Cancer patients still facing ‘dangerous treatment delays', experts warn
It comes as new figures show the proportion of patients who had cancer diagnosed or ruled out within 28 days has declined for the third consecutive month, while those waiting no longer than 62 days for their first treatment also fell.
Monthly data published by the NHS shows 74.8% of patients urgently referred for suspected cancer were diagnosed or had cancer ruled out within 28 days in May, down from 76.7% in April and the third monthly fall in a row.
The Government and NHS England have set a target of March 2026 for this figure to reach 80%.
Elsewhere, the proportion of patients who had waited no longer than 62 days in May from an urgent suspected cancer referral, or consultant upgrade, to their first definitive treatment for cancer was 67.8%, down from 69.9% in April.
The target to reach 75% is also March 2026.
Professor Pat Price, oncologist and chairwoman of Radiotherapy UK, said: 'Today's cancer waiting times show yet another missed opportunity to put a stop to dangerous treatment delays.
'Patients should not be kept on the edge of their seats waiting for the chance to access the life-saving treatment they need.
'It's an unfortunate reality that these delays have become normalised.'
Kate Seymour, head of external affairs at Macmillan Cancer Support, said: 'Behind these delays in cancer diagnosis are thousands of people hoping for clarity, support and the chance to move forward.
'Right now, many people are experiencing differences in care depending on who they are or where they live, which is completely unacceptable.
'Everyone facing cancer deserves the very best care, as quickly as possible, no matter their postcode, background, or circumstances.
Ms Seymour added that the upcoming National Cancer Plan for England 'is a real chance to make things better'.
The Department of Health and Social Care launched a call for evidence to help shape a national cancer plan in February.
The blueprint is expected to be published later this year and will aim to transform cancer care by improving diagnosis, screening and treatment, as well as bolstering research and looking at ways to help prevent the disease.
An NHS spokesperson said: 'Despite the NHS seeing and treating record numbers of people for cancer, with more people diagnosed at an earlier stage than ever before, we know there is more to do to improve early diagnosis, access to tests and life-saving treatments.
'Our 10 Year Health Plan launched last week sets out some of the ways we will transform cancer care to be fit for the future, including innovation to speed up referral and diagnosis, with more to follow in the National Cancer Plan coming later this year.'

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Medscape
37 minutes ago
- Medscape
After a Long Delay, ME/CFS Strategy Finally Arrives
The Department of Health and Social Care has published its long-delayed delivery plan to improve care and support for people with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). The plan was welcomed by Action for ME as 'an important step towards recognising the scale and seriousness of the condition', but the charity warned it 'simply does not go far enough'. ME/CFS affects around 390,000 people in the UK. Symptoms include debilitating fatigue, sleep problems, and difficulties with thinking, concentration, and memory. Around one in four people diagnosed with the condition report being housebound or unable to work. Focus on Three Priority Areas The cross-government plan was developed in consultation with the NHS and external stakeholders. It focuses on three priorities: Research Attitudes and education Living with ME/CFS A consultation on the interim plan, launched in July 2023, revealed widespread dissatisfaction with how people with ME/CFS are treated. Respondents reported difficulties accessing specialist services, negative attitudes from professionals, and challenges relating to education, welfare, and employment, including benefits. Delays Sparked Criticism In February this year, Liberal Democrat health spokesperson Helen Morgan told The Times the plan represented an 'opportunity to move away from this legacy of neglect towards a transformation of care and research'. However, she noted that it had taken 33 months and five health secretaries to get to this point. When the final plan was still unpublished last month, Morgan described the further delay as 'inexcusable'. People with ME and their carers had been 'left behind for decades', she said. 