To maximise return on cancer research funding, anchor every project in outcomes that matter to patients, require interoperable data and open science, and design for scale from day one. Use technology to compress timelines, and structure partnerships so each stakeholder de-risks a specific phase. In paediatrics, collaborate across borders and include survivorship by design; in breast cancer, invest in prevention, precision therapy, and equity. Measure success not only by publications or a cancer research impact factor, but by improved survival, quality of life, and fair access to innovation.


