National Cancer Plan

Lord Bethell Excerpts

Monday 9th February 2026 Lords Chamber

[Baroness Merron (Lab)]

I am sorry to hear about the member of the noble Baroness’s family.

To the point about treatment, by 2028, every cancer patient will have access to a personal cancer care plan via the NHS app. Tailoring treatment and support through the whole care journey is important, including before the care journey starts. It will be a complete innovation that we are not talking about rehabilitation but what we are now calling “prehabilitation”, to support people.

We are also investing £80 million in four new NHS aseptic medicine production hubs, which will be operational by next year, to increase the supply of chemotherapy and immunotherapy, using advanced automation.

To the points about hospices and palliative care, for some, treatment is not enough; it is about the timely and proactive availability of palliative and end-of-life care. That is what is going to make the difference to their quality of life. We are working with the royal colleges to deliver enhanced levels of care, known as acute and supportive oncology, to consistent standards, and that will integrate palliative and end-of-life care while supporting clinicians to provide the best treatment. We are delivering the biggest investment in hospices in a generation—some £100 million to upgrade buildings, facilities and digital systems.

[Lord Bethell (Con)]

My Lords, I echo the praise of other noble Lords for the report. Professor Peter Johnson has done an enormously worthwhile job, and there is so much richness and so many good things in the report.

I will put a spotlight on the unfortunate framing that catching cancer is, largely speaking and for the majority of people, simply a matter of bad luck. The report says quite clearly, under prevention:

“As much as a third of cancers are preventable”.


That is a very conservative estimation of the proportion of cancers that are preventable. Modern analysis would point to systemically preventable exposure to multiple risk factors, which are entirely clustered around class. This framing is incredibly important, because it leads to consequential decisions in the Treasury, among health colleagues and in the rest of government about what we should and could be doing as a society and as a Government to try to reduce the prevalence of cancer.

In Europe, the European Code Against Cancer puts prevention absolutely at the centre of the cancer plan. In countries such as Malta, Portugal and Spain, cancer reduction is not seen as something that is relegated to a paragraph in the introduction: it is absolutely front and centre of the whole cancer plan. It embraces all of health.

The noble Baroness, Lady Walmsley, mentioned screening and vaccines, but it is a shame that those are not much more front and centre and that the Government’s ambitions are not greater. Where are the targets on things such as obesity and clean air? These are the kinds of things that one would expect to see built into a cancer plan. In terms of the “all of government” approach, where is taxation and the planning system, mentioned in the plan as important levers for reducing cancer?

The bad-luck attitude to cancer is an old-fashioned clinicians’ bias that is no longer supported by the epidemiology. So, I ask the Minister, first, is it possible to perhaps review the research framework that has led to that kind of understatement of the preventability of cancer? Coming out of that, secondly, I ask the Minister whether she could perhaps consider looking at a cancer prevention plan, as they have in other countries?

[Baroness Merron (Lab)]

I am grateful for the noble Lord’s support for the cancer plan. I should have mentioned this. I will be honest: even as a Minister, I do not always pay full attention to the foreword, and I am sure that other former Ministers might share that, within a plan, but I commend this one to noble Lords, not least because the Secretary of State himself talked about his own experience of being told he had kidney cancer. He described his world being turned upside down. He talked about fear and foreboding, as does our Minister, Ashley Dalton MP. They both talked about fear and foreboding and the need to turn that round with action. That kind of drive, as well as the facts before us, drive this plan.

On the point about a cancer prevention plan and the question of where the strategy is for the reduction of obesity and so on, I say that this is a plan to be read alongside our other commitments. It builds on the 10-year health plan, which laid out the way we would be going forward with our shifts. This is about turning round the whole cancer pathway.

To the point specifically about prevention, I heard what the noble Lord said. We do not take the view that it is “just bad luck”. Where there is prevention, we should absolutely tackle that.

The plan tackles the causes head-on, not just by talking but with government action to cut smoking with the Tobacco and Vapes Bill, reduce obesity, act on alcohol harm and protect people from dangerous UV exposure, including through sunbeds. No one should lose someone to cancer that should have been prevented. We will not ignore the communities that are hit hardest. By having those preventions, we are supporting the communities that are hit hardest. Rolling out lung cancer screening more extensively will be one of the areas of importance.

I referred earlier to cancer alliances. They will promote, for example, new catch-up schemes to enable young people who have missed out on the HPV vaccination at school. They can have it administered at their local pharmacy. We are not leaving matters to chance. We are rolling out home testing kits for cervical cancer for those who do not go to appointments for a range of reasons, rather than offering only one opportunity.

In all these ways, the national cancer plan tackles the causes of cancer. We will continue to see that through. As the noble Lord knows, moving from sickness to prevention is a key factor in our 10-year plan.