'They have faced inadequate care, scant research funding, no treatments, and little hope of a better future.' Government Acknowledges Patient Concerns In the plan's foreword, Minister for Public Health and Prevention Ashley Dalton acknowledged the inconsistency of care and the feeling among some patients that their condition had not been appropriately recognised by the health and care system. 'I know that those with severe or very severe ME/CFS, and their families and carers, have often felt particularly let down by those systems,' she said. In a separate letter to members of the ME/CFS Task and Finish Group on the day of the final plan's launch, Dalton acknowledged: 'People living with ME/CFS often face stigma and misunderstanding,' which she attributed to 'a lack of awareness and education about the condition.' The final plan includes a commitment to introduce new training for NHS healthcare professionals 'as a priority' to address stigma and improve professional understanding. Access to Services and Employment Support The government said that ME/CFS patients would benefit from closer-to-home care under neighbourhood health services, as outlined in its 10-year health plan. It also promised support through reforms to benefit assessment processes and employment initiatives for people with long-term conditions and disabilities. However, Action for ME said these proposals lacked detail and failed to show how they would bring about 'meaningful change'. Research Funding Still Limited The plan includes increased funding for ME/CFS research via the National Institute for Health and Care Research and the Medical Research Council. This includes exploring the repurposing of existing medicines for ME/CFS. However, Action for ME warned that competitive grant processes were 'unlikely to reverse the long history of underfunding of ME research'. Other conditions, such as dementia, mental health, and rare diseases benefit from dedicated platforms with sustained, multi-million-pound funding, it said. Calls for Strategic Commitment Action for ME also criticised the government for ignoring its calls for strategic research funding and a dedicated ME research hub. Chief Executive Sonya Chowdhury said the plan was an 'important step for the ME community, long overlooked and under-served'. However, she added 'the plan must not be a token gesture – it requires a sustained, strategic commitment to care, funding, and research'. In her foreword, Dalton said future funding would depend on what is 'practically feasible and financially viable and affordable, especially within the challenging current fiscal climate'.
Yahoo
2 hours ago
- Yahoo
I'm seven months pregnant and scared of the birth. This is what every mother should ask
In 1928, my great-grandmother, Bertha, died from puerperal fever after giving birth. She was 32. Her baby, Audrey, also died. My grandmother, then two years old, was subsequently raised by her aunt. That same year, penicillin was discovered – and in the ensuing decades we entered a golden age of maternity care where the maternal mortality rate dropped significantly. When I was born in 1984 and my mother contracted a post-partum infection, the consequences were very different. Childbirth remains though, a complex and necessary fact of life. Women are not ignorant that it will be painful, that the unexpected will happen, that things might rip and tear. However, today they face significant other anxieties, about the very nature of the care they might receive. Maternity care services in the UK are facing significant staffing shortages, and as a result there are very real concerns about the safety and quality of care provided. Indeed, last year a study found the number of women in the UK who have died during pregnancy or soon after has risen to its highest levels for 20 years. Meanwhile, last year 41 per cent of all compensation pay outs by the NHS related to maternity care, equating to a staggering £1.15 billion. And now, Health Secretary Wes Streeting has announced a national inquiry into maternity care in England, saying there is 'too much passing the buck'. It is in this unfavourable climate that I find myself seven months pregnant. 