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EDITOR
Oliver raises the point that all stages of the
cancer care pathway need speeding up, not just the time taken to see urgent referrals under the two week rule.1 We are becoming increasingly concerned about the long delays that many patients experience while they wait for investigations needed before the most
appropriate treatment can be decided.
The initial delay to see a hospital consultant, and the time spent on a
waiting list for treatment, are nationally audited and familiar to
patients, but the third wait
for investigations
is rarely
acknowledged. We carried out a postal survey of hospital departments in
the northwest of England and found disturbingly long waits for commonly
requested investigations.
Over a third of the endoscopy and radiology departments that we
contacted quoted waits of over two weeks for urgent tests in cases in
which malignancy was suspected. Altogether 8% of such patients waited
over