Since the introduction of the NHS Cancer Plan (2000) much has been achieved in cancer care; Cancer mortality is falling by approximately 2% per annum in people under the age of 75, survival rates continue to improve and significant improvements have been made in peoples’ experience of cancer care. However, significant challenges remain and are the focus of the emergent Cancer Reform Strategy (CRS). Due for publication Autumn 2007 the CRF addresses the ongoing challenges and opportunities within cancer care, these include the rising incidence of cancer, rising expectations of public and patients, impact of new technologies upon diagnosis and treatment and financial constraints. Within these key areas the themes of choice, equity, value for money and the delivery of holistic services underpin the reforms. Having had the opportunity to participate work streams from both chemotherapy and nursing perspectives, it is clear that the face of cancer care is set to change both in the nature of service configuration and the nature of care delivery.
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