UK trails behind EU in cancer diagnosis & treatment

British patients have worse survival rates after five years – the international benchmark for measuring the quality of cancer care – compared to the European average in nine out of ten cancers – only exceeding the EU average in melanoma. 

Despite the increasing burden of cancer on society, the UK spends over 20% less per person on cancer than the top five EU economies; 20% less of its total health budget on cancer than the rest of the EU; and 10% less of its GDP on healthcare than the rest of the EU.

The report, commissioned by the ABPI, is a UK focused analysis which builds on the Swedish Institute for Health Economics’ (IHE) ‘European Cancer Comparator Report’, which reported on the state of cancer care in Europe over a 20 year period from 1995 to 2014. The new analysis is launched alongside an online toolkit which – for the first time – means the data can be used to easily compare UK and EU cancer care. The findings highlight the impact of lower investment in NHS cancer care than many of our European neighbours:

On cancer survival:

• UK cancer survival rates lag behind the European average in 9 out of 10 cancers
• If the UK achieved the cancer survival rates of Germany, over 35,000 more people would be alive five years after diagnosis
• The UK has the second worst survival rates for lung cancer – 8% of patients surviving more than five years (ahead only of Bulgaria – 7%). European average is 12.62%.
• The UK has the second worst survival rates for pancreatic cancer – 3% of patients surviving more than five years (ahead only of Iceland – 2.56%) European average is 5.84%.
• If the UK had the mortality rates of France, more than 100,000 women’s deaths could be prevented over the next ten years.

On patient access to medicines:

• Access to cancer medicines is consistently lower than most European countries.
• Across a sample of six commonly used cancer medicines, on average UK patients have lower levels of access than comparable EU countries

The report shows that, across Europe, increased investment in cancer care leads to improved patient outcomes. This includes investment in early diagnosis, patient access to optimal treatments – including surgery, radiotherapy and medicines – and support for cancer survivors.

The report also reveals the extent to which scientific breakthroughs achieved in the last 30 years have contributed to treating cancer more effectively, as the proportion of EU spending on cancer medicines compared to total cancer spending has risen from 8% in 2005 to 25% in 2014. Despite this, spending on cancer care has remained relatively stable as patients are kept out of hospital for longer. Investments in cancer medicines should rightly be viewed in this broader context.  

Cancer medicines introduced in the last five years account for only 10% of the total cancer medicine costs in a given year, suggesting the UK is using older medicines. 

Emma Greenwood, Cancer Research UK’s Director of Policy, said: “5-year cancer survival in the UK has improved but overall we still lag behind other similar countries, except for breast cancer, where the UK is narrowing this gap.  The report’s focus on the importance of data collection to better understand the value of new cancer drugs is welcomed, as is its call to find improved ways of making drugs available to patients that would benefit. But if survival is to improve the UK needs to get better at diagnosing and treating cancer earlier to give patients the best chance of surviving their disease.”