PARLIAMENTARY DEBATE
National Cancer Plan - 5 February 2026 (Commons/Commons Chamber)
Debate Detail
A cancer diagnosis changes you forever. When I was diagnosed with metastatic breast cancer 18 months ago, I did not know whether I would be alive today, never mind standing at this Dispatch Box announcing a national cancer plan, but one year ago almost to the day, the Prime Minister asked me to do just that. Since the Government took office, over 212,000 more people are getting a cancer diagnosis on time, over 36,000 more are starting treatment on time, and rates of early diagnosis are hitting record highs. Despite those vital signs of recovery, though, the NHS is still failing far too many cancer patients and their families. That is why first and foremost, this plan is a break with the failure of the past 15 years.
In 2011, the coalition Government published “Improving Outcomes: A Strategy for Cancer”. That strategy was followed in 2016 by “Achieving world-class cancer outcomes: a strategy for England”. In 2019, the long-term health plan for England made cancer a priority and included a headline ambition to diagnose 75% of cancers at stages 1 and 2. However well-intentioned they were, not one of those strategies has lived up to its promises. Cancer mortality rates in the UK are much higher than in other, comparable countries, while survival rates are much lower. Cancer incidence is around 15% higher than when the 62 day standard was last met, and working-class communities are being failed most of all. The most deprived areas, including rural and coastal communities, often have fewer cancer consultants, leaving patients waiting longer. This all adds up to the chilling fact that someone living in Blackpool is almost twice as likely to die young from cancer than someone living in Harrow. Wherever in our country a person lives, they deserve the same shot at survival and quality of life as everyone else. Wealth should not dictate their health, and neither should their postcode.
Behind these statistics are real people. I have heard from those whose care lacked empathy and dignity, from those whose cancer was missed or whose test results were lost, from those who were passed from pillar to post and kept in the dark about their condition, and from those whose loved ones died before their turn came for surgery because the wait was too long. Those experiences are unacceptable—they are devastating. From day one, I was determined to put their voices front and centre of our plan. Over the past year, we have listened to and learned from cancer charities, clinicians and, most importantly, patients and their families. Every action is a response to someone’s lived experience. Every commitment is a promise to transform someone else’s life. Their stories have become the blueprint to make the biggest improvement in cancer outcomes in a generation.
Three major themes stood out from the 11,000 responses to our call for evidence, some 9,000 of which came from patients and their carers: core performance standards, improved survival, and quality of life after diagnosis. Those are not radical ideas, but unlike previous strategies, this plan is not limited to incremental improvement. Instead, it is an ambitious, bold plan to save 320,000 more lives by 2035, which will be the fastest rate of improvement this century. We will do that by modernising the NHS, harnessing the power of science and technology, putting our patients at the front of the queue for the latest medicines, and helping them to live well after diagnosis, not least for people diagnosed with stage 4, metastatic and incurable cancers—people like me.
How do we get there? We are placing big bets on genomics, data and artificial intelligence, as set out in our 10-year plan for health. We will hardwire the three shifts of our 10-year plan into cancer pathways. First, on moving from analogue to digital, we heard from patients about the importance of clinical trials, so we will make the UK one of the best places in the world to run a trial with a new cancer trials accelerator. We will start people’s care earlier using liquid biopsy tests, which can return results up to two weeks faster than conventional testing. We will harness AI to read scans, plan radiotherapy and identify the right path for each patient. We will harness genomics so that every eligible patient has access to precision medicines. We will harness data to make sure that all metastatic disease is counted properly—starting with breast cancer—so that people with incurable cancer are properly recognised and supported. When people are not counted, they feel like they do not count, but we will end that.
Innovation will also help us fight inequalities and make the shift from sickness to prevention. We will turn the NHS app into a gateway for cancer care. By 2028, it will host a dashboard for cancer prevention, with access to tests and self-referral. By 2035, it will bring together genomic and lifestyle data with the single patient record to advise every patient according to their risk. That will benefit people in rural and coastal communities who can find it difficult to access specialist care simply due to geography.
