Working together to build an equitable cancer system

News
Published: 19 November 2025
Analysis from the BBC has revealed that nearly every hospital trust in England is missing a key NHS cancer waiting time target. Macmillan Cancer Support’s National Clinical Adviser, Dr Anthony Cunliffe, explains why there is hope and how we can build a fairer cancer system.

Dr Anthony Cunliffe National Clinical Adviser at Macmillan Cancer Support

The BBC’s analysis of official cancer waiting time statistics makes for difficult reading – but it also gives us a vital opportunity for change. 

Almost every hospital trust in England is failing to meet a key NHS waiting time target for cancer care. The target is for 85% of people with cancer to start treatment within 62 days of an urgent referral.

As someone who works closely with patients and NHS colleagues, I see the strain across the system every day. Many hospitals are struggling, and the consequences of long waits for diagnosis and treatment can be devastating.  

But I also see incredible dedication, compassion and innovation. From staff going above and beyond, to organisations and communities working together to make things better. 

Behind those numbers are real people; families anxiously waiting for news and individuals facing weeks of uncertainty when every day matters. This is why data like this is so important. Transparency shines a light on where change is needed most.  

But the response can’t be to expect people to push harder for the care they need or feel they have to search for faster care.

What we need is an equitable cancer system. One where the quality and timeliness of care isn’t determined by where you live or which hospital you attend.

 

Working together to build a fairer cancer system

At Macmillan Cancer Support, we are committed to being part of the solution. Across the UK, we’re:


  • Partnering with the NHS and government to help shape the National Cancer Plan for England, helping to put fairness and people's experiences at its heart.
  • Investing in the cancer workforce: funding Macmillan professionals who provide specialist medical, emotional, and practical support across the country.
  • Working locally with Integrated Care Systems to test new ways of improving coordination between hospitals, GPs, and community services, so that people are diagnosed earlier and treated sooner.
  • Supporting people every day through the Macmillan Support Line and Online Community, offering expert guidance and someone to talk to, because no one should face cancer alone.

Change is possible when we work together

This data should be a wake-up call, but it should also give us an opportunity to work together and make things better.

We know what needs to be done, and we know change is possible when we work together. By combining the passion of NHS teams, the voices of people with lived experience, and the commitment of charities like Macmillan, we can create a cancer system that delivers timely, high-quality care for everyone, wherever they live and whoever they are.

My message to anyone worried about cancer is:

  • If you notice a possible sign or symptom of cancer, talk to your GP. Finding cancer earlier can make it easier to treat.
  • Macmillan is here for you. Whether you need emotional support, practical advice, or financial guidance, our teams are ready to help.

Together, we can build a fairer, more compassionate cancer system.

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