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The UK Government’s spending review: Time to invest in the future of cancer care

by Matt Sample | Analysis

20 October 2020

7 comments 7 comments

Big Ben

This autumn the chancellor, Rishi Sunak, will go to Parliament and set out the UK Government’s spending priorities.

It comes during a difficult time for the UK, and as this Government’s first spending review, it will be an opportunity for setting the future direction of the NHS, research and cancer care.

The challenge ahead is immense, but must be faced head on.

In recent years Government spending reviews haven’t tackled the fundamental challenges facing cancer services. The result has been worsening cancer waiting times and people with cancer in the UK still facing lower survival rates than similar countries around the world.

In the 2019 General Election, the Conservatives committed to increase cancer survival rates and boost early cancer diagnosis. NHS England has a more specific ambition – to see 3 in 4 cancers diagnosed at an early stage by 2028.

Sadly, we weren’t on track to meet these ambitions even before COVID-19. And the pandemic has only increased the pressure on cancer services and made it even more vital to accelerate progress now, to make sure that people with cancer can get the diagnosis and treatment they deserve, today and in the future.

To get on track, the UK Government needs to use the Spending Review to set out investment in key areas we know will make the most difference for cancer patients by:

  • Giving our NHS the investment it needs to recruit and train enough staff to diagnose and treat every cancer patient and relieve growing pressures on cancer services
  • Invest in more diagnostic equipment, so that Government can deliver on its commitment to diagnose more cancers earlier
  • Help medical research charities protect their life-saving research from the impact of COVID-19 with a Life Sciences Charity Partnership Fund

And while the Government has just announced that they will only set out spending for 1 year, there are areas like the NHS where they may make more long-term commitments. In any case, we believe this is a critical opportunity to put us on the right track.

Here’s why these areas are so important.

Growing the cancer workforce to meet demand

A leap forward in our ability to diagnose cancer at an early stage is critical to improving survival. People diagnosed at the earliest stages of cancer have the best chances of accessing curative treatment, which dramatically improves their chances of long-term survival.

Put simply, early diagnosis saves lives.

But in the UK, we only diagnose just over half of patients at an early stage, and right now we’re way off track to meet NHS England’s ambition to diagnose 3 in 4 cancers at an early stage by 2028.

NHS England early diagnosis ambitions

Copy this link and share our graphic. Credit: Cancer Research UK

This means there’s still a lot of progress we need to make.

And crucial to making this progress will be investing to recruit and train more staff to diagnose, treat and care for people with cancer. Last week, we published new estimates for how many more staff the NHS in England will need to diagnose and treat cancer in the next 10 years.

Health Education England (HEE) – the organisation responsible for workforce planning and training – estimates that we need 45% growth in the number of staff in 7 roles key to diagnosing and treating cancer to meet cancer ambitions.

Infographic of workforce figures

Copy this link and share our graphic. Credit: Cancer Research UK

To see that growth and make sure the NHS has the cancer workforce it needs, we estimate that HEE will need at least £142 million but possibly as much as £260 million more than it already invests over the next 3-5 years.

This investment would not only help to ‘future-proof’ cancer care, but because many of these professions work on other conditions too, the whole NHS would benefit.

Giving the NHS the kit it needs to diagnose and treat cancer patients

In early October, NHS England published a review of diagnostic services. The report made clear that without a major expansion and reform of how we diagnose diseases like cancer, efforts to improve cancer outcomes would be put at risk.

The UK is well behind other similar countries when it comes to how much diagnostic kit we have. For example, we have the lowest number of CT scanners – vital for diagnosing many cancers as well as other conditions – per million people compared to 23 major economies.

The impact of COVID-19 has only made the challenges greater, with diagnostic services hit hard and important new infection control measures making it difficult to see the same number of patients as before.

NHS England’s review suggested setting up new ‘Community Diagnostic Hubs’, a great idea that could not only be implemented in a COVID-19 safe way, but could also build on current work to create ‘one stop shops’ for cancer patients to get all of their diagnostic tests at once.

To make these changes, be it having enough equipment or implementing new models for diagnostic services, we’ll need Government to significantly invest.

Invest to protect life-saving research

Medical research charities like Cancer Research UK invest around £1.9 billion a year into life-saving research, playing a vital part in improving outcomes for people with cancer and a range of other diseases. Just in the case of cancer, charities fund half of all publicly funded cancer research.