Finally, we will use the neighbourhood health service to make the shift from hospital to community. That will mean more care, from prehabilitation to recovery support, delivered closer to home. We will help people live well with cancer through tailored support closer to home. People will be given personal cancer plans, named neighbourhood care leads and clear end-of-treatment summaries so that no one feels abandoned after their treatment.
For too long, those with rarer cancers have seen little to no progress for many of their conditions. They told us we need a special focus on these cancers, and our plan sets out how they will benefit from the deployment of genomics, early detection and the development of new treatments. That was asked for by patients and will be delivered by this Government. I pay tribute to my hon. Friend the Member for Mitcham and Morden (Dame Siobhain McDonagh) for her campaigning in memory of her late sister Margaret. We should also remember that the late Tessa Jowell raised this issue in 2018, and her family have campaigned ever since.
Our plan also gives pride of place for children and young people. We will improve their experience of care at every level, from hospital food to youth worker support and play support. I pay tribute to my hon. Friend the Member for Leyton and Wanstead (Mr Bailey) for his campaigning on that point. Our children and young people cancer taskforce asked for support with travel costs, because when someone’s child has cancer, the last thing they should worry about is how they will pay for their train ticket. Today, I can announce that we will fund those travel costs.
Alongside rare and less common cancers, we will make research for children and young people a national priority. I take this moment to thank the children, young people and families who made up our children and young people cancer taskforce. It was a pleasure and a privilege to meet them earlier this week. I thank the many families and loved ones of people lost too soon who continue to fight to make change for others. I am so grateful to them, and I want people to hear their voices as they read the plan, because it is rooted in the voices of patients, families, clinicians and charities. It will turn cancer from one of this country’s biggest killers into a chronic condition that is treatable and manageable for three in four patients. It delivers the ambition of the 10-year health plan, embodies this Government’s three shifts and sets a clear path towards earlier diagnosis, faster treatment and world-leading survival rates by 2035.
This plan does not belong to the NHS, and it does not belong to the Government; it belongs to us all. We all must play a part in making it work. Over the past year, I have met the patients, families, carers, clinicians, researchers, cancer charities and voluntary groups who all contributed to our plan. This Government is on their side. We wrote this with them, and we cannot deliver it without them. Let us do it together. I commend this statement to the House.
The national cancer plan sets out major commitments, including on early diagnosis, improving performance against cancer waiting time standards, the faster set-up of clinical trials, and the national roll-out of targeted lung screening. It also talks about modernising services through technology and innovation. Cancer Research UK has said there is “much to welcome” in the plan, but it is right for it to say that delivery, funding and accountability will determine whether patients see change. Too often, plans sound impressive on paper but fall short when it comes to clear published delivery milestones and accountability. In many respects, this plan mirrors the ambitions of the 10-year NHS plan: it is strong on aspiration, but light on the detail of how change will actually be delivered on the ground. My first question is simple: when will the Government publish clear, funded milestones showing how and when patients will see improvements in the next year or two?
We welcome investment in diagnostics, technology and innovation. It is also right to recognise that this plan builds on the significant expansion of diagnostic capacity delivered by the last Conservative Government, including the roll-out of more than 160 community diagnostic centres. Earlier diagnosis on this scale is only possible because of that foundation, but technology is only meaningful if it translates into real capacity and quicker treatment for patients. That is why radiotherapy matters. Radiotherapy UK is right that it is a core part of modern cancer care, but it relies on up-to-date equipment and a skilled workforce. My second question is this: will Ministers set out how the plan will expand radiotherapy capacity in practice, including equipment replacement and the workforce, so that patients can benefit in reality, rather than the plan just being something written on paper? Are we learning the lessons from the Danish example? They invested in radiotherapy and saw significant improvements over a period of years.
That point brings me on to the workforce. The success of this plan depends on cancer nurses, radiographers, pathologists and oncologists who are already under immense pressure. We have heard big promises before, but less clarity on delivery, so my third question is this: where is the fully funded long-term workforce plan to deliver the staffing needed to expand diagnostic and treatment capacity and to make sustained improvements, including in neighbourhood health centres? Will the Government explain clearly who will staff them and how they will be funded? Blood Cancer UK has highlighted the importance of ensuring that blood cancers are properly recognised in planning and that patients receive consistent support from the point of diagnosis, including access to a named healthcare professional. That underlines why delivery and accountability across the system matter so much to patients.
