More than 15% of Horsham and Mid Sussex Clinical Commissioning Group’s cancer patients started treatment at least two months after GP referral, missing the NHS target.
During 2017, 755 total cancer patients were referred to hospital urgently by their doctors, but 134 did not start their treatment within 62 days, according to NHS figures.
The government has a target of 85% of all referrals to have treatment start within two months.
This is to allow for the minority of patients who choose to delay their course of treatment, which may be chemotherapy, surgery or radiation therapy.
In Horsham and Mid Sussex CCG 82.3% of patients began treatment within two months of an urgent GP referral, below the NHS target.
That is higher than 2016, when 79.4% of patients started treatment two months after referral.
The best record is in South Cheshire CCG where 93% of cancer patients started treatment within two months. But in Thurrock CCG, Essex, it was just 59%.
Dr Jeanette Dickson, vice president of clinical oncology at the Royal College of Radiologists, said that while the figures “are a cause for concern” they are a slightly crude measure for judging cancer diagnosis.
“In an ideal world we would want it to be 100%,” Dr Dickson said.
However, she explained getting from the GP to treatment is a complicated process requiring many different appointments and staff.
“There is currently a shortage of radiologists (doctors who give X-rays), and to a lesser extent oncologists (doctors specialising in cancer).
“Some people will choose to delay the treatment beyond the two month time period.”
Dr Dickson said the time periods required for treating different forms of cancer are vastly different.
“With your average male prostate cancer patient, you will do nothing but examine and watch for ten years.
“However, with tongue cancer or aggressive lung cancer you need to start treatment within three weeks otherwise it’s likely the patient will have less chance surviving.”
Across England the percentage of patients starting treatment within two months has dropped from 87.1% in 2012-2013, to 82.1% in the first three quarters of the current financial year.
The operational target hasn’t been hit since 2013.
Sara Bainbridge, from Cancer Research UK, said: “We know that local hospitals are making every effort to meet this target, and other cancer waiting times improved from January to February.
“Part of the reason why hospitals are struggling to meet the target is because NHS diagnostic services are short staffed.
“We need the government to make sure there are more staff to deliver the tests and treatment that people need on time.”
An NHS England spokesman said: “Cancer survival is now at its highest ever, and over the past year the NHS treated more patients within the fast-track waiting target than the year before.”
Source data <https://www.england.nhs.uk/statistics/statistical-work-areas/cancer-waiting-times/>