Cancer is a disease that impacts on the lives of so many of us, either directly or indirectly. The desire to see cancer and its impacts tackled is something that strikes a chord in us all. I was greatly struck by the findings in the report of the National Cancer Registry, published June 9, that show clear links between older people living in deprived urban areas with higher rates of diagnosis of cancer and lower survival rates. The question is how best to act – and how to coordinate that action, particularly when, as highlighted by Dr Harry Comer of the National Cancer Registry, the issue is very complex.