Our cancer and health inequalities strategy
At Cancer Research UK our vision is a world where everybody lives longer, better lives, free from the fear of cancer.
But the burden of cancer isn’t distributed evenly across the population, with unfair differences in cancer outcomes. Our cancer and health inequalities strategy is our five-year commitment to play our critical part in ensuring no one is left behind in our progress.
It sets out how we’ll deepen our understanding of cancer and health inequalities to prioritise actions that make the most significant improvements in cancer outcomes. The strategy also describes how we’ll use our expertise to influence policy and health systems, and amplify our impact through collaboration with communities and strategic partnerships.
The strategy sits within our long-term organisational strategy and our equality, diversity and inclusion strategy, and alongside our research strategy.
What are cancer and health inequalities?
Health inequalities are unfair and avoidable differences in health outcomes across the population. In cancer, we see inequalities across the cancer pathway. These differences arise from a complex interplay of factors, including:
The inequalities challenge
Tackling inequalities in health has been an ambition for all UK countries for decades, but the evidence shows we have made little progress. Here are just a few examples of how inequalities affect all aspects of our health, including our risk of getting and surviving conditions like cancer.
Cancer survival
There is evidence of lower survival among people from more deprived areas and geographical variation between and within the UK nations.
Cancer incidence
It is estimated that 33,000 extra cases each year across the UK can be attributed to socioeconomic deprivation. This is mostly due to differences in the prevalence of smoking - smoking rates are three times higher in the most deprived groups compared to the least deprived.
Symptom awareness
Our Cancer Awareness Measure ‘Plus’ survey shows that men, people from lower income groups and people from Black and Asian ethnic minority groups are less likely to recognise cancer symptoms.
Help-seeking and accessing services
There is evidence relating to the barriers that different groups face in seeking help from primary care. People are more likely to put off or delay seeking help because of difficulties getting an appointment if they are female, or from Mixed, Asian and Black ethnic groups.
Discover more examples of how inequalities manifest across cancer prevention, awareness, help seeking, diagnosis and treatment in our strategy.
Areas of focus to tackle cancer inequalities
We will continue to engage the public and influence policy makers, researchers, health system leaders and health professionals to tackle cancer and health inequalities. The scale of the inequalities challenge may be daunting, but there are opportunities for meaningful action.
Deepening understanding of cancer and health inequalities and what works to tackle them
We’ll work with others to improve the accessibility and availability of data to enable richer analysis of cancer inequalities.
We’ll also continue to generate and publish evidence, considering the complex social and biological interactions and wider determinants of health and cancer outcomes.
Driving impact through influence
Underpinned by our evidence-based approach, we’ll continue to influence national policy change, while working directly with communities affected by inequalities and supporting health system leaders and health professionals with tailored resources.
Engaging and informing the public in ways that are inclusive, relevant and accessible
We’ll continue to deliver cancer and health information to the public through a variety of channels, including digital, paper and face to face, to provide people with trusted and clear information in a way that is most relevant and helpful for them.
We’ll also review and optimise our content, working directly with underserved groups and in partnership with organisations that represent and engage underserved groups.
Enablers
We ensure that the voices of people affected by cancer are at the heart of our work.