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Prevention, survivorship highlighted in England's cancer plan update.

September of this year, all 12- and 13-yearold girls will receive the HPV vaccine. The following year, the health service will provide a catch-up program for girls up to the age of 18 who haven’t received the vaccine for HPV. Unlike prevention, cancer survivorship was largely absent from the original cancer plan. To that end, the reform strategy announced the creation of a national cancer survivorship initiative that will connect government, cancer charities, doctors, and patients to improve services for people living with cancer. “It’s going to bring all major stakeholders together to try to understand these models of followup better and try to work out how we can develop more personalized care for cancer survivors,” Foot said. Part of improving survivorship is understanding the factors that contribute to it. Cancer survival rates in England are fairly low compared with those in the rest of Europe — on par with Eastern European countries that spend far less on cancer care, according to last September’s EUROCARE-4 study, a pan-European comparison of cancer rates. A major reason for the low survival rates, Foot said, is late diagnosis. At issue is “what can we