Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to help reduce the number of blood cancer patients diagnosed through A&E.

The Department continues to support the National Health Service to diagnose and treat cancer as early and fast as possible. There have been improvements in the prognosis of blood cancer patients, with patients now living twice as long. However, we recognise that because of the damaged NHS this Government inherited, patients with cancers with non-specific symptoms such as blood cancer, are waiting too long for diagnosis and subsequent treatment.

There are no current plans to introduce a specific proxy staging measure or a corresponding national target to support the earlier diagnosis of blood cancers. However, the Department will continue to engage with blood cancer charities and key stakeholders to determine how to support the best outcomes for blood cancer patients.

At this time no current assessment has been made on the potential merits of a proxy measure for early diagnosis in unstageable blood cancers. However, we remain committed to making improvements across different cancer types and reducing disparities in cancer survival. Early cancer diagnosis is also a specific priority within the NHS’s wider Core20Plus5 approach to reducing healthcare inequalities. The NHS currently track early diagnosis in stageable blood cancers by combining the percentage of diagnoses within stage 1 or 2, as it would for any other stageable cancer.

Furthermore, to tackle late, emergency setting diagnoses of blood cancers, the NHS is implementing non-specific symptom (NSS) pathways for patients who present with symptoms such as weight loss and fatigue, which do not clearly align to a tumour type. There are currently 115 NSS services operating in England with blood cancers being one of the most common cancer types diagnosed through these pathways.

The National Disease Registration Service (NDRS), through the National Cancer Registration and Analysis Services, collects information on how many people in England have cancer. Blood cancer is included as a distinct category, labelled haematological neoplasms. The NDRS website also shows the number of people treated for different tumour types by treatment type, as well as survival rates, mortality rates, and data on urgent suspected cancer referrals. Further information is available at the following link:

https://digital.nhs.uk/ndrs/data/data-outputs/cancer-data-hub

The National Cancer Plan will include further details on improving outcomes for cancer patients in England, as well as speeding up diagnosis and treatment. It will ensure patients, including those with blood cancer, have timely access to the latest treatments and technology.