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 10 个压力点


在本政策审查中，我们讨论了 NHS 在提供癌症护理服务方面的十个关键压力点，这些压力点需要通过全面的国家癌症控制计划紧急解决。这些压力点涵盖的领域包括提高劳动力能力及其生产力、提供有效的癌症幸存者服务、解决质量差异、修复癌症护理的报销系统以及平衡癌症研究议程。选择这些领域的依据是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结果的影响。其中许多压力点在当前的任何话语中都没有明确承认。我们提供的证据表明，它们对提供世界级癌症护理的能力有影响，而且如果给予相关的优先次序和投资，它们也有助于获得负担得起的解决方案。目前的叙事需要从以技术为中心的方法来改善护理，转变为专注于了解癌症服务和更广泛的卫生系统的复杂性，以推动提高患者的生存率、生活质量和体验。