NHS cancer services and systems—ten pressure points a UK cancer control plan needs to address
In this Policy Review we discuss ten key pressure points in the NHS in the delivery of cancer care services that need to be urgently addressed by a comprehensive national cancer control plan. These pressure points cover areas such as increasing workforce capacity and its productivity, delivering eff...
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| Published in: | The lancet oncology Vol. 25; no. 8; pp. e363 - e373 |
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| Main Authors: | , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
England
Elsevier Ltd
01.08.2024
Elsevier Limited |
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| ISSN: | 1470-2045, 1474-5488, 1474-5488 |
| Online Access: | Get full text |
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| Abstract | In this Policy Review we discuss ten key pressure points in the NHS in the delivery of cancer care services that need to be urgently addressed by a comprehensive national cancer control plan. These pressure points cover areas such as increasing workforce capacity and its productivity, delivering effective cancer survivorship services, addressing variation in quality, fixing the reimbursement system for cancer care, and balancing of the cancer research agenda. These areas have been selected based on their relative importance to ensuring sustainable cancer services, persistence as key issues in the NHS, and their impact on delivering better and more equitable and affordable patient outcomes. Many of these pressure points are not acknowledged explicitly in any current discourse. The evidence we provide points to their impact on the ability to deliver world class cancer care, but also to their amenability to affordable solutions if given the relevant prioritisation and investment. The current narrative needs to move away from a technocentric approach to improving care, to one focused on understanding the complexity of cancer services and the wider health system to drive improvements in survival, quality of life, and experience for patients. |
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| AbstractList | In this Policy Review we discuss ten key pressure points in the NHS in the delivery of cancer care services that need to be urgently addressed by a comprehensive national cancer control plan. These pressure points cover areas such as increasing workforce capacity and its productivity, delivering effective cancer survivorship services, addressing variation in quality, fixing the reimbursement system for cancer care, and balancing of the cancer research agenda. These areas have been selected based on their relative importance to ensuring sustainable cancer services, persistence as key issues in the NHS, and their impact on delivering better and more equitable and affordable patient outcomes. Many of these pressure points are not acknowledged explicitly in any current discourse. The evidence we provide points to their impact on the ability to deliver world class cancer care, but also to their amenability to affordable solutions if given the relevant prioritisation and investment. The current narrative needs to move away from a technocentric approach to improving care, to one focused on understanding the complexity of cancer services and the wider health system to drive improvements in survival, quality of life, and experience for patients. SummaryIn this Policy Review we discuss ten key pressure points in the NHS in the delivery of cancer care services that need to be urgently addressed by a comprehensive national cancer control plan. These pressure points cover areas such as increasing workforce capacity and its productivity, delivering effective cancer survivorship services, addressing variation in quality, fixing the reimbursement system for cancer care, and balancing of the cancer research agenda. These areas have been selected based on their relative importance to ensuring sustainable cancer services, persistence as key issues in the NHS, and their impact on delivering better and more equitable and affordable patient outcomes. Many of these pressure points are not acknowledged explicitly in any current discourse. The evidence we provide points to their impact on the ability to deliver world class cancer care, but also to their amenability to affordable solutions if given the relevant prioritisation and investment. The current narrative needs to move away from a technocentric approach to improving care, to one focused on understanding the complexity of cancer services and the wider health system to drive improvements in survival, quality of life, and experience for patients. Summary In this Policy Review we discuss ten key pressure points in the NHS in the delivery of cancer care services that need to be urgently addressed by a comprehensive national cancer control plan. These pressure points cover areas such as increasing workforce capacity and its productivity, delivering effective cancer survivorship services, addressing variation in quality, fixing the reimbursement system for cancer care, and balancing of the cancer research agenda. These areas have been selected based on their relative importance to ensuring sustainable cancer services, persistence as key issues in the NHS, and their impact on delivering better and more equitable and affordable patient outcomes. Many of these pressure points are not acknowledged explicitly in any current discourse. The evidence we provide points to their impact on the ability to deliver world class cancer care, but also to their amenability to