Efficiency in cancer care is essential for improving patient outcomes and experience, optimizing resource utilization, and ensuring healthcare systems performance. As cancer rates rise globally, timely and coordinated care is crucial. All.Can International, jointly with the Health Value Alliance and the University of Southampton, previously identified eight efficiency metrics as a foundational starting point for standardising measurement along global cancer care pathways (1). This study identifies the enablers and barriers to implementing these metrics at national and organisational levels.