Thousands of people are set to be referred for more ultrasounds, brain MRIs and CT scans to check vague symptoms that fall outside of the current two-week cancer referral to see a specialist, in a bid to catch the disease at an earlier stage.
Presently, people who suffer from symptoms such as coughs, fatigue and dizziness face long waits for tests or to see hospital medics, which in turn delays them getting their first treatment.
The guidance, which has existed since 2012, is being pushed by the NHS so GPs and family doctors will be able to use their clinical judgement and help individuals skip the need to see a specialist first.
According to NHS England, waiting times could be cut to as little as four weeks, when a GP orders these checks directly. Hundreds of thousands of hospital appointments could then be freed up.
The 2012 guidance, Direct Access to Diagnostic Tests for Cancer, said chest X-rays, ultrasound, flexible sigmoidoscopy and brain MRI were “priority areas” to which GPs should have free access.
Now, NHS England is trying to standardise the approach so that regions which may not have access to all the tests can get them.
An investigation by GP online back in 2014 found local health leaders were preventing GPs from directly ordering the scans. It found that many clinical commissioning groups recommended GPs diverted patients through specialist services, with one in 10 putting a blanket refusal on GPs’ direct access to scans.
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Image: A patient is given a CT scan at the Royal Papworth Hospital, Cambridge back in 2021. Pic: PA
NHS chief executive Amanda Pritchard will tell the NHS Providers conference in Liverpool: “GPs are already referring record numbers of patients for urgent cancer referrals, so much so that the shortfall in people coming forward for cancer checks caused by the pandemic has now been eradicated.
“This new initiative builds on that progress, supporting GPs to provide more opportunities for testing across the country for people who have vague symptoms.
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“By sending patients straight to testing, we can catch and treat more cancers at an earlier stage, helping us to deliver on our NHS long term plan’s ambitions to diagnose three-quarters of cancers at stages one or two when they are easier to treat.”
Back in 2018, the Royal Free London NHS Foundation Trust showed that patients with suspected lung cancer, who had direct access to CT scans, waited an average of 29 days instead of 66 between referral and treatment.
Image: Referring patients directly for scans could help cut waiting times
Dr Katharine Halliday, president of the Royal College of Radiologists, said: “For a patient with cancer, every day counts. Quicker diagnosis means less invasive treatments, better recovery and better outcomes.”
Louise Ansari, national director of Healthwatch England, added: “This new initiative will give every GP practice in the country much greater flexibility in what tests and scans they can order for their patients. Ultimately, we hope this will help diagnose people who have cancer as early as possible, leading to better quality care and better long-term survival rates.”
GPs will be able to directly access wider tests used to diagnose conditions unrelated to cancer from 2023 to 2024.
Sharon Holland sits surrounded by fresh flowers as she scrolls through photos on her phone of her daughter, Chloe.
Warning: This article contains references to suicide and domestic abuse
Beautiful, poised, Chloe stares back at her from the screen. She was a fun, independent young women – until she wasn’t.
Caught up in an abusive relationship with a former partner, who her mother calls a “monster”, Chloe became a shadow of her former self.
Sharon never met him as Chloe kept the ongoing relationship a secret but she had suspicions when her daughter, who had moved out of home, retreated from her friends and family.
“As far as I knew, they’d split up in September 2022 and she was living happily in Southampton,” she says.
But Sharon began to suspect the relationship might be back on after she spotted her daughter liking some of her ex-boyfriend’s Facebook posts.
Image: Chloe was full of life before she met her abuser
“I saw a few hearts on his pictures, and thought ‘here we go’. But she would always deny it and say she would never get back with him. Of course, she was lying to me.”
Increasingly isolated from her loved ones, Chloe’s only communication with Sharon was through text messages and the occasional phone call.
“She turned up at people’s houses with black eyes and made excuses for marks around her neck and everything else,” says Sharon. “No one told me.”
Chloe took her own life in February 2023.
Her family is not alone in their grief. There are now more victims of domestic abuse who take their own life, than those who are killed by their partners.
Between April 2022 to March 2023, there were 93 people who took their own lives following domestic abuse. A 29% rise compared to the previous year.
Image: Sharon and Sky News’ Ashna Hurynag
Assaulted with a dumbbell and handed a knife
Marc Masterton, Chloe’s boyfriend at the time, was routinely assaulting her, controlling her appearance, isolating her from friends and family, belittling her and encouraging her to self-harm.
On one occasion after he assaulted her with a dumbbell, Chloe threatened to take her own life.
In response, Masterton handed her a knife.
“She said on a few occasions, his eyes went from blue to black and it terrified her,” Sharon says.
The abuse was happening in plain sight – in hotels, hostels and on public transport. Chloe eventually chose to report the abuse to police. But two weeks later, she attempted to take her own life.
At the intensive care unit she was taken to before she died, Sharon didn’t leave her bedside. It was here she learnt from a police officer about Chloe’s testimony a fortnight before.
Image: Chloe and her mother, Sharon
Chloe’s evidence
“They told me she’d done a video statement for over two hours and were investigating him,” Sharon says.
“I’ve watched it. She was crying for lots of it and was distraught. I was devastated and angry. He was telling her to take her life. He was giving her knives up against her neck and then saying, you do it.”
Her evidence led to the conviction of her abuser. Masterton admitted coercive and controlling behaviour and was jailed for three years, nine months.
Justice which, Sharon feels, fell well below her expectations.
“We needed to get over four years for him to go on this dangerous person’s list, so he could be monitored as high risk,” she adds.
Sharon is now calling for tougher sentences for those convicted of coercive control.
