelle Mitchell, chief executive of Cancer Research UK, said: “The publication of the National Cancer Plan for England represents a significant commitment by the UK government to treat cancer with the seriousness it deserves.  

“Across England, too many cancer patients are waiting too long to start treatment, so it’s important that the UK government has committed to meeting cancer waiting time targets by 2029. A wide range of measures will be needed for these to be met. 

“In addition to this, it’s promising to see the government’s ambitious commitment to saving more lives from cancer. England lags behind comparable countries on cancer survival and it’s vital that this changes, so more people affected by cancer can live longer, better lives.”

Chris Walden, Chief Executive Officer, Cancer52, said: “For the first time, an England cancer plan includes a specific focus on rare and less common cancers. This is a step change; the needs of our community have been heard.

“We welcome the government’s response to our calls to switch gear on improving diagnosis, increasing research and introducing leadership so that rare and less common cancers have parity.  

“Now the changes outlined in the Plan, and the Rare Cancers Bill, have to be implemented in full. They have the potential to make a real difference to the lives of people living with a rare and less common cancer now and in the future.”

Dame Laura Lee, chief executive of Maggie’s, said: “If we are to usher in a new era of world-leading cancer care that is truly catered to the needs of people with cancer, it is vital that the right practical and emotional support is provided to help people manage and live with cancer.  

“That’s why we are really pleased to see the government recognise the need to improve support for people at every stage of cancer and acknowledge that the challenges of cancer don’t end when treatment ends.  

“We warmly welcome the introduction of the new target and look forward to working with the government and the NHS to ensure people can live well with cancer.  

“At Maggie’s, we believe that with the right support, people can live full, productive lives with and beyond cancer. While the number of people diagnosed cancer is only going to rise, more people are surviving than ever before or living for many years as medical advancements effectively keeping cancer at bay.”

The plan sets out sweeping reforms to how cancer is diagnosed and treated:   

  • Faster diagnostics: A £2.3 billion investment will deliver 9.5 million additional tests by 2029 -investing in more scanners, digital technology and automated testing. Where possible, Community Diagnostic Centres will operate 12 hours a day, seven days a week, bringing testing closer to where people live.   
  • Robot-assisted surgery: From hip replacements to heart surgery and cancer operations, the number of robot-assisted procedures will increase from 70,000 to half a million by 2035, reducing complications and freeing up hospital beds.  
  • Treatment at specialist centres: More patients with rarer cancers will have their care reviewed and treated at specialist cancer centres, where they can benefit from the expertise of the best cancer doctors. These centres bring together surgeons, oncologists, specialist nurses and radiologists to agree the best treatment plan for each case.   
  • Genomic testing: Every patient who could benefit will be offered a test that analyses the DNA of their cancer. This helps doctors understand exactly the type of cancer someone has and choose treatments most likely to work for them.  
  • Waiting lists: New technology is being developed to give patients better access to tests for cancer by offering them the earliest available appointment from a range of NHS organisations in their local area. 

The UK government has also announced a new AI pilot to help detect hard-to-reach lung cancers sooner with fewer invasive tests as well as a new employer partnership to support England’s 830,000 working-age cancer patients to remain in employment during and after treatment.   

While more people survive cancer than ever before, progress has slowed over the last decade, and England remains behind other comparable countries including Australia and Denmark.  For some cancers, such as brain cancer, survival rates in England trail behind countries like Croatia and Romania. 

The cancer plan comes as the government continues to make strides on cancer waiting lists, diagnosing or ruling out cancer on time for 213,000 extra cases since July last year.   

One hundred and seventy community diagnostic centres are now open – with over 100 of them available at evenings and weekends – bringing checks, scans and tests closer to where people live and at times that work around them. 

The government is also taking tough action on the causes on cancer: introducing a generational ban on smoking and a ban on junk food ads before 9pm.

