This report (downloadable as summary report or full report) shows marked improvements in treatment and survival of Irish cancer patients over the period 1994-2004. However, geographic disparities in treatment and survival (at the level of HSE administrative area) are still evident, although reduced to some degree. These findings highlight the need to improve access to consistent levels of care for Irish cancer patients, a major aim of the National Cancer Control Programme and the ongoing reorganization of cancer treatment services.