Source · Select Committees · Health and Social Care Committee

Recommendation 22

22 Paragraph: 127

Cancer Alliances have had a positive impact on transforming cancer services and sharing best practice,...

Conclusion
Cancer Alliances have had a positive impact on transforming cancer services and sharing best practice, and enjoy strong support from the sector. However, it is clear that while they are having some success, there is still significant unwarranted variation across regions in England and that the ability of Cancer Alliances to address this is limited as a result of underlying factors such as workforce shortages. While Cancer Alliances have limited ability to address demographic factors such as deprivation which are also drivers of some variation, it is unacceptable if people receive inequitable care based on their ethnicity. It is welcome that the Government is developing and publishing more cancer data broken down by ethnicity as this will be essential to highlighting differences in care and outcomes.
Paragraph Reference: 127
Government Response Acknowledged
HM Government Acknowledged
Cancer Alliances already lead the planning and delivery of cancer services and their improvement across their local systems. We recognise it makes sense for Integrated Care Boards (ICBs), when legally and operationally established, to look to the Cancer Alliances to continue to undertake these roles on their behalf from July 2022. The ICS Design Framework has made this clear, stating that Cancer Alliances will continue to: • “use their expertise to lead whole-system planning and delivery of cancer care on behalf of their constituent ICSs, as well as providing clinical leadership and advice on commissioning.” In Oct 2022 work will commence on 5 new cancer clinical audits, creating a portfolio of 10 cancer clinical audits in total. Clinical audits are used to assess the extent of unwarranted variation in services and provide recommendations to tackle this. Cancer Alliances, supported by the NHS Cancer Programme, will focus in implementing priority recommendations from clinical audits to reduce unwarranted variation.