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GPs to refer more patients with low-risk cancer symptoms under new NICE guidance


Don't get me wrong, I'm a fan of early diagnosis and of NICE, but this time I think they've got it wrong. The delay in diagnosis is caused by a delay in presentation, not of referral time in Primary Care. It is this aspect of the pathway that we need to spend effort on. So we need to raise awareness of symptoms, make it easy to see their GP and reduce the bureaucracy of accessing investigations. With a PPV of 3%, that means 29 out of 30 people will be unnecessarily investigated. This figure doesn't tell us the number of false positives or false negatives there will be - the more tests, the more of both. Let alone the cost of tests, increased consultations, raised anxiety levels, and increased trained staff to make it work. No, make people aware of symptoms, and improve access to their GP...and encourage people to attend screening for conditions where it is effective, like bowel screening, and soon lung cancer screening (in Manchester)

Posted date

23 Jun 2015

Posted time