We are seeking to make progress on the recommendations in the report entitled "Ensuring PbR supports the delivery of effective cancer services" as soon as practicable. Copies of this report have been placed in the Library. Some recommendations have already been implemented, such as the establishment of an Expert Reference Panel for cancer. Other issues require further work and discussion before changes can be implemented, such as coding for chemotherapy and radiotherapy, currently being considered by National Cancer Action Team working groups. This work programme is in line with the commitment to further develop payment by results for cancer services made in the "Cancer Reform Strategy" (copies of which have already been placed in the Library).