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Esther Nzenza

Esther Nzenza

Senior Partner, Global Value and Access

What the National Cancer Plan for England Signals for Oncology Innovation and Access

Last updated: February 12th, 2026

The National Cancer Plan for England: Delivering World Class Cancer Care, published on World Cancer Day, February 4th, sets out the government’s priorities for cancer care over the next decade. The Plan places strong emphasis on improving outcomes through earlier diagnosis, faster access to treatment, and more consistent adoption of innovation across the NHS, and provides useful context for manufacturers on how access to new cancer treatments is expected to be delivered in practice.

What Specific Access Commitments The Plan Sets Out

The Plan sets out a number of specific commitments relevant to access to cancer treatments and the adoption of innovation. In particular, it highlights:

  1. Earlier access to new cancer treatments through existing mechanisms
    The Plan reaffirms the role of the Cancer Drugs Fund in enabling earlier patient access to promising cancer treatments, noting that patients in England currently receive new cancer treatments around 50% faster than the EU average. It confirms that the Fund will continue to play a role in providing earlier access to new treatments.
  2. Faster regulatory and funding timelines
    The Plan points to further acceleration ahead through a joint NICE-MHRA process, due by April 2026, intended to speed up licensing and appraisal timelines so that NHS funding recommendations for new medicines can be made more quickly.
  3. Challenges adopting innovation at scale
    The Plan acknowledges that, despite the UK’s strength in cancer research and development, evidence-based innovation has not always been adopted at scale and at pace within routine cancer care, highlighting the need for more consistent implementation of new treatments across services.
  4. A clearer pathway for cancer innovation
    The Plan signals the development of a clearer innovation pathway, positioning cancer as an exemplar condition for how new diagnostics and treatments are identified and adopted within the NHS.
  5. Clinical trials as a core enabler of future access

Clinical trials are positioned as a critical component of the cancer innovation ecosystem. The Plan commits to establishing a Cancer Trials Accelerator Program to increase the speed, scale, and reliability of cancer trials across the UK, alongside ambitions to streamline trial delivery and increase recruitment into cancer clinical trials.

What These Commitments Mean for Access Expectations

Taken together, these commitments point to a framing of access that emphasizes speed, scalability, and delivery in practice. Approval remains a necessary milestone, but the Plan increasingly focuses on how new treatments can be adopted efficiently, consistently, and at scale once they enter the NHS.

In this context, access is less about availability in principle and more about whether innovation can be delivered reliably in routine care.

What The Plan Means for Manufacturers Planning Oncology Launches

For manufacturers planning future oncology launches, the National Cancer Plan reinforces that approval is no longer the sole determinant of access. As access timelines accelerate and expectations around delivery rise, there will be increasing value in understanding how therapies will be introduced into routine care, how they align with existing pathways, and where implementation friction could arise once approvals are secured. Earlier consideration of implementation, capacity, and service readiness may increasingly differentiate therapies that will move quickly into practice from those that will struggle to gain traction.

Our Global Value and Access expert’s understanding of access to cancer innovation is informed by direct experience. Our expert team includes consultants who have worked within NHS oncology services and understand the clinical, operational, and service-level realities that underpin access decisions.

We bring deep experience of supporting oncology access strategy, including HTA and JCA activities, informed by how cancer care is delivered in practice.

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FAQs on the National Cancer Plan for England

1. What is the National Cancer Plan for England?

The National Cancer Plan outlines the UK government’s strategy to improve cancer outcomes in England, including commitments on earlier access, regulatory timelines, the adoption of innovation, and clinical trials.

2. How does the National Cancer Plan affect oncology market access?

The Plan places greater emphasis on speed, scalability, and consistent implementation of innovation within routine NHS care, beyond regulatory approval alone.

3. Why is adoption at scale becoming more important in oncology access?

The Plan highlights that evidence-based innovation has not always been consistently adopted across services, signaling an increased focus on implementation and delivery in practice.

4. What role do NICE and MHRA play under the new Plan?

A joint NICE-MHRA process, due by April 2026, is intended to accelerate licensing and appraisal timelines, enabling NHS funding recommendations to be made more quickly.

5. What should oncology manufacturers consider in response to the Plan?

Manufacturers may need to consider implementation readiness, service capacity, pathway alignment, and HTA/JCA strategy earlier in oncology launch planning.

References:
  1. UK Government. National Cancer Plan for England: Delivering World Class Cancer Care. GOV.UK, https://www.gov.uk/government/publications/national-cancer-plan-for-england. Accessed 12 Feb. 2026.

    UK Government. “Three in Four Cancer Patients to Survive Long Term under New Plan.” GOV.UK, https://www.gov.uk/government/news/three-in-four-cancer-patients-to-survive-long-term-under-new-plan. Accessed 12 Feb. 2026.

Meet the Authors

Esther Nzenza

Esther Nzenza

Senior Partner, Global Value and Access

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Herspiegel is a leading professional services firm helping biotech start-ups and the world’s largest pharmaceutical companies navigate the path from science to brand performance and change patients’ lives. We are committed to using strategic insights from medical to commercial to market access to solve critical problems.