affordable solutions if given the relevant prioritisation and investment. The current narrative needs to move away from a technocentric approach to improving care, to one focused on understanding the complexity of cancer services and the wider health system to drive improvements in survival, quality of life, and experience for patients. In this Policy Review we discuss ten key pressure points in the NHS in the delivery of cancer care services that need to be urgently addressed by a comprehensive national cancer control plan. These pressure points cover areas such as increasing workforce capacity and its productivity, delivering effective cancer survivorship services, addressing variation in quality, fixing the reimbursement system for cancer care, and balancing of the cancer research agenda. These areas have been selected based on their relative importance to ensuring sustainable cancer services, persistence as key issues in the NHS, and their impact on delivering better and more equitable and affordable patient outcomes. Many of these pressure points are not acknowledged explicitly in any current discourse. The evidence we provide points to their impact on the ability to deliver world class cancer care, but also to their amenability to affordable solutions if given the relevant prioritisation and investment. The current narrative needs to move away from a technocentric approach to improving care, to one focused on understanding the complexity of cancer services and the wider health system to drive improvements in survival, quality of life, and experience for patients.In this Policy Review we discuss ten key pressure points in the NHS in the delivery of cancer care services that need to be urgently addressed by a comprehensive national cancer control plan. These pressure points cover areas such as increasing workforce capacity and its productivity, delivering effective cancer survivorship services, addressing variation in quality, fixing the reimbursement system for cancer care, and balancing of the cancer research agenda. These areas have been selected based on their relative importance to ensuring sustainable cancer services, persistence as key issues in the NHS, and their impact on delivering better and more equitable and affordable patient outcomes. Many of these pressure points are not acknowledged explicitly in any current discourse. The evidence we provide points to their impact on the ability to deliver world class cancer care, but also to their amenability to affordable solutions if given the relevant prioritisation and investment. The current narrative needs to move away from a technocentric approach to improving care, to one focused on understanding the complexity of cancer services and the wider health system to drive improvements in survival, quality of life, and experience for patients. |
| Author | Price, Pat Aggarwal, Ajay Spencer, Katie Lyratzopoulos, Georgios Walker, Kate Roques, Tom Sullivan, Richard Rachet, Bernard Simcock, Richard |
| Author_xml | – sequence: 1 givenname: Ajay surname: Aggarwal fullname: Aggarwal, Ajay email: ajay.aggarwal@lshtm.ac.uk organization: Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK – sequence: 2 givenname: Richard surname: Simcock fullname: Simcock, Richard organization: Department of Oncology, University Hospitals Sussex NHS Trust, Brighton, UK – sequence: 3 givenname: Pat surname: Price fullname: Price, Pat organization: Department of Surgery and Cancer, Imperial College London, London, UK – sequence: 4 givenname: Bernard surname: Rachet fullname: Rachet, Bernard organization: Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK – sequence: 5 givenname: Georgios surname: Lyratzopoulos fullname: Lyratzopoulos, Georgios organization: Institute of Epidemiology and Health Care, University College London, London, UK – sequence: 6 givenname: Kate surname: Walker fullname: Walker, Kate organization: Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK – sequence: 7 givenname: Katie surname: Spencer fullname: Spencer, Katie organization: Leeds Institute of Health Sciences, University of Leeds, Leeds, UK – sequence: 8 givenname: Tom surname: Roques fullname: Roques, Tom organization: Department of Oncology, Norfolk and Norwich NHS Foundation Trust, Norwich, UK – sequence: 9 givenname: Richard surname: Sullivan fullname: Sullivan, Richard organization: Institute of Cancer Policy, King's College London, London, UK |
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| Snippet | In this Policy Review we discuss ten key pressure points in the NHS in the delivery of cancer care services that need to be urgently addressed by a... SummaryIn this Policy Review we discuss ten key pressure points in the NHS in the delivery of cancer care services that need to be urgently addressed by a... Summary In this Policy Review we discuss ten key pressure points in the NHS in the delivery of cancer care services that need to be urgently addressed by a... |
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| SubjectTerms | Cancer Cancer therapies Colorectal cancer Delivery of Health Care Hematology, Oncology, and Palliative Medicine Humans Medical diagnosis Medical prognosis Medical research Medical screening Minority & ethnic groups Multiculturalism & pluralism Neoplasms - therapy Pandemics Patients Planning Population Prostate cancer Quality of Health Care Quality of life Sociodemographics State Medicine - organization & administration Survival United Kingdom Young adults |
| Title | NHS cancer services and systems—ten pressure points a UK cancer control plan needs to address |
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