I also welcome the commitments in this plan to children and young people. I pay tribute to my hon. Friend the Member for Gosport (Dame Caroline Dinenage), who I know did some incredible work in this area. Having worked in children and young people’s hospices, I will never forget the journey that those children and their families go on, and I am really grateful to the Government for having a big section on that in the plan.
My fourth question is about life after—and at the end of—treatment. The plan rightly talks about improving quality of life and support after treatment, including personalised support and rehabilitation; we all want people to live longer, but for many patients and their families, hospice and palliative care are essential. Yet hospices across the country are under severe pressure, with many now in crisis, exacerbated by recent Government tax rises hitting staffing and running costs. Hospices are also notably absent from today’s statement. Will the Government urgently convene a crisis meeting with the hospice sector and set out what immediate steps they will take to stabilise services and expedite delivery of the palliative care plan?
We will support any serious, deliverable reforms that improve earlier diagnosis, speed up treatment, strengthen the workforce and improve patient experience. But we will also hold Ministers to account on turning long term ambitions into real improvements now, because we want to see patients getting the care that they need.
Overseeing delivery is absolutely crucial. It is great that we have written a plan, but what matters is delivering it. We started delivery even before we had finished writing this plan; we are not waiting. We have already put £200 million directly into cancer via cancer alliances. We have recruited 2,500 more GPs. We have already put in place 28 cutting edge radiotherapy machines and are rolling out lung cancer screening. We have opened more community diagnostic centres at evenings and weekends. We said we would deliver 2 million more appointments; we have already delivered 5 million more appointments. And we have put £25 million into the National Institute for Health and Care Research’s brain tumour research consortium.
Steps are already being taken, but it is really important, as the right hon. Member points out, that we are held to account and that people keep our feet to the fire on delivery. That is why we are setting up a brand new cancer board of charities and clinicians, which will oversee the delivery of this plan and keep our feet to the fire.
On workforce, we know how important it is to make sure that the cancer workforce is grown and developed, not only in terms of numbers but in having the resources and the support to use their skills to the utmost. The workforce plan that the Government are developing will also include cancer and will be published this spring.
I was delighted to hear the right hon. Member mention rare cancers and children and young people. This is the first ever cancer plan with a chapter on rare cancers, and the first ever cancer plan with a chapter on children and young people, and I am really proud of that.
On radiotherapy, as I said, we have invested £70 million into 28 new linear accelerator—LINAC—radiotherapy machines. We have also listened to stakeholders in the radiotherapy community. We are investing in new technology, including those radiotherapy machines, and in AI to assist the oncology workforce to reduce the time it takes to plan and then deliver treatment. By April next year, we will streamline the process to make it easier for radiotherapy centres to use cutting edge stereotactic ablative radiotherapy—SABR—which is crucial to many patients. We will also ensure that the payment system associated with this treatment incentivises rapid adoption.
The right hon. Member mentioned hospices, something that I know is very close to his heart and his experience. We are delivering the biggest investment in hospices in a generation. We have provided £100 million to upgrade buildings, facilities and digital systems, and we are giving a further £26 million to children’s and young people’s hospices, ensuring that they can continue offering specialist, compassionate support. More broadly, we are developing a palliative care and end of life modern service framework for England. That is currently being developed alongside our stakeholders, with a planned publication date of autumn 2026.
I hope that addresses most of the issues raised by the right hon. Member, but I am more than happy to speak with him further after the debate.
First, when I had my cancer treatment eight years ago, I thought I knew my way around the NHS, but it is a completely confusing organisation for anyone involved in it. One thing that really helped me was having a specialist nurse appointed at the beginning. That specialist nurse got my chemotherapy ready on a Monday before I came down to London, and then on a Thursday when I came back. That sort of organisation and help is vital, so I really welcome that proposal.
Secondly, when I had my stem cell transplant for myeloma, my own stem cells were harvested and used, but many young people with complicated blood disorders need stem cells to be donated. So will the Minister work with the Anthony Nolan trust—I am chair of the all-party parliamentary group on stem cell transplantation and advanced cellular therapies—to ensure that more young people donate their stem cells so that other young people can have a life to look forward to?
