Single cancer waiting times target set for NHS Wales

The current cancer waiting times targets in Wales could end up being scrapped under plans to be announced later by the Welsh health secretary.

Patients follow one of two routes to treatment depending on how a cancer is found – each with a separate waiting time target.

But there are concerns that the system does not accurately reflect how long some patients are actually waiting.

It is argued a single treatment route and target could deliver better care.

All health boards from January will begin to measure performance against a new “single cancer pathway”, so waiting times for all cancer patients can be measured in the same way, Vaughan Gething will announce in a speech to the Wales Cancer Conference in Cardiff later.

But the existing targets will continue to be published in parallel until a final decision is made.

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Nurse Becky Thomas, from Merthyr Tydfil, sees the issue as both patient and health professional and would welcome anything to speed up diagnosis.

She had vague symptoms when she saw her GP but was only diagnosed with bowel cancer later when she confided in a colleague in hospital.

Ms Thomas had surgery and chemotherapy and is now cancer free.

“I’ve been asked ‘how long is it acceptable to wait?’ Depending where you are on that journey, you will give a different answer,” she said.

“It’s difficult to say you will need to do it in five days, you might not be able to if you have to have a number of tests; they take time. I appreciate that, but I would welcome anything to provide that impetus to make things more at the forefront of people’s minds.”

If the current targets are eventually scrapped, it is also argued it could be more difficult to compare cancer performance in Wales with other UK countries.

This follows a significant change two years ago in the way ambulance response times are measured.

The announcement comes as the Welsh Government publishes its first annual progress report on its updated cancer delivery plan.

Mr Gething said this shows performance has remained stable despite increasing demand with improvements in some areas.

But Conservative health spokeswoman Angela Burns said in the absence of any detail, they could not support moves towards a single cancer treatment route.

“Any changes to this end would need to be piloted for a minimum of 12 months with cast-iron assurances that patients would not be negatively impacted during this trial period,” she said.