Our Consultation had a its starting point the question, ‘What sort of NHS do we as a nation want?’ Using cancer care as our template, we brought together thought leaders from across society to help us shape the future of health care in this country. Change will require innovative thinking. It will require a willingness to think laterally about and learn from good practice in other sectors and internationally. This is not a time for tinkering at the edges of the problem. This is time for a radical rethink of our approach to cancer care and, by extension, to health care in general in the UK.