The new England Cancer Plan carries a bold and ambitious message for people affected by leukaemia and other blood cancers according to Colin Dyer, chief executive of blood cancer charity, Leukaemia Care.

Reacting to the launch of the Government’s England Cancer Plan earlier today, he said: “We are particularly encouraged to see a strong focus on earlier diagnosis, more personalised and joined-up care, and better practical support for children and young people with cancer.

These are three core elements we’ve been doing, and championing, for many years here at Leukaemia Care.

Leukaemia is still far too often diagnosed in an emergency setting, such as A&E. Around 37% of people are diagnosed this way, which can be more traumatic for patients and families and is linked to poorer outcomes.

Greater emphasis on improving diagnostic pathways, supporting GPs and frontline services to recognise cancer sooner, and reducing emergency presentations has real potential to save lives.

This reflects exactly what we have been calling for through our Spot Leukaemia campaign and our work to improve awareness of symptoms among both the public and healthcare professionals.

We are also pleased to see the plan highlight more personalised, joined-up care. A cancer diagnosis does not just involve treatment – people need emotional, practical and coordinated support throughout. Through our patient Navigator service, already embedded in more than 20 hospitals, we see every day how having a dedicated professional to help patients navigate appointments, information and support alongside NHS care can transform their experience.

We hope to see this kind of model recognised and expanded as the plan is delivered.

Finally, the commitment to cover hospital travel costs for families of children and young people with cancer is hugely significant. We know from running our own CAR-T travel fund for families needing this specialist treatment that travel costs can be a major additional burden at an already overwhelming time.

We are delighted to see this need recognised nationally, and that more families facing other cancers will benefit from similar support.

While an ambitious, and hugely welcome plan, the priority now must be turning these commitments into consistent improvements in care and outcomes for everyone affected by leukaemia. We will be watching closely and will continue to engage with NHS and government partners.

We believe it is essential the NHS works closely with the third sector, drawing on the expertise and proven models charities have developed over many years.

LYMPHOMA Action charity said: The publication of the NHS National Cancer Plan today marks a significant milestone for the cancer community and is a much-needed step forward for cancer care across the country.

At Lymphoma Action, we will be watching the rollout of the plan with interest on behalf of our community.

The plan shows real promise for the future of cancer treatment and care, and our focus is to make sure that lymphoma receives the same level of attention as other cancer types, and that the plan reflects the unique needs of people affected by the condition.

We are ready to offer our expertise and in-depth understanding of the patient experience of lymphoma to help the NHS make a success of the plan, and drive improvements in treatment and care for everyone affected by this type of blood cancer.

Lymphoma Action is the UK’s leading charity dedicated to supporting people affected by lymphoma, the most common blood cancer in the UK.

We offer expert information, dedicated support and a community that understands. For 40 years we have supported the lymphoma community, and we’re pushing harder than ever to make sure everyone with lymphoma gets the care they need. 

Further information can also be found on our website: www.lymphoma-action.org.uk

Community health and social care faces unprecedented pressures and financial uncertainty

In this Account Commission briefing about Scotland’s Integration Joint Boards (IJBs), we report that community health and social care faces rising unmet need and managing the crisis is taking priority over prevention due to the multiple pressures facing the bodies providing these services.

IJBs plan and commission many vital community-based health and care services.

People

One in 25 people in Scotland receive social care.

Expected to rise sharply due to an ageing population – 76% of people receiving health and social care are aged 65 and over.

By mid-2045, the number of people aged 65 and over is set to grow by nearly a third.

Performance

Where data is available, nationally there has been a general decline in performance of services and outcomes for people.

Data quality and availability is insufficient to fully assess the performance of IJBs and inform how to improve outcomes for people who use services with a lack of joined- up data sharing.

Care

Community health and social care faces unprecedented pressures and financial uncertainty. We have not seen significant evidence of the shift in the balance of care from hospitals to the community intended by the creation of IJBs.

Finances

IJB funding has decreased by £1.1 billion (nine per cent) in real terms to £11 billion in 2022/23. The funding gap is set to triple in 2023/24.