But the impact of COVID-19 has been devastating. The Association of Medical Research Charities (AMRC) estimates that this year alone, medical research charities will spend between £252 to £368 million less on research.

The picture is just as bleak for cancer research.

New figures from the National Institute of Cancer Research estimate charities will spend £167 million less on cancer research this year due to the financial impact of COVID-19. In our case, a 30% reduction in fundraising income this year has meant we’ve already been forced to cut £44 million of planned research. In the very worst case, we could have to cut our spending on research by £150 million a year by 2024.

Our vision for beating cancer is underpinned by funding life-saving research into the causes and treatment of every type of cancer. And the reality is that, without Government support, our shortfall in income, will set our research back by years, with fewer scientists supported and fewer clinical trials being funded.

That’s why, along with the AMRC and other members, we’re calling on the Government to set up a 3-year Life Sciences-Charity Partnership Fund. The Fund would protect medical research charities through the worst of the impact of COVID-19 by investing at least £310 million in the first year to maintain ongoing research projects. The investment would then gradually reduce as charities strive to recover and build back stronger in later years.

A ‘cancer reset’

The spending review is an opportunity for a ‘cancer reset’.

An opportunity for the Government to make good on its 2019 manifesto commitments, and to give each part of the UK the funding they need to improve cancer outcomes.

An opportunity to give the health system the people and the kit it needs to reduce the heartbreak of lengthening cancer waiting times and growing demand for cancer diagnosis and treatment.

An opportunity to drive investment in future medical breakthroughs.

Now it’s up to Rishi Sunak and the Government to seize this opportunity to deliver for people with cancer and invest to dramatically improve cancer survival across the UK.

Matt Sample is a policy advisor at Cancer Research UK


    Comments

  • Susan Richardson
    11 November 2020

    The government needs to make spending on the NHS its first priority – and should reinstate as publicly owed the sectors which have been siphoned off to private companies as a short-term way of saving money. But it doesn’t in the long term, as the companies make a profit and leave the difficult and costly stuff to the NHS, which then gets criticised for being too expensive.

  • Christine Humphrey
    30 October 2020

    It is very difficult at this time with covid obviously it is not possible to give funding
    for everything.

  • john campbell-midford
    25 October 2020

    As an OAP, I donate every month and I am pleased to do so and will continue as I have for many years. Rishi Sunak can find billions for every sector exept funding front line research. All they seem to be concerned with is funding Covid,all research has taken a back seat.This will result in thousands of people in the future dying far too soon.

  • Dennis Waller
    24 October 2020

    We need to invest more money in the NHS

  • John Whitham
    23 October 2020

    Informative..

  • Sue Blackburn
    22 October 2020

    I have been fundraising for CRUK since 1981 , totalling over £200,000 so far. Our main income in the last 10 years has been a local garden walkabout and street collection, raising about £4,500 each year. I am so disappointed that we have not been able to add this amount in 2019 due to the virus. There must be many more events like this . I wish there was something else we could do.

  • Christina Aitken
    21 October 2020

    I donate regularly though a site while spending and all little helps

    Comments

  • Susan Richardson
    11 November 2020

    The government needs to make spending on the NHS its first priority – and should reinstate as publicly owed the sectors which have been siphoned off to private companies as a short-term way of saving money. But it doesn’t in the long term, as the companies make a profit and leave the difficult and costly stuff to the NHS, which then gets criticised for being too expensive.

  • Christine Humphrey
    30 October 2020

    It is very difficult at this time with covid obviously it is not possible to give funding
    for everything.

  • john campbell-midford
    25 October 2020

    As an OAP, I donate every month and I am pleased to do so and will continue as I have for many years. Rishi Sunak can find billions for every sector exept funding front line research. All they seem to be concerned with is funding Covid,all research has taken a back seat.This will result in thousands of people in the future dying far too soon.

  • Dennis Waller
    24 October 2020

    We need to invest more money in the NHS

  • John Whitham
    23 October 2020

    Informative..

  • Sue Blackburn
    22 October 2020

    I have been fundraising for CRUK since 1981 , totalling over £200,000 so far. Our main income in the last 10 years has been a local garden walkabout and street collection, raising about £4,500 each year. I am so disappointed that we have not been able to add this amount in 2019 due to the virus. There must be many more events like this . I wish there was something else we could do.

  • Christina Aitken
    21 October 2020

    I donate regularly though a site while spending and all little helps