The current maximum sentence a perpetrator can get for the offence is five years, but Sharon points to countries like France where the maximum sentence is 10 years.
“No amount of years is going to bring her back… But he needed to get more than that.”
The overlooked victims of a growing crisis
It’s incredibly rare to get a criminal investigation in these cases, says Hazel Mercer from the national charity, Advocacy After Fatal Domestic Abuse.
“Most of the families that come to us where there’s been a suicide as result of domestic abuse, the biggest issue for them is the lack of acknowledgement of what has happened to their loved one. Is there going to be any justice that says this domestic abuse was a crime against this person who’s now dead?
“They ask, is anything like that going to happen, and at the moment, nine times out of ten, the answer is no.”
Image: Hazel Mercer advocates for families who have a lost a loved one after domestic abuse
Hazel works with families who feel a lack of “professional curiosity” by authorities means critical connections are often missed.
“When we have a homicide, resources are put into it, there is a real investigation… For a suicide, we seldom see that investigative desire or professional curiosity to look behind that suicide and why it happened.”
Fighting for change
The Crown Prosecution Service is investigating the link between suicide and domestic abuse more closely.
Efforts are being made to educate police and prosecutors on coercive control’s deadly trajectory after the high-profile death of mother Kiena Dawes, who was abused before she died by suicide on 22 July 2022.
Sky News has learnt the CPS is actively assessing similar cases, but Chief Crown Prosecutor Kate Brown says “it isn’t straightforward”.
Image: Kiena Dawes was abused before she died by suicide
“Invariably because of the nature of coercive and controlling behaviour, a lot of that offending happens in private. So without the victim, that’s quite difficult,” she says.
They are working with police to unpick the detail of the abuse a victim suffered in the lead up to their death. Collating evidence from family, friends or even doctors if the victim’s medical records show there’s been a history of physical violence.
Image: Chief Crown Prosecutor Kate Brown
The Ministry of Justice told Sky News: “This government is committed to halving violence against women and girls. The independent sentencing review is looking at sentences for offences primarily committed against them.
“Victims of controlling and coercive behaviour will also now be better protected through a new law that ensures more abusers are subject to joined-up management by police and probation.”
For Sharon, her campaign is a way of honouring her daughter’s memory. “I won’t stop till I get justice for Chloe,” she says.
Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK
A child has died and another has been injured after a car was driven on to a sports pitch in Cumbria.
Police say they were called at 4.58pm to reports of a collision involving a BMW i40 and two children on a pitch at Kendal Rugby Union Football Club on Shap Road, in Kendal.
Cumbria Police say one child died, while the second is being treated by paramedics.
A man aged in his 40s has been arrested on suspicion of causing death by dangerous driving.
A spokesperson for Cumbria Police said: “Specialist investigators are at the scene and the area has been cordoned off as initial investigation enquiries take place.”
The force said the incident was not believed to be terror-related. Immediate family members of both children have been informed, it added.
In a post on its Facebook page, the club said it was “deeply saddened to confirm that an incident occurred today at Kendal Rugby Club.”
The post, attributed to club chairman Dr Stephen Green, continued: “Our thoughts are with their family and friends and we kindly ask for privacy for all involved at this difficult time.”
The club and its facilities are now temporarily closed while it cooperates “fully” with authorities, it added.
Tim Farron MP, whose constituency includes Kendal, posted on X: “This is devastating, utterly heartbreaking news. I’m praying for the children and for their families and friends.
“Our community in Kendal is stunned and in mourning.”
A man has been convicted of drugging and raping 10 women in London and China between 2019 and 2023.
Chinese PhD student Zhenhao Zou, 28, filmed nine of the attacks as “souvenirs”, and kept a trophy box of women’s belongings, jurors in his trial were told.
Warning: This article contains details of sexual offences
He was accused in court of drugging and raping three women in London and seven in China between 2019 and 2023.
Jurors at Inner London Crown Court found him guilty of 11 charges of rape against 10 women, including two who have been identified and another eight who have yet to be traced.
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The mechanical engineering student was also convicted of three counts of voyeurism, 10 of possession of an extreme pornographic image, one of false imprisonment and three of possession of a controlled drug with intent to commit a sexual offence, namely butanediol.
He was cleared of two further counts of possession of an extreme pornographic image and one of possession of MDMA with intent to commit a sexual offence.
Image: The trial heard Zou kept a ‘lost property box’ full of women’s belongings. Pic: Met Police
The jury has not reached verdicts on four counts of possession of drugs with intent to commit a sexual offence.
Zou – who first moved to Belfast in 2017 to study mechanical engineering at Queen’s University before moving to London in 2019 – showed no visible reaction as the verdicts were read out in court.
Catherine Farrelly KC, prosecuting, told jurors during the trial that Zou “presents as a smart and charming young man” but is “also a persistent sexual predator; a voyeur and a rapist”.
Image: A discreet camera belonging to Zou. Pic: Met Police
Zou, who also used the name Pakho online, befriended fellow Chinese students on WeChat and dating apps, before inviting them for drinks and drugging them at his flats in London or an unknown location in China, the court heard.
The jury heard how he would secretly film his attacks using a mobile device and hidden cameras, and was shown evidence found on SD cards at his accommodation of him raping unconscious women in London and in China.
Senior Crown Prosecution Service prosecutor Saira Pike thanked the “incredibly strong and brave” women who came forward to report his “heinous” crimes.
“Zou is a serial rapist and a danger to women,” she said.
“In some instances, we have not been able to identify Zou’s victims. Without knowing who these women are, we have not been able to support them through a deeply distressing period of time.
“We have always been determined to seek justice for both the unidentified and identified victims in this case.”