Nigel Hawkes
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More than half of all cancer patients needing lifesaving radiotherapy are waiting longer than the Government’s “maximum acceptable delay” for treatment, according to a damning report.
The Times has been told that the paper shows huge variations in the delivery of treatments around the country, with many “black holes” where services are extremely poor.
The study, by the National Radiotherapy Advisory Group, has not been published and ministers have not indicated that it will be. But Professor Karol Sikora, a cancer specialist, said that it should provoke “an outcry for better provision”.
It mirrors a survey by the Royal College of Radiologists which concludes that radiotherapy waiting times are “unacceptable” and delays “reduce the chance of a cure and worsen outcomes in some patients”.
There has been an outcry over the availability of new cancer drugs but radiotherapy is often forgotten. “It’s the unsexy part of cancer treatment,” Professor Sikora said. “It’s as good as the drugs but isn’t thought of as being as exciting.”
The college’s audit shows that only a minority of patients are treated within even the targets set by the Government. In 2005, only 47 per cent of patients needing postoperative radiotherapy got it within the “maximum acceptable delay” of four weeks. In Wales the figure was a mere 26 per cent.
The audit followed earlier ones, in 1998 and 2003, and shows that waiting times have become longer since 1998, when around a third of patients waited for more than four weeks. The delays worsened considerably between 1998 and 2003 and have improved slightly since then.
The audit concludes: “It is imperative that waits for radiotherapy are reduced for all patients to maximise their chance of a cure.” The authors, led by Michael Williams, of Addenbrooke’s Hospital in Cambridge, added that “achieving this will require a planned programme of investment in staff, training and equipment.”
Professor Sikora, who has been clinical director of cancer services at Hammersmith Hospital and chief of the World Health Organisation’s cancer programme, said: “Systematic delays abound. Three months’ waiting time for radiotherapy is common.”
Yet cancer is seen by the Government as one of its successes. Cancer mortality in people under 75 fell by 16 per cent between 1996 and 2004 and an extra £639 million was invested in the three years up to 2004. “The year-on-year increase in funding has been staggering,” Professor Sikora said, adding that far more is needed.
Professor Sikora has recently set up CancerPartnersUK, which is talking to hospitals about building a chain of privately-funded cancer care units with the aim of reducing the distance patients must travel. Maps based on population density and existing services show where the need is greatest.
“Black spots” for cancer treatment (above) where people have to travel long distances, abound around the M25, the South Coast, in the North West and North East of England.
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Radiotherapy shuts down the immune system and the kydneys, making you susceptible to the common cold, etc., why take it? N-TENSE extracted from the graviola tree is natural has no side effects, and actively and selectively seeks out cancer cells and kills them. Other helpful natural treatments are vitamin B17, lactoferrin, green tea, echinacea.
PHILIP MARTIN STILLIARD, TWICKENHAM, MIDDX, UK
Deborah ~ I agree, I cannot fault the NHS for my diagnosis and treatment except the delay in radiotherapy. I had radiotherapy Oct/Nov 05 following chemotherapy and surgery. I had a 12 week wait, when I spoke to the department I was told there was a national shortage of trained staff so I waited ~ at the time I didn't have a lot of push in me, now I regret not making more of a fuss to have my treatment at another Hospital. To add insult to injury the trust asked for £25 admin charges for signing my HSA form! No help with the 15 trips to the Hospital or free parking! The HSA came up trumps though, they excepted my appointment card in lei of a signature and I got my money. The £25 was donated to a cancer charity.
PS~ I'm still well and hopefully will stay that way!
Rosemary , Deal,
It is all very well for Karol Sikora to pursue building privately funded cancer units, has anyone asked him the question "who will staff these units?". as you are already probably aware of, is the shortage of skilled professionals to deliver the specialist treatments, both from the clinical and technical support aspects. The chances are that staff will be taken form existing NHS and therefore common sense dictates that the problem will not be resolved.
Incidentally I work in the NHS within a cancer centre which provides both chemotherapy and radiotherapy.
Concerned, Leicester, UK
My 73 year old father had a course of radiotherapy last year. This was shortly followed by removal of his cancerous lump. The lump was found to be free of cancer, completely zapped by the radiotheray. At no time was there any delay in his treatment and as a family we have nothing but good words to say about the NHS.
My point is that yes the NHS is not perfect. However, when do we hear positive stories about the NHS? Happy stories don't tend to make the news unfortunately.
And when will we as a society start appreciating what we have got in the UK, and that it far surpasses health care provision in the US for instance.
Deborah Towers-Best, Tallahassee, USA/Florida
Where has all the Billions of £s raised through Charity gone, Is there a hidden surplus in the Funds. We could do better,another area "not fit for purpose".
Sad Case, here/there, My/hopeless
The report shows that there are, "shows huge variations in the delivery of treatments around the country, with many black holes where services are extremely poor."
Comments thus far appear to prove that really is the case and that the National Health Service is NOT a National Health Service other than in the minds of politicians, that it has deteriorated into a complete postcode lottery system and that treatment and the provision of drugs and medicines depend entirely where you live with variations between regions and between England, Scotland and Wales. WHY?
That is pathetic and an indictment of policies relating to the provision of services, drugs and treatment in Britain.
Kenneth Armitage, Suffolk, England
My late wife, suddenly diagnosed with ovarian cancer, was kept in the wrong (gynae') ward for eight weeks while the disease developed. They did not ascertain she had salt deficiency, hence could not operate on first date set. She was sent home during this period twice, to deteriorate rapidly. None of this was helpful to the NHS or this lovely woman.
Admission to a proper cancer ward elsewhere and chemotherapy was beneficial but not permanent.
There is now a huge screening trial for Ovarian Cancer and it is supposed to be O.C. Awareness Month (or just passed).
Admission to a cancer ward (or not), or diagnosis of cancer, brings confusion and lack of information, until often it is too late to be assertive.
G, Notts.,
There are more important items on the government's agenda like £10,000 each for setting up a website. Get your priorities right!!!
shirley bowen, Blackpool,
I am a pateint at MRI - Manchester Royal Infirmry and the treatment there is absolutley brilliant!
However the local surrounding small hostpitals apear to suffer as a result and have a very poor reputation.
It must be difficult to have to work under the shadow of such a fine well run establishment as the MRI or is it a goal set at a level that others should try to atain?
Tony Hodgson, Bowdon Cheshire, England
Everybody is shouting that their needs are the greatest.
The NHS does not have endless supplies of money.
People who have contributed to the NHS by working should have priority care.
The NHS should stop treating NHS tourists.
People who move here should be told to get their own private health care. They have contributed nothing to the NHS.
Elderly people who have paid in to the NHS for years - they are being denied treatments which would improve their quality of life.
sue, southampton, uk
This is absolutely disgraceful . After all the money the taxpayer has thrown at the NHS since Nulab came to power what load of patronising drivel will Hewitt now come out with to excuse her blundering incompetence .
Murdo, Aberdeen, United Kingdom
Let me see, England imports 50% of its GP"s. Cannot even clean its wards/(how archaic). Has more paperwork than even here. Just try to think of ANYTHING the Government does that YOU could not run better.. Remember Governments measure process not results.. There are a lot of English Dr's here, not GP's.
Desmond Taylor, Houston, TX