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Cancer Inequalities
Workshop - Nov 2004 
The Cancer Plan sets out the first comprehensive national cancer programme for England.

  • to save more lives

  • to ensure people with cancer get the right professional support and care as well as the best treatments

  • to tackle the inequalities in health that mean unskilled workers are twice as likely to die from cancer as professionals

  • to build for the future through investment in the cancer workforce, through strong research and through preparation for the genetics revolution, so that the NHS never falls behind in cancer care again.


  • Reducing Inequalities in Cancer Mortality

    Cancer incidence and mortality rates are higher in areas of social deprivation. This is mainly due to higher smoking levels and poorer diet. Later diagnosis due to lower uptake of screening and patients with symptoms waiting longer before going to see their GP also plays a part.

    In the new Public Services Agreement (PSA) there is a challenging new target to tackle the social inequalities which exist in relation to death rates from cancer. The target is to achieve a reduction in the inequalities gap of at least 6% between the fifth of areas with the worst health and deprivation indicators and the population as a whole.

    This target will be met by helping PCTs, Trusts and SHAs to:

  • maximise the numbers of people using stop smoking services

  • encourage patients to present to their GPs earlier, without causing unnecessary anxiety

  • increase the coverage of breast and cervical screening

  • ensure breast screening is extended to 65-70 year-old women

  • ensure the NICE referral guidelines are followed in primary care

  • improving access to diagnostic tests for GPs.