More than six million people in England could be diagnosed with cancer by 2040, according to a coalition of 60 cancer charities. This projection would mean someone is diagnosed with cancer every two minutes, a surge driven by lifestyle factors and an ageing population, experts say. The coalition, One Cancer Voice, is pressing the government to act swiftly by setting early diagnosis targets and introducing more robust cancer prevention policies.

Michelle Mitchell, chief executive of Cancer Research UK and a spokesperson for One Cancer Voice, stressed the widespread impact of cancer. “Nearly one in two of us will be diagnosed with cancer in our lifetime – everyone will be impacted by the disease, whether they receive a diagnosis themselves or have a friend, family member or loved one who does,” she said. The new figures show a 14.2% increase over the next 15 years, which would add roughly 6.3 million cases by 2040, building on the 5.5 million diagnoses recorded over the past 15 years. Common cancers such as breast cancer are expected to reach unprecedented levels, with estimates suggesting 906,000 breast cancer cases alone in the next decade and a half.

Leading oncologist Professor Pat Price highlighted that the main drivers of this surge are demographic shifts and lifestyle-related risks. He warned that NHS cancer services are already overstretched, causing delays in lifesaving treatment. “This surge will push the system past breaking point, and not enough is being done about it,” he said. “Unless we act fast, more people will be diagnosed and die needlessly. Ministers must ensure the upcoming cancer plan is fully funded, boosts treatment capacity, and ends delays to treatment.”

Geographically, the South East of England is expected to see the largest rise in cancer cases, with over one million diagnoses forecast by 2040, followed by the North West at approximately 865,000 cases. The East of England, South West, and London are projected to register around 700,000 cases each. These regional disparities largely reflect population size and age profiles. However, Matt Sample, senior policy manager at Cancer Research UK, pointed out that individuals in poorer areas remain disproportionately likely to receive late diagnoses and face greater obstacles in accessing optimal care. “This is unacceptable, and it needs to change,” he said.

In response to this looming healthcare crisis, the Department of Health and Social Care launched a call for evidence earlier this year to help shape a national cancer plan, expected later in 2024. One Cancer Voice has set out six key demands for the plan, including a commitment to meet all cancer waiting times by 2029, improved early diagnosis targets, enhanced screening programmes, stronger prevention policies, tackling inequalities in care, greater access to clinical trials, and better support for patients living with and beyond cancer.

Recent NHS data underscores the urgency: more than one in four patients undergoing urgent cancer evaluations experienced waits exceeding 28 days for a confirmed diagnosis. Ms Mitchell described the forthcoming cancer plan blueprint as a potential “defining moment.” She emphasised that “if the UK government delivers an ambitious, fully funded strategy, we could save more lives and transform cancer outcomes, propelling England from world lagging to among world leading when it comes to tackling this disease.”

Professor Sir Mike Richards, former national cancer director and chair of the National Screening Committee, echoed this sentiment. Reflecting on the impact of the previous NHS Cancer Plan, he remarked that consistent funding would be crucial to realising improvements that could make England a global leader in cancer survival rates. “This will save money in the long term and ensure a better future for generations to come,” he said.

Supporting the urgency of these projections, data from Cancer Research UK indicates that the number of new cancer diagnoses annually in the UK is expected to rise from around 420,000 in 2023-2025 to approximately 506,000 by 2038-2040, representing a 2% increase in age-standardised incidence rates. The rates for males are projected to rise slightly faster than for females over this period.

The economic implications are significant as well. A report by the Organisation for Economic Co-operation and Development (OECD) estimates that cancer could add an additional £14.4 billion to UK health spending annually until 2050, driven by rising incidence and an ageing population. The UK’s health expenditure on cancer is projected to increase by 52% per capita by mid-century, highlighting the pressing need for effective prevention and treatment strategies to mitigate long-term costs.

Moreover, a broader health forecast from the Health Foundation anticipates that nine million people in England will be living with major illnesses, including cancer, by 2040—an increase of 37% since 2019. This growing burden underscores the colossal challenge faced by the NHS, social care services, and public finances, requiring urgent and strategic policymaking.

Despite rising incidence, survival rates have improved in recent years, although late-stage diagnoses remain a concern. Nearly half of cancer cases diagnosed in England in 2018 were at stage 3 or 4, which significantly reduces treatment options and outcomes, according to Cancer Research UK.

Ultimately, the predicted rise in cancer cases calls for a multi-faceted response prioritising prevention, early intervention, equitable access to care, and sustained investment. With cancer diagnoses expected to soar and health services already under pressure, the upcoming national cancer plan represents a critical opportunity to reshape cancer care in England for decades to come.

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Source: Noah Wire Services