The government has confirmed that two-thirds of NHS England cancer targets will be scrapped by the autumn as it aims to bring cancer care “into the modern era”.
The new guidelines will see the 10 targets currently in place reduced to three – and the two-week wait target will be scrapped in favour of the Faster Diagnosis Standard.
Labour has accused Rishi Sunak of “moving the goalposts and cutting standards for patients” rather than cutting waiting times, which is one of his five pledges.
As it stands, 93% of people referred urgently by their GP with suspected cancer must be seen by a specialist within 14 days – although that target has not been achieved since early 2018.
The new Faster Diagnosis Standard was initially introduced in April 2021, and has been under “rigorous consultation”, according to the government.
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Cancer target scrapped in England
The aim is for 75% of patients to be told within 28 days of referral whether or not they have cancer, reducing anxiety for patients and speeding up treatment pathways.
However, since the new standard was introduced 16 months ago, the target has not once been met, according to research from the House of Commons library.
The new targets for NHS England cancer care are as follows:
• The 28-day Faster Diagnosis Standard, under which patients with suspected cancer referred by a GP should be diagnosed within 28 days;
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• The 62-day referral to treatment to ensure patients who have been referred and diagnosed should start treatment within that time frame;
• The 31-day decision to treat – this means patients with a cancer diagnosis should have a decision made on their first or subsequent treatment and should start it within 31 days.
Image: Prime Minister Rishi Sunak and Health Secretary Steve Barclay speaking to staff during a visit to Rivergreen Medical Centre in Nottingham in June
Professor