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Independents' Day

GP urgent cancer referrals fell by 60% in April

The number of urgent cancer referrals made by GPs in April declined by 60% year on year, according to the latest NHS England data.

There was a total of 79,573 urgent referrals in April 2020, compared to 181,873 in March and 199,217 in April 2019.

The target of 93% of two-week waits from urgent referrals to result in outpatient appointments was also missed, with 88% achieved in April. It was 92% in March, and 89.8% in April 2019.

The BMA said this was evidence of the ‘brutal impact’ of Covid-19.

Council chair Dr Chaand Nagpaul said: ‘These NHS performance figures lay bare the brutal impact of Covid-19 on our healthcare services and patient care. They show only the early weeks of the pandemic but nonetheless, they confirm the fears of doctors that significant numbers of patients will not have received the care needed and that their conditions could have worsened.

‘The shocking drop in the number of GP referrals for cancer treatment – down 60% from last year, and GP referrals to specialist care – down three quarters from last year, is incredibly concerning. It is, therefore, vital that services resume as soon as possible and that the Government provides the NHS with the support, resources and capacity for this to happen safely whilst the pandemic continues.’

Cancer Research UK added: ‘The dramatic fall in the number of urgent referrals – which is down 60% compared to the same time last year - and the drop in people receiving treatment on time in April is hugely concerning. It means that tens of thousands of patients are in a backlog needing vital cancer care.’

It comes as GPs have reported new barriers to secondary care cancer investigations during the pandemic, including rejected radiology referrals and higher thresholds for bowel cancer urgent referrals.

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Readers' comments (3)

  • The vast majority of 2ww do not end up in cancer e.g. conversion rate for bowel cancer is 5% (Cancer UK). A referral doesn't often mean it was necessary or useful. But clogged up a dense fragmented system. The high figures in previous years often reflect defensive practice, avoidance of the GMC, discontinuous care and patient expectation. Be not disillusioned. If a patient has a red flag they should present to the NHS - it is not that hard. How much nannying can this system afford?

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  • nothing to do with the fact that:

    a) fewer patients coming in (not our fault),

    b) hospitals not doing investigations, so we're effectively flying blind (not our fault),

    c) even if we strongly suspect malignancy, hospitals apparently sending referrals back (not our fault)

    it probably is our fault in fact - like covid itself, war in syria, race riots in america, global warming etc etc etc...................

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