Two significant studies released today show that severe treatment delays combined with an ongoing workforce shortage have created a “toxic cocktail” in the field of cancer care.
Based on statistics analyzed by Cancer Research UK, almost 380,000 cancer patients have not received their prescribed treatment on schedule since 2015.
The charity examined the proportion of patients in England who began their condition’s treatment more than 62 days after receiving an urgent referral for suspected malignancy.
The last time this important NHS goal—that 85% of patients begin cancer therapy within 62 days—was reached was in December 2015.
It happens at the same time as the Royal College of Radiologists (RCR) reported that delays in cancer treatment are now “routine,” with over half of cancer centers reporting weekly delays in patient treatment.
The college also mentioned the “staggering” 15% and 30% shortages of clinical oncologists and radiologists, respectively, all of which are expected to worsen over the next years.
The RCR reports drew from surveys with a 100% response rate from clinical directors of radiology departments and heads of cancer centers in the United Kingdom.
According to the data, the proportion of cancer centers encountering significant delays has nearly quadrupled in a year. Specifically, 47% of them now experience weekly delays in the delivery of medicines like chemotherapy, compared to 28% the year before.
Similar circumstances apply to radiation, where weekly treatment delays are projected to increase from 22% in 2022 to 43% in 2023.
Ninety-seven percent of clinical directors who responded to the poll stated that delays and backlogs at work were brought on by a lack of workers. Demand “vastly outstrips” the cancer workforce’s capabilities, according to the RCR.
The average age of consultants quitting the workforce has decreased, from 57 in 2021 to 54 in 2023, according to the data. According to the RCR, a third of departing consultants are under 45 years old.
“Today’s reports reveal a stark reality: the workforce crisis in radiology and oncology is jeopardizing patients’ health,” stated Dr. Katharine Halliday, president of RCR.
We are committed to giving our patients the finest care possible, yet we are severely hampered by a chronic scarcity of workers.
“We just do not have enough doctors to safely care for the growing number of patients, and this issue will only become worse as demand rises and more medical professionals depart the NHS.
The severe strain on an already overworked institution, along with worn-out personnel and rising demand, combine to make our NHS a deadly brew.
“The incoming government must take action. Time is of the essence. In addition to working under tremendous stress, doctors have a strong sense of worry for their patients.
“We implore the new government to follow medical professionals’ recommendations and adopt an innovative approach to hiring, developing, and retaining personnel.”
The Conservative party stated in their election manifesto, which was released on Tuesday, that it was dedicated to lowering cancer waiting times and putting the recommendations from the Major Conditions Strategy—which was previously released and outlines how to improve care for six major diseases, including cancer—into practice.
A representative for the Conservative Party stated: “In the UK, cancer survival rates are still rising as more people receive early diagnosis of the illness. But we are aware that more has to be done.
“We have committed to taking decisive action, which is why we created 160 Community Diagnostic Centers across the nation, providing millions of scans, tests, and checks.
In order to guarantee that we have the workforce required to diagnose, treat, and cure cancer patients both now and in the future, we are also providing record numbers of doctors and nurses through our long-term NHS workforce plan.
“Only Rishi Sunak and the Conservatives will demonstrate the courage required to raise the standard of cancer detection, thereby sparing the lives of thousands of men and creating a better future for themselves and their families.”
“Every day counts in the battle against cancer,” stated Sir Ed Davey, the leader of the Liberal Democrats.
“However, an excessive number of patients continue to delay beginning treatment after receiving a diagnosis, and cancer-related delays have reached unprecedented heights.”