'Fear of birth' is the label applied by the NHS for those women who are anxious about childbirth. Mine might be more reasonably called, 'Fear of bad maternity care'. Most women don't need to read about the horror in the news, they have friends and loved ones who've been snapped at by midwives, denied pain relief and been made to feel like a failure when they struggle to breast-feed. When GP Clara Doran gave birth to her son 11 years ago, she found herself in a hospital ward at 5am, crying, her baby dehydrated and losing weight, feeling like a total failure. She realised that even with all her medical training, she still needed support and hadn't been told what to actually expect. Dr Doran has written a memoir, Doctor, Interrupted, which is both a powerful and, at times, funny account of the gap between what the NHS says it offers new mums – and what they really get. Of NHS maternity care, she says: 'We do have to have trust that today's health care is guided by the right things. That healthy baby, healthy mum is the driving force. But there are unfortunately, like in any work place, other factors that can influence how that translates to your experience.' So how can pregnant women like me get the best from the NHS in this unfavourable climate? On the basis that forewarned is forearmed, here are the questions to ask your midwife ahead of giving birth. What signs should prompt me to go to the hospital urgently? Blood spotting, baby not moving, waters broken; whatever the issue, this can be a hard question for expectant mums to ask. Darcey Croft is a specialist midwife who helps women advocate for themselves and navigate the maternity system. In her experience, women feel embarrassed because the NHS is so busy. 'They don't want to make a nuisance of themselves, and they definitely should,' she says. 'I would give triage a call to the maternity unit and if you're not getting the right response, insist. Say, 'I'm still feeling very concerned, and I would like to be reviewed'. 'We know that women asking questions have safer outcomes. Even if someone is tutting at them. They will be seen.' Should I request a C-section? Requests are increasing for planned caesareans. According to Croft: 'It is a sad reflection of the confidence women have in maternity systems at the moment.' Every women has the right to ask for a planned caesarean. The reason can be medical or psychological. I knew I wanted to request a caesarean almost immediately, for a variety of reasons. One is that big babies run in my family. I was 10lb 12oz at birth, my poor mother gave birth vaginally. The main reason though is my age. Women aged over 40 are significantly more likely to have an emergency C-section compared to younger mothers. A study showed a 22.4 per cent emergency caesarean rate for women over 40, compared to 6.7 per cent for those aged 20-24. Dr Lucy Lord MBE is an obstetrician and founder of private clinic, Central Health London. She says: 'You can be lucky and labour like a 25 year old, but the chances of that are one in 10. You can be moderately lucky and labour like a 35 year old, but still over half of births in this age group end in a C-section.' She adds: 'If you're under 25, and so is your BMI, and you've got a normally growing baby and no other complications, you can be pretty sure no matter how c--p the labour ward is, you'll be OK.' The subject can be an emotive issue, with a perception that a vaginal birth is more natural. In Dr Lord's opinion good obstetric care is about risk stratification. 'I say to women, don't think with your heart, think with your head.' Not all NHS hospitals are equipped to perform immediate emergency C-sections. So if you're high risk it's worth checking, so you can move to another hospital if necessary. Am I a good candidate for a home birth or would the hospital be safer? One in 50 births each year in England and Wales take place at home. There has been a small increase in recent years and Dr Doran wonders if this is part of a trend towards expecting mothers trying to avoid any intervention. If you are categorised as a low risk, home births are very safe, says Croft: 'The midwifery team and doctors should be assessing to say whether you are perfect for a home birth.' The advantage is that they are less timed than hospital births, where a cascade of interventions can ensue. During a home birth midwives can usually tell which way things are heading before there is ever an emergency, adds Croft. 'Occasionally things can escalate quickly and you would need to get an ambulance.' How will you make sure I'm informed and involved in decision-making during labour? Gathering as much knowledge before labour is imperative. 'I always maintain that women can go through any birth, and come out feeling positive, as long as they feel they are involved in their own care, making the decisions and that they felt listened to,' says Croft. Trauma happens when a woman doesn't feel safe and listened to. Don't be afraid to ask for a second opinion. 'Every shift will have a coordinator, who doesn't want poor feedback. If you're not getting the answer you want, ask to speak to the coordinator.' Ask how birth partners and advocates are included in labour. 