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NHS cancer detection is stuck at 55 per cent. Here's why

Early diagnosis rates stuck at 55 per cent despite rising cases and new screening programmes

NHS cancer detection is stuck at 55 per cent. Here's why

Government targets 75 per cent early cancer detection by 2035, but Cancer Research UK says progress is falling short

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Highlights

  • One cancer diagnosis every 80 seconds in UK.
  • Early detection unchanged since 2013.
  • 107,000 patients wait over two months for treatment.
The NHS is not catching cancers any earlier than it did ten years ago. While 403,000 people now get a cancer diagnosis each year, the proportion caught at early stages stays around 55 per cent, barely changed from 54 per cent in 2013.

Cancer Research UK's latest report shows the detection system is not working well enough.

Michelle Mitchell, the charity's chief executive, called the findings "deeply worrying" and warned that "without urgent action, we won't see rates of improvements in cancer survival and outcomes that cancer patients deserve and expect."


New cases have risen to 620 per 100,000 people, up from 610 ten years ago. This increase comes from more older people in the population, with obesity adding to the problem.

But the system meant to catch these cancers early has made almost no progress.

Regional performance drops

England shows the problem clearly. Early detection was 55.3 per cent in 2022, compared to 54.1 per cent in 2013. Wales actually got worse, falling from 52.9 per cent to 51.7 per cent over the same time.

Scotland managed a small rise from 50.9 per cent in 2016 to 51.3 per cent in 2023. Northern Ireland dropped from 54.9 per cent to 53.8 per cent between 2015 and 2022.

The government wants 75 per cent of cancers diagnosed early by 2035. Cancer Research UK says "the current trajectory falls short of this."

This target replaced an earlier NHS plan aiming for 2028, which is now seen as impossible to reach.

Some cancers get caught early more often than others. Melanoma, testicular, thyroid and breast cancers have the highest early detection rates.

Lung cancer and stomach cancers like oesophageal, stomach and pancreatic show the lowest rates.

Early detection makes a huge difference to survival. Analysis from Wales shows all breast cancer cases caught at stage one survived five years, compared to just 30 per cent at stage four.

For bowel cancer, stage one had over 90 per cent survival versus less than 10 per cent at late stages.

Lung cancer showed 55 per cent survival at stage one but only 3 per cent at late stages.

Around 107,000 cancer patients waited more than 62 days to start treatment across the UK in 2025.

The charity said NHS services struggle to cope with rising demand as the population grows and ages.

Screening problems continue

Lung cancer screening shows some promise. The programme targets 55 to 74-year-old current or former smokers and has started improving early detection. Cancer Research UK wants this available to more people.

Other screening programmes show worrying signs. Fewer people are taking up cervical and breast cancer screening.

The charity says fixing these programmes to get more people involved would catch an extra 11,000 cases each year.

The UK National Screening Committee is looking at prostate cancer screening but has said no to a national programme so far. Prostate cancer is now the most common cancer in the UK.

The national cancer plan published in February could help but needs proper funding. Cancer Research UK said the government's plan "could make a big difference, but only if it turns into improvements for cancer patients."

A Department of Health spokesman said the NHS did a record number of tests in the last 12 months, with £26 billion extra funding.

Fewer people are dying from cancer and more survive ten years or longer. But Cancer Research UK warned this progress might stop due to pressure on cancer services.

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NHS therapist struck

The Trust referred the matter to the Health and Care Professions Council and confirmed she had not worked there since 2024

iStock - Representative image

Asian NHS therapist struck off after English claim and inability to understand colleagues

Highlights

  • Sriperambuduru claimed English was her first language on her NHS application form.
  • Colleagues flagged communication problems within two weeks of her starting the role.
  • The tribunal found she intended to deceive the Trust to gain employment.
A speech and language therapist was struck off the professional register after admitting she could not understand her colleagues, despite claiming English was her first language on her NHS job application.
Sai Keerthana Sriperambuduru joined York and Scarborough Teaching Hospitals NHS Foundation Trust in October 2023, having declared English as her native tongue, which meant she was not required to prove her language proficiency separately.
At a review meeting on 7 November 2023, she acknowledged that Telugu was her native language and that English was in fact her second language.
Colleagues noticed communication problems within two weeks, according to a Daily Mail report.

What the panel found

Her line manager told the Health and Care Professions Tribunal Service hearing that during the interview process, Sriperambuduru had requested to use a chat-box facility so interviewers could type questions to her rather than ask them face to face.

The manager described this as "very unusual" given that Sriperambuduru was living in the UK at the time.

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