The report, ‘Where next for cancer services in Northern Ireland?’ shows cancer outcomes in Northern Ireland have improved over recent years. Today, around 54 per cent of people diagnosed with cancer will live for five years after diagnosis. But outcomes could be better.
More people are being affected by cancer and services need to ready for further growth in the number of patients needing care. In 2015 around 9,250 people were diagnosed with cancer in Northern Ireland; by 2034 this is expected to rise by 50% to over 14,000.
Our research suggests services are currently struggling to meet rising demand. Performance against key waiting time targets, for example, indicates services are under stress.
Since 2008, cancer services in Northern Ireland have been guided by the Executive’s Cancer Control Plan. This plan is now out of date. Northern Ireland needs an ambitious new cancer strategy that sets clear targets for improvement over the coming years.
The next Northern Ireland Executive must take the opportunity to set the direction for the next several years and outline how cancer services will operate within Northern Ireland’s reformed health service.
The report also makes a number of recommendations to support improvement in cancer services. These include:
- The Executive should conduct a review of diagnostic capacity, and outline steps to ensure capacity can meet rising demand
- The health service needs to develop national data sets for chemotherapy and radiotherapy activity. This would support ongoing evaluation of how services are performing.
- The Executive should conduct a review of the cancer workforce. Ideally this would cover the whole cancer pathway, identify workforce gaps and specify actions to alleviate these pressures.