'Women often make better decision when they're supported and feel emotionally safe,' says Croft. Will my birth plan be followed? While it's a good idea to have a birth plan stating your preferences, that doesn't mean your midwife is obliged to follow it. Or indeed will be able to. From medical complications, down to all the birthing pools being full, it's best to plan for the unexpected. Croft advises her clients against writing 'epic novels': 'I always guide women towards condensing it down to bullet points, including what's non-negotiable. That will get read.' However, it is important that you and your birthing partner have talked through all scenarios and you feel comfortable that they're going to emphasise your preferences. When speaking up, Dr Doran advises leading with your vulnerability. 'Such as: the pain you are experiencing. Then it is harder for it to be ignored,' she says. Will a consultant or senior doctor be available if complications arise during labour or before? Yes. Every unit will have a consultant present or on call, even in the middle of the night. 'If it's a birth centre and a midwifery-led unit, there might not be any doctors there,' explains Croft. 'That woman will be transferred into the consultant-led unit.' What if I change my mind about pain relief? Dr Doran says: 'Pain relief will always be available as long as it is safe and appropriate for you and baby at your stage of labour. No one knows how they will cope with labour pain until they experience it so go with the flow and listen to your body. No one is keeping score.' What are the signs of sepsis or infection I should watch for after birth? Early signs include fever and flu-like symptoms. 'As soon as someone starts to feel unwell they should speak up,' says Croft. 'If they feel dismissed, just reiterate, 'No, I feel very unwell.' Ask for a blood test for sepsis. It's fine to ask.' Escalation is important. 'Mums and dads can always ask for that second opinion. And if they don't feel listened to, ask for another one.' What should I expect on a postnatal ward? You're exhausted, you want to sleep and spend time with your new baby. And yet you are on a post-natal ward with five other women with a curtain around them. Home is the right place for a new mum. 'As soon as you're fit for discharge, get home,' says Croft. After a caesarean, try to mobilise as quickly as you can: 'Four to six hours after the operation try to move. You'll still have some of the pain relief onboard. If you lie there for 12 hours and then try to move, it will be a lot harder.' Whether you gave birth by caesarean or vaginally, one night's stay in hospital as a minimum is standard, in order to access breast-feeding support. 'Six hours is on offer but normally you'd have to request an early discharge.' Again, make a nuisance of yourself. 'Use your call bell. The women who are using it and asking for help go home feeling supported. There is an element where mums have to take responsibility or dads have to help advocate for support.' Who should I turn to if I feel anxious or depressed after the birth? It's not uncommon to feel depressed or anxious after giving birth. If you're blue it's important to seek help from your GP, midwife or health visitor. As Dr Doran says: 'We talk a lot about 'getting back to normal' or feel we should be able to master everything we did in our pre-baby life when we become parents. However other cultures see this differently and encourage new mums to stay in bed or at home for as long as possible in the days after birth to rest and adjust physically and mentally to what has happened.' At the core of the anxiety women can feel is feeding. Dr Doran speaks from experience: 'Having watched videos in antenatal class of the perfect attachment and breastfeeding experience occurring seamlessly, when it came to my turn, wondering why my baby wasn't doing this in the same way and being convinced it was my fault.' Take the help and support, but also nourishment of your baby is the most important thing. If this needs to be with formula or mixed feeding, that is absolutely fine and the right decision for you and your baby. 'Don't let anyone guilt you or make you feel less of a mum because of it,' she says. 'These days and weeks are the most exciting and special time, but they can be extremely hard too and fraught with tiredness, fear and self doubt. Take it easy on yourself, what is right for you is right for your baby and remember this is just the beginning of your lives together.' Broaden your horizons with award-winning British journalism. Try The Telegraph free for 1 month with unlimited access to our award-winning website, exclusive app, money-saving offers and more.


Medscape
3 hours ago
- Medscape
Could Ketamine Addiction Become the UK's Next Drug Crisis?
