Cancer Waiting Times - NHS England

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wo week wait for symptomatic breast patients (cancer not initially suspected)oThose patients urgently referred with breast symptoms (where cancer was notinitially suspected) should experience a maximum waiting time of two weeks tosee a specialist. This maximum waiting time requirement was introduced inquarter four 2009/10, when 92% of patients were seen within 2 weeks ofreferral. The operational standard for this measure is 93%In total, 46,264 patients with exhibited breast symptoms, where cancer was notinitially suspected, were seen in quarter three 2019/20 after being urgentlyreferred. Of these, 87.3% were seen within 14 days, compared to 85.4% in Q22019/20, and 88.7% in Q3 2018/19.The proportion of patients seen within 14 days varies amongst providers from0.0% to 100.0%. 47 providers missed the operational standard of 93% ofpatients being seen within 14 days.A graph of the trend in reported performance over time is shown below:Figure 2: Proportion of patients seen within 14 days of referral for breast symptoms, where cancer is notinitially suspected4

One Month (31-day) diagnosis to first treatment waitPatients should experience a maximum wait of one month (31 days) betweenreceiving their diagnosis and the start of first definitive treatment, for allcancers. This is measured from the point at which the patient is informed of adiagnosis of cancer and agrees their package of care. The operationalstandard for this measure is 96%.In quarter three 2019/20, 77,309 patients began a first definitive treatment forcancer. 96.0% of these patients started that treatment within 31 days,compared to 96.1% for Q2 2019/20 and 96.8% from Q3 2018/19.This proportion of patients that began first definitive treatment within 31 dayswas lower for admitted patients (94.7%) than for non-admitted patients(98.5%).The proportion of patients treated within 31 days of diagnosis at providerswhich treated at least 5 patients varies from 73.9% to 100.0% by provider – allbut 39 providers treated at least 96% of patients within 31 days of diagnosis.A graph showing the trends over time is shown below:Figure 3: Proportion of patients waiting 31 days or less for first treatment following diagnosis5

One Month (31-day) diagnosis to first treatment wait by cancer typeIn quarter three 2019/20, 77,309 patients began a first definitive treatment forcancer. The proportion of patients treated within 31 days of diagnosis forvarious cancer types is as follows:oooooBreast cancers – 97.6%Lung cancers – 97.4%Lower gastrointestinal cancers – 96.2%Urological cancers – 93.7%Skin cancers – 94.9%6

31-day wait for second or subsequent treatmentAnti-cancer drug treatmentsPatients should experience a maximum wait of 31 days for a second orsubsequent treatment. Where that treatment is an anti-cancer drug regimen,the operational standard is 98%.In quarter three 2019/20, 99.3% of patients receiving an anti-cancer drugregimen waited 31 days or less for that second or subsequent treatment,compared to 99.2% in Q2 2019/20 and 99.4% in Q3 2018/19.The proportion of patients in quarter three 2019/20, waiting 31 days or less fora subsequent anti-cancer drug treatment was lower for admitted patients(99.1%) than non-admitted patients (99.6%)The proportion of patients waiting for 31 days or less varies from 92.2% to100.0% by provider. 10 providers did not meet the target of treating at least98% within 31 days.A graph showing the trends over time is shown below:Figure 4: Proportion of patients on an anti-cancer drug regimen waiting 31 days or less for second orsubsequent treatment7

SurgeryPatients should experience a maximum wait of 31 days for a second orsubsequent surgical treatment. The operational standard for this measure is94%.In quarter three 2019/20, 91.4% of patients waited 31 days or less for theirsecond or subsequent treatment, compared to 91.4% in Q2 2019/20 and93.1% of patients in Q3 2018/19.The proportion of patients in quarter three 2019/20 waiting 31 days or less waslower for ad

Review of Cancer Waiting Times Standards (January 2011) recommended that the current waiting time requirements for cancer should be retained. It was identified that shorter waiting times can help to ease patient anxiety and, at best, may lead to earlier diagnosis, quicker treatment, a lower risk of complications, an enhanced patient

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