This week we released a new report, Cancer Diagnosis and Treatment - a 2021 Projection. The document paints a somewhat chilling picture of the challenges we face in the near future: with our ageing population, the cost of cancer care in the UK is predicted to rise a staggering 62% within the next decade.
The implications of this are far reaching. Cancer affects one in three of us. It's unlikely that, as you read this, you can't think of someone who has been touched by cancer in some way.
Yet living in our era we have been blessed with huge leaps forward in cancer therapy. A study published last month by Macmillan Cancer Support revealed that, on average, cancer patients can expect to live six times longer today than they did in the 1970s (though this up-beat figure masks huge variations in improvements in the different types of cancer).
Certainly in our society, we have grown to expect the highest quality of care for our cancer patients. But cancer poses a unique challenge to healthcare systems. It is hugely expensive, both to treat and to diagnose effectively.
Cancer care invariably involves cutting edge technology, be it imaging, radiotherapy, laser surgery or targeted drugs. Novel procedures using nanotechnology or the 'cancer vaccines' may not be far from clinical reality. Impressive though these developments may be, they come at a price.
The report looks at the public, private and voluntary sectors in the UK and estimates that in 2010 approximately 318,000 people were diagnosed with cancer at a cost of some £9.4billion. That's the equivalent of £30,000 per cancer patient. Based on these projections, the UK will need an extra £5.9 billion in 2021 to cope with the rising burden of cancer. In an already struggling global economy, how long can society continue to foot the cancer bill?
It is ironic that, in many ways, healthcare is becoming victim (or should I say patient?) of its own success. Never before have we lived so long - and the longer you live, the more likely you are to develop cancer.
To cope with the rising costs of cancer without creating a gulf in care between the rich and the poor, an overhaul to how we approach national cancer therapy will be needed.
To help ensure cancer treatment remains affordable, policies will need to look at how to better manage the introduction of new technologies and therapies. A greater focus on care at home, encouraging better relationships between private and public healthcare, and an emphasis on empowering patient choices are all likely to play a role too.
The government's Health and Social Care Bill is already paving the way for many of these approaches. Let us hope that, if handled well, the changes to our healthcare system will be enough to promise our children the same quality in cancer care that we have grown up to expect.
Follow Dr Sneh Khemka on Twitter: www.twitter.com/drsneh
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You make some interesting points about the cost and there is an obvious correlation of interest between your organisation and the NHS.
One thing that is missing from your article is that of Cancer Survivorship and Care and Compassion for the Patient. You are correct in that costs are going to rise dramatically with many more people surviving, but many thousands of these people are surviving with issues such PTSD, Late Effects of Treatments, Depression and other treatment related effects.
Many of these issues can and should have been 'headed off at the pass' before they become embeded into the patient. Care and perhaps a Holistic approach to Cancer Patients in the UK is very, very patchy and is simply just not good enough.
Yes, this will cost more to manage and 'hold the hand of the patient' throughout their individual journeys, but the cost of not doing this in the long term is dramatic.
We must not and never forget that treatments and the whole of the Cancer Industry is based on one thing - the person lying in the bed suffering with cancer.
Their care is absolute to the whole process irrespective of its cost
Peter Thomas
Cancer Survivor
Wales
We need to collectively approach the subject of how we make sustainable that which we have now - good access to treatment. The costs we predict are so significant that I fear that we will be fighting a losing battle in making sure we can afford to treat everyone properly.
You are correct and I do agree with you on the costs - it's absolutely frightening and it is very difficult to see how you can change or do anything different.
However, having spent a lot of time on steering groups, committees and conferences as a 'patient representative', I see continually the over emphasis on budgets, targeted kpi's and many other distracting issues that people spend far to much time focusing on - and forget as I mentioned, the patient.
Yes, a collective approach is needed and maybe, just maybe the cooperation of the the private sector to. But a simple, clear and patient lead policy is critical and fundamental across the whole if the uk before anything can be looked at.