Doctors are warning that ketamine is not the harmless party drug many believe it to be, as rising numbers of young people in the UK are being treated for addiction and serious organ damage. Despite the surge in use, many users — and even frontline clinicians — remain unaware of the drug's addictive potential and its severe physical health consequences, including bladder failure, kidney damage, and extreme weight loss. According to the Home Office, an estimated 299,000 people aged 16-59 had reported ketamine use in the year ending March 2023 – the largest number on record. In a June 2025 editorial in The BMJ , addiction psychiatrists said that 3609 people began treatment for ketamine addiction in 2023-2024. That is more than eight times the number recorded in 2014-2015. The drug's relatively low cost made it popular among young people, according to the experts from King's College London and South London and Maudsley NHS Foundation Trust. 'Not Just a Party Drug' Dr Irene Guerrini Consultant addiction psychiatrist Dr Irene Guerrini, who led the study, told Medscape News UK : 'The vast majority of clinicians think ketamine is a party drug used at clubs and raves, but it's not just that. My young patients often go to A&E and primary care and are told ketamine is not addictive, but it is addictive and can cause serious harm.' Guerrini said that ketamine uropathy is the most common complication of frequent use. 'It causes serious bladder, kidney and liver problems, and often extreme weight loss, which can be confused with an eating disorder by some health professionals.' Earlier this month, Alder Hey children's hospital in Liverpool opened a specialist ketamine clinic to treat young people under 16 for ketamine-induced uropathy. Physical and Psychological Harm A separate study by the University of Exeter and University College London (UCL), published in the journal Addiction in April, also found a strong link between ketamine addiction and physical and psychological health problems. Among 274 people with ketamine use disorder, 60% had experienced bladder or nasal problems. More than half (56%) reported painful cramping in the abdomen, known as 'k-cramps'. Chemicals released when ketamine breaks down in the body can damage the bladder lining, leading to pain, bleeding, and scarring. Some bladder damage was so severe that it required bladder removal and the use of a urostomy bag. Celia Morgan Study author Professor Celia Morgan, of the University of Exeter told Medscape News UK , ' Ketamine use is increasing. We have observed users are younger and the trajectory to dependence seems fast in some individuals. 'In those who are sucked in to repeated heavy ketamine use, the physical consequences are severe in terms of bladder complications, but also dramatic weight loss and in severe cases, multi-organ failure.' Sharp Rise in Rehab Admissions UK Addiction Treatment (UKAT) centres have reported a surge in people seeking help. Zaheen Ahmed Zaheen Ahmed, director of addiction treatment at UKAT, told Medscape News UK that there had been ' a staggering rise in both enquiries for help and admissions into our centres'. Admissions were up 35% in 2024 compared with the previous year. 'Ketamine addiction has become the norm, and we're seeing it and treating it daily now,' he said. Ahmed warned, 'Ketamine is a really dangerous drug, because it doesn't give the user an awful come down like other substances do.' The drug is also 'incredibly cheap, making it very appealing, especially to young people'. Medical Use and Misuse Ketamine is used clinically as an anaesthetic. At lower doses, it is prescribed for chronic pain, treatment-resistant depression, and suicidality. It is also being trialled in studies to treat post-traumatic stress disorder (PTSD) and severe alcohol dependence. However, experts have warned that increasing availability through private clinics may normalise unsupervised or self-directed use. The drug has also been linked to the deaths of Friends actor Matthew Perry and drag performer The Vivienne. Missed Diagnoses in Primary Care The Exeter/UCL Study found that most people with ketamine use disorder do not seek treatment. Existing services are often perceived as ineffective. 'In our study, a common report was that doctors and health professionals were ignorant to ketamine addiction and its physical health impacts,' said Morgan. 'We need to urgently raise awareness and educate professionals of this often devastating and life-threatening condition.' Guerrini agreed that doctors should be more alert to the possibility of ketamine addition. 'M aybe if I'm a GP and see a particularly young patient coming to me with a urinary tract problem like cystitis, be I'll be more inquisitive, ask the correct questions, and think maybe this patient is on ketamine.' Similarly, A&E doctors should develop 'clinical curiosity' if a young patient has high liver enzymes and severe pain. Guerrini called for better diagnostic tools, a national registry, and earlier screening to support treatment and help evaluate emerging therapies. 'It's important to increase awareness among professionals and encourage joined up working between substance misuse services, urology services, and mental health services, as these young people often have chronic depression along with physical issues caused by ketamine,' she said. Government Considering Reclassification Ketamine is currently controlled as a Class B substance. The maximum penalty for supplying and producing it is up to 14 years in prison, an unlimited fine, or both. Earlier this year, the Home Office asked independent experts for advice on whether ketamine should remain controlled as a Class B substance or become a Class A drug. Ahmed said that reclassification would increase penalties for dealers, but more importantly, ' it will hopefully discourage young people especially to even experiment with it at all'.