What is the cancer registry?

When you are diagnosed with cancer in the UK, some information about you, your cancer diagnosis and your treatment is collected in a cancer registry. This is used to plan and improve health and care services. Your hospital will usually give this information to the registry automatically.

There are strict rules to make sure the information is kept safely and securely. It will only be used for your direct care or for health and social care planning and research.

How is the information collected?

Each country in the UK has its own cancer registry. Your hospital will automatically send information about you or your child to the registry, unless you ask them not to. You do not have to do anything to have your information included.

You have a right to choose not to have information about you or your child stored in the registry. This will not affect the care that you or your child is given.

What information is collected?

The registries contain information about each person who has been diagnosed with cancer, including:

  • name and address
  • age
  • gender
  • date of birth
  • type of cancer
  • when and how they were diagnosed
  • what treatments they have had.

Personal information, such as your name and address, is collected to make sure that all the information about you is accurately linked together and that you can be contacted about your care or treatment if necessary.

They may also include information about outcomes, such as a date that treatment has ended, or a date and cause of death if someone has died.

What is the information used for?

The cancer registries give information about cancer at a national level. They record:

  • how many people are diagnosed with cancer
  • what treatments they have
  • how well treatments work.

This information is used to help understand cancer better and ensure that people living with cancer are receiving the best possible care and support. It is used to:

  • provide national cancer statistics
  • plan and monitor NHS cancer services
  • find where new cancer services or improvements are needed
  • check if someone having tests or treatment for cancer has a family history of the disease
  • contact people if there is new information about long-term side effects of a treatment they have had in the past
  • help with cancer research.

Sometimes, information in the cancer registries is linked to other data, such as what people have said in the Cancer Patient Experience Survey (CPES). Patient experience surveys show how people felt about the care they were given. Linking these two sets of data means we can compare things like cancer type, treatment and location with patient experience. This could help identify areas where care is very good and areas where care could be improved.

The aim is for cancer registries to contain data on all cancer patients. The more data they include, the more useful they are.

Who can see the information?

Your information may be shared with your healthcare team to help with planning your individual care. Doctors can only see information about their own patients.

The information in the cancer registries is also used by organisations planning health and social care services, and by organisations or individuals carrying out research related to health needs.

Is my information safe?

As with all medical records, there are strict rules to make sure the information is kept safely and securely. Information about health is sensitive, so by law it has to be kept under the highest levels of security. Cancer registries are held on secure computer databases with tightly controlled and restricted access.

If people or organisations, such as the NHS, need to access information in the registry, there is a carefully managed legal process to go through. Information in the registry can only be used for health and social care planning and research purposes, unless you give your consent for it to be used for another purpose. The information is always used with names and addresses removed (anonymously), unless you have given your consent for those details to be shared, or permission has been given after a strict approval process.

Are there any risks?

We know that people have worries about privacy and data security. All medical information, whether on paper or on a computer, has the potential to be lost or stolen. This is called a security breach.

The risk of a security breach involving the cancer registry in the future is extremely small.

There is a very small risk that a person could be identified from data about them in the registry, but this would be very difficult to do and is against the law.

How do I find out more?

If you have any questions, you can find out more on the websites of the organisations that manage the registry in your country:

Your healthcare team can also help you find out more about the cancer registry where you live.

How can I ask for my data not to be stored?

If you do not want you or your child’s information to be included in the registry, you will need to contact the cancer registry in your country directly and opt out. You can find out how to do this from the relevant cancer registry website above or by asking your healthcare team.

Cancer registries and Macmilan Cancer Support

Macmillan Cancer Support works with the cancer registries in the UK to do research into the numbers, needs and experiences of people affected by cancer. We do this to help us raise awareness of cancer and improve cancer services in the UK. Using cancer registry data helps us to understand the experiences of a very large number of people in a cost-effective way.

The researchers who analyse the cancer registry data on behalf of Macmillan work at the registry. They have full ethical approval to access patient data and they follow strict security procedures. Macmillan Cancer Support does not have access to any information about any individual person.