Cancer strategy 2023 to 2033

Foreword from the Cabinet Secretary for NHS Recovery, Health and Social Care

Despite recent advances, cancer remains the largest burden of disease across Scotland and has seen an ongoing increase in incidence. However, alongside this trend, we are seeing reduced death rates, with an 11% reduction over the last 10 years.^[1] Looking forward, cancer incidence is projected to increase due to Scotland’s ageing population, with the risk of developing cancer more common among older people, which requires increases in diagnostic and treatment capacity for each person with cancer.^[2]

In line with the First Minister’s Policy Prospectus published in April 2023, we are focusing on improving cancer outcomes through better prevention and diagnosis. We continue to strive for earlier diagnosis as we know this is critical to improving outcomes and survival. As well as being able to provide more curative treatment, we also recognise the importance of treatments to extend life and the provision of holistic palliative care. All of these aims must be underpinned by the principles of person-centred care and an understanding of what matters to every individual with cancer.

We have listened to your views through a public consultation and focus groups, and through engagement with national, regional and local networks of clinical and management representatives. Thank you so much for taking the time to share them.

Our strategic intent is now clear – to improve cancer survival and provide excellent, equitably accessible care.

Our 10-year vision for our health service is that More cancers are prevented, and our compassionate and consistent cancer service provides excellent treatment and support throughout the cancer journey, and improves outcomes and survival for people with cancer.

This strategy has people living with cancer, their families and carers at its very heart, with a focus on reducing inequities in access to cancer care and cancer outcomes, recognising each person’s time of need. Focussing on all people with cancer, the strategy aligns with the Cancer Strategy for Children and Young People 2021–2026 that reflects the distinct needs of children and young people.

Our focus on the four key principles of person-centred care – compassion, personalisation, coordination and enablement – provides the foundation for our approach.^[3] By 2033 we will improve cancer survival, particularly among the currently less-survivable cancers such as lung cancer. Strong public health interventions will mean more cancers are prevented, and those who require diagnosis and treatment will have prompt access to quality services, all with the strategic focus of improved survival and excellent care, no matter where someone lives.

To all those who have been involved in developing this strategy, and will be involved in its delivery, I thank you for your invaluable work and contributions. I’ve been very clear that cancer must remain a priority within our NHS, as well as delivering this strategy along with the associated Cancer Action Plan for Scotland 2023-2026. It will be crucial to continue this prioritisation, while taking all opportunities to further improve experience of our cancer services.

Michael Matheson MSP Cabinet Secretary for NHS Recovery, Health and Social Care