7 January 2019

NHS Long Term Plan – highlights for commissioning of cancer services

NHS Long Term Plan – highlights for Specialised Commissioning of cancer services
NHS England 7 January 2019
Extracts from the NHS Long Term Plan relating to cancer services (paras 3.51-3.65)
  • The plan highlights 
    • A new ambition that, by 2028, the proportion of cancers diagnosed at stages 1 and 2 will rise from around half now to three-quarters of cancer patients. 
    • use of personalised and risk stratified screening and testing the family members of cancer patients where they are at increased risk of cancer. 
    • bowel cancer screening, 
    • HPV primary screening for cervical cancer, 
    • an extension of lung health checks, 
    • new cancer screening programmes and diagnostic capacity, 
    • work by Primary care networks to ensure improvement in early diagnosis, 
    • a faster diagnosis standard from 2020 and overhaul of diagnostic services 
    • investment in equipment 
    • investment to ensure roll out of new techniques and technologies 
    • use of molecular diagnostics and rollout of routinely offer genomic testing over the next ten years 
    • personalised care planning for those diagnosed with cancer and appropriate follow up after treatment. 
Milestones for cancer
• From 2019 we will start to roll out new Rapid Diagnostic Centres across the country.
• In 2020 a new faster diagnosis standard for cancer will begin to be introduced so that patients receive a definitive diagnosis or ruling out of cancer within 28 days.
• By 2020 HPV primary screening for cervical cancer will be in place across England.
• By 2021, where appropriate every person diagnosed with cancer will have access to personalised care, including needs assessment, a care plan and health and wellbeing information and support.
• By 2022 the lung health check model will be extended.
• By 2023, stratified, follow-up pathways for people who are worried their cancer may have recurred. These will be in place for all clinically appropriate cancers.
• By 2028, the NHS will diagnose 75% of cancers at stage 1 or 2.

Watch the Health and Social Care committee 8 January 2019 discussing Early diagnosis and the cancer workforce in the NHS long-term plan