Editorial notes good evidence that health system factors are important in creating and exacerbating unequal outcomes exists and these should be addressed through policy, though effective strategies are likely to extend beyond healthcare, as factors such as stability of employment, geographical isolation, and requirement for family support also have an important effect on ability to access care, particularly for those with fewer resources. It adds that the goals of the NHS Cancer Plan to save lives and ensure that the gains were evenly shared remain critical, but the methods to achieve them need more work.