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<p>NHS England expects that the treatment and care for patients with Cancer of Unknown
Primary reflects patients' needs and preferences and that services are provided taking
into account National Institute for Health and Care Excellence (NICE) guidelines.</p><p>
</p><p>Public Health England leads on developing a public health strategy for England
which aims to tackle ‘upstream' factors to reduce risks from cancer caused by tobacco,
alcohol and obesity and to promote health through improved diets and exercise promotion.
The National Health Service has a key role to play in supporting local authorities
by commissioning smoking cessation services, specialist alcohol services, as well
as through raising awareness of lifestyle risks with people who are in contact with
NHS services and providing intensive support where needed.</p><p> </p><p>Alongside
supporting Public Health England to increase symptom awareness amongst the general
population, NHS England is also working to increase cancer symptom awareness amongst
healthcare professionals, and to provide support to general practitioners in early
diagnosis.</p><p> </p><p>In 2013-14 NHS England made £2.3 million available to support
improved symptom awareness and early diagnosis. The majority of this funding was provided
to strategic clinical networks which have the function of coordinating a more strategic
approach to the development of cancer commissioning and provision in England. They
also support early diagnosis through delivery of transparent data about performance
in outcomes. For example, new indicators on stage of diagnosis of cancer and diagnosis
through emergency routes are being introduced as part of the clinical commissioning
group (CCG) outcomes indicator set in 2014-15. This will support CCGs to understand
how their local communities are performing in relation to cancer outcomes.</p>
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