Cancer

Published: October 2023

Cancer is a major cause of avoidable mortality and morbidity both locally in Wakefield District and nationally. A significant proportion of cancers are related to population risk factors which can be reduced or prevented. In general, earlier diagnosis improves the likelihood of effective treatment and long term survival. 

Headlines

  • In Wakefield, a higher percentage of people who are eligible for screening are screened for bowel and cervical cancer compared to national levels. 
  • A similar percentage of cancers are diagnosed at an earlier stage (1 and 2) in Wakefield (53.5% in 2018-20) compared to the national level. The NHS Long Term Plan ambition included in the CORE20PLUS5 framework is to diagnose 75% of all cancers at stage 1 or 2 by 2028.
  • The incidence (new cases) of all cancer in Wakefield is significantly higher than the England level and has been for the last decade. Similarly, the incidence of trachea, bronchus and lung cancer in Wakefield is significantly higher than the England level. 
  • Mortality from trachea, bronchus and lung cancer in Wakefield is significantly higher than the England level. 
  • There is marked variation in cancer mortality rates across Wakefield District. Areas in the North East and South East of the district have seen higher rates of cancer mortality over the last decade. The most deprived areas of the district have higher cancer mortality rates than the least deprived areas.

How does Wakefield District compare…

nationally?

This section contains the latest nationally published data for Wakefield from OHID Fingertips – Public Health Profiles. Cancer data, including screening, for Wakefield GP practices, Primary Care Networks and sub-Integrated Care Boards are available at OHID Fingertips GP practice cancer indicators.

Compared to England national levels, Wakefield District has…

  • A higher percentage of people being screened for bowel cancer, with screening coverage of those who are eligible increasing over the last decade.
  • A lower percentage of people being screened for breast cancer. Coverage of those who are eligible dropped dramatically in 2021, as did regional and national levels.
  • A higher percentage of people being screened for cervical cancer in both the 25-49 and 50-64 year age groups, although screening coverage of those who are eligible in the younger age group decreased over the last few years (as did regional and national levels). 
  • A similar percentage of cancers being diagnosed at an earlier stage (1 and 2). 
  • A similar rate of mortality due to cancer in people aged under 75 years old, however a higher rate of mortality due to cancers considered preventable in the same age group.

in recent years?

Cancer incidence is the number people who are diagnosed with new cases of cancer. Cancer prevalence is defined as the number of living people who have ever been diagnosed with cancer. Cancer mortality is the number of people who have died from cancer. These measures are often written as the number of cancer cases per 100,000 people in the general population and can be shown within a set time period.

Cancer registration services and data have been affected by the COVID-19 pandemic, meaning that the latest available data for some data sources is 2020.   

  • The incidence (new cases) of all cancer in Wakefield is significantly higher than the England level (627.8 per 100,000 compared to 593.3 for 2016-20, the latest time period available); this has been the trend since 2010-2014. 
  • Similarly, the incidence of trachea, bronchus and lung cancer in Wakefield is significantly higher than the England level (97.7 per 100,000 compared to 75.0 for 2016-20).
  • Mortality from trachea, bronchus and lung cancer in Wakefield is significantly higher than the England level (72.6 per 100,000 compared to 52.0 for 2016-20). 

The interactive dashboard below can be used to explore the trends in cancer data over the recent years. Click on the buttons at the bottom to navigate between the different measures. Use the filters section on the left to explore the different breakdowns and time periods. Use ‘Focus Mode’ at the top right of any visualisation to expand the data.  Rates are not shown if there are fewer than 20 cases within the timeframe.  

What are the differences within Wakefield District?

cancer staging
  • As part of the national NHS England Core20PLUS5 approach to inform action to reduce healthcare inequalities, there is an early cancer diagnosis ambition of 75% of cases diagnosed at stage 1 and 2 by 2028. Cancers diagnosed at stage 1 and 2 in Wakefield are similar to national levels and have remained relatively stable at around 54% since 2014-16.
  • There is variation in the stages at which different cancer sites are diagnosed. Breast cancer has a higher rate of incidence than any other cancer site in women, however over 80% of cases were diagnosed at stage 1 and 2 in 2020.
  • Coupled with a higher rate of incidence, only around a quarter of lung cancer cases were able to be diagnosed at stage 1 and 2 in 2020.

The interactive dashboard below can be used to explore the differences in cancer staging. Use the filter on the left to explore the different time periods. Use ‘Focus Mode’ at the top right of any visualisation to expand the data. Cancer sites are limited to where staging completeness is 90% or higher and there are 10 or more cases in a year. If a cancer is unstageable or the stage data are missing, it is deemed incomplete data.

cancer inequalities
  • There is marked variation in cancer mortality rates across Wakefield District. 
  • Areas in the North East and South East of the district have seen higher rates of cancer mortality over the last decade.
  • The most deprived areas of the district have higher cancer mortality rates than the least deprived areas.

The interactive dashboard below can be used to explore the inequalities in cancer mortality and screening. Click on the buttons at the bottom to navigate between the different measures. Use the filters section at the top to explore the different inequalities and periods. Use ‘Focus Mode’ at the top right of any visualisation to expand the data. The chart and map are colour coded showing the comparison against the district average figure.

Further information

  • It is estimated that more than 4 out of 10 cancers in the UK could be prevented by lifestyle changes. Cancer Research UK provides a summary of statistics on preventable cancers. It identifies smoking as the largest single preventable cause of cancer each year, followed by overweight and obesity.
  • Information on the prevalence of smoking in Wakefield can be found by visiting the Smoking section.

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