I am delighted to say that my hon. Friend the Minister for Technology, Innovation and Life Sciences is already looking at the issues that my hon. Friend the Member for Sheffield South East (Mr Betts) raises around blood products and donations, and is working with the Anthony Nolan trust on those. I will be more than happy to work with my hon. Friend further on those issues.
One of my residents, a mum with a young family, discovered a lump in her breast. Despite attending the one stop breast clinic on four separate occasions, it took two horrendous years for her to be diagnosed with breast cancer. When she was finally diagnosed, the cancer was aggressive and required a mastectomy, chemotherapy and radiation therapy. That is why I welcome the Government’s target on meeting all cancer wait time standards by 2029, but the aim to halve the backlog in three years’ time is not ambitious enough. Will the Minister go further and back a Liberal Democrat plan to write into law a guarantee for all cancer patients to start treatment within 62 days from urgent referral?
The focus on ending delays in cancer care is a step forward, but funding 28 new radiotherapy machines is not enough when the treatment is so cost effective and successful. We need to end radiotherapy deserts, so will the Minister extend her ambition to 200 extra radiotherapy machines?
The Minister says that the plan will turn the NHS app into a gateway for cancer care, but how will she support older people and the digitally excluded? The plan promises to drive up productivity, end the postcode lottery, expand NHS diagnostic capacity, introduce personalised cancer plans and more. That is optimistic and will require more investment to increase NHS capacity, but without clear funding and capacity building plans, is it realistic?
Labour was right to put patients at the heart of this plan and incorporate the Liberal Democrat’s calls for a specialist cancer nurse for every patient. We costed for 3,000 extra cancer nurses; how many additional cancer nurses does the Minister believe are needed?
Finally, will the Minister confirm that the plan’s annual summary of progress will be reported in the House for Members to scrutinise?
The hon. Lady mentions the NHS app, which we understand is not necessarily relevant for people who are digitally excluded. One reason we are bringing that forward is to open up capacity within the rest of the system, so that those who can use digital tools can do so. That will free up capacity for the one-to-one, face-to-face support that many people need, but every cancer patient will get support under this plan, whether that is through the app or through their named lead clinical specialist in their neighbourhood, who will support them throughout the process, including after treatment. We are working with NHS England to identify the appropriate number of people for the cancer workforce, and we will be able to announce more about that as the workforce plan develops.
We are going to cut waiting times by giving trusts and cancer alliances detailed practical information and granular data on individual cancer types so that we can highlight real-time pathway insights through a federated data platform, and by streamlining the cancer metrics so that we can shine a light on unwarranted variation in care. We are providing information and best practice, thereby taking the best of the NHS to the rest of the NHS. We are linking up professionals and clinicians across the UK, so that they can share their best practice. Trusts can help and support each other to reach the targets.
We are exploring opportunities for breast cancer screening. There are difficulties in early screening because of dense breast tissue, but we are expanding screening where it provides support. In particular on breast screening, we are monitoring the emerging evidence from BRAID—breast screening risk adaptive imaging for density—trials, which target programmes at women with greater risk. We are also considering the findings from the £11 million EDITH—early detection using information technology in health—trial, testing how cutting-edge tools can be used to catch breast cancer cases earlier, particularly in younger women, like me, for whom a mammogram was not successful because of dense breast tissue.
My constituents do not get a particularly good deal: when measured against the 62-day target, 47% meet the target for radiotherapy, 62% for drugs and 73% for surgery. However, looking at just the first treatment masks the true picture, as a combination of treatments is often crucial to survival, and if people wait six months for their second treatment, it is really poor. Will the Minister consider bringing in measurement of secondary treatments? We know that radiotherapy can reduce a tumour and that surgery comes later, but if someone has to wait six months for surgery, they are in trouble.
I have three questions. Will rare cancers be recorded and reported separately as part of the plan? What influence will the cancer board have over the delivery of the plan? I think that point is quite important. Lastly, others have spoken about community organisations. In Gorgie in Edinburgh South West, we have the House of Hope, led by Lisa Fleming. She delivers a fantastic support service for women who have a breast cancer diagnosis. The next time the Minister is in Edinburgh, will she visit Lisa and her team?
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