IJBs are making savings by not filling staff vacancies and using their financial reserves, but this is not sustainable.

Staffing

Vacancies are at a record high. Nearly half of services report vacancies. A quarter of staff leave jobs within their first three months. And there is continued turnover in senior leadership.

Action is needed now

IJBS need to share learning to identify and develop:

  • service redesign focused on early intervention and prevention.
  • approaches focused on improving the recruitment and retention of the workforce.
  • improvement to the data available.
  • commissioning approaches that improve outcomes for people.
  • ensure that their financial plans are up to date.

IJBs need to work together and with other stakeholders to:

  • ensure that the annual budgets and proposed savings are achievable and sustainable.

MEANWHILE, DOWN SOUTH …

ENGLAND’S SOCIAL CARE WATCHDOG ‘NOT FIT FOR PURPOSE

The Care Quality Commission (CQC), the body responsible for regulating adult social care services in England, is ‘not fit for purpose’, according to the health secretary Wes Streeting.

Health and Social Care Secretary Wes Streeting was responding to an independent review that identified ‘significant internal failings’ within the health and social care regulator.

The interim report, led by Dr Penny Dash, chair of the North West London Integrated Care Board, found the number of inspections being undertaken were well below pre-Covid levels.

It also revealed a lack of clinical expertise among inspectors, a lack of consistency in assessments and problems with the CQC’s IT system.

Commenting on her findings, Dr Dash said: ‘The contents of my interim report underscore the urgent need for comprehensive reform within the CQC.

‘By addressing these failings together, we can enhance the regulator’s ability to inspect and rate the safety and quality of health and social care services across England.’

Mr Streeting commented: ‘When I joined the department, it was already clear that the NHS was broken and the social care system in crisis.

‘But I have been stunned by the extent of the failings of the institution that is supposed to identify and act on failings. It’s clear to me the CQC is not fit for purpose.’ Kate Terroni, CQC’s interim chief executive, said the regulator accepts in full the findings and recommendations of the report.

‘Many of these align with areas we have prioritised as part of our work to restore trust with the public and providers by listening better, working together more collaboratively and being honest about what we’ve got wrong,’ she said.

‘We are working at pace and in consultation with our stakeholders to rebuild that trust and become the strong, credible, and effective regulator of health and care services that the public and providers need and deserve.’

The interim findings of the review of our operational effectiveness led by Dr Penelope Dash have been published this morning. In response, Kate Terroni, our interim chief executive, said: “We accept in full the findings and recommendations in this interim review, which identifies clear areas where improvement is urgently needed.

“Many of these align with areas we have prioritised as part of our work to restore trust with the public and providers by listening better, working together more collaboratively and being honest about what we’ve got wrong.

“We are working at pace and in consultation with our stakeholders to rebuild that trust and become the strong, credible, and effective regulator of health and care services that the public and providers need and deserve.

“Work is underway to improve how we’re using our new regulatory approach. We’ve committed to increasing the number of inspections we are doing so that the public have an up-to-date understanding of quality and providers are able to demonstrate improvement.

“We’re increasing the number of people working in registration so we can improve waiting times. We’re working to fix and improve our provider portal, and this time we’ll be listening to providers and to our colleagues about the improvements that are needed and how we can design solutions together.

“We’ll be working with people who use services and providers to develop a shared definition of what good care looks like. And we’re also developing a new approach to relationship management that enables a closer and more consistent contact point for providers.

“Additionally, to strengthen our senior level healthcare expertise, we have appointed Professor Sir Mike Richards to conduct a targeted review of how the single assessment framework is currently working for NHS trusts and where we can make improvements.

“Sir Mike’s career as a senior clinician, and a distinguished leader of high-profile national reviews, as well as his direct experience of driving improvement through regulation, make him uniquely placed to conduct this work.”

The interim findings of the review have been published on GOV.UK.