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NICE two-week cancer advice 'is delaying diagnoses', claim surgeons


The idea that we can't help our GP colleagues to investigate "smarter": in this case listen, look and feel a persisting unusual lump or ulcer and refer appropriately and that the only solution is to flood grossly overstretched secondary care with 97% worried well (the DH target being 3% cancer diagnosis) is surreal. Worse than that the obsession with the USC system means real people with real cancer get a lesser degree of access. 50% of cancers being diagnosed via a conventional pathway and 6.6% via the USC system equals a system that doesn't achieve what it needs to do. These are not rare cancers 8-9000 new diagnoses, they are demanding to treat but can be treated. They can also be prevented - smoking cessation, reduced alcohol and being vaccinated against oncogenic HPV could prevent 75% of them at a quarter the cost of treatment. A polio analogy would be the government is making more calipers instead of implementing a gender neutral and comprehensive catch up vaccination program. There is plenty of evidence if only those at the coal face who treat these patients were actually engaged.

Posted date

17 Feb 2016

Posted time