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Background The aim of a cancer care system should be to give all patients access to a high-quality care that covers all components of the cancer continuum from early diagnosis to treatment and palliative care. Fragmentation of health services providers among different levels of care and lack of coordination among them is the main obstacle to achieving the desired continuity of patient care. Results These can be summarized in the following main outputs: Strategies to improve cancer outcomes in pancreatic cancer as case study. A consensus among relevant stakeholders was developed and analysis of outcomes in several countries will be presented to support the proposed measures.Impact of Information Technologies on Multidisciplinary care will have consequences on the way care is organized.Comprehensive cancer care networks (CCCNs) are based on tumor specific management groups. Patient pathways are to provide continuity of care along the whole chain of health care, while quality of care will be measured using tumor specific quality indicators and Patient Reported Outcome Measures and a process for continuous quality improvement must be in place. The CCCN concept will be implemented in two pilot sites and the implementation process will be evaluated. Conclusions Development of strategies on how to improve outcomes for pancreatic cancer Development of a list of quality indicators for different areas of cancer care Criteria and standards for CCCNs and their implementation in two sites Definition of patient pathways in cancer care and their practical implementation Amend the existing structure of National Cancer Control Programmes to include all the challenges mentioned above. Key message International expert collaboration across countries with the support of the EU provides an excellent framework for the development of important policy responses to the current challenges in the organization of cancer care.

Tackling challenges in cancer care and improving its governance in the European Union