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.

中文翻译：

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NHS 癌症服务和系统——英国癌症控制计划需要解决的十大压力点


在本次政策审查中，我们讨论了 NHS 在提供癌症护理服务方面的十大关键压力点，这些压力点需要通过全面的国家癌症控制计划来紧急解决。这些压力点涵盖提高劳动力能力及其生产力、提供有效的癌症生存服务、解决质量差异、修复癌症护理报销制度以及平衡癌症研究议程等领域。这些领域的选择是基于它们对确保可持续癌症服务的相对重要性、作为 NHS 关键问题的持续性，以及它们对提供更好、更公平和负担得起的患者治疗结果的影响。当前的任何讨论中都没有明确承认其中许多压力点。我们提供的证据表明它们对提供世界一流的癌症护理能力的影响，而且也表明如果给予相关的优先级和投资，它们是否能够接受负担得起的解决方案。当前的叙述需要摆脱以技术为中心的改善护理的方法，转而专注于了解癌症服务和更广泛的卫生系统的复杂性，以推动患者生存、生活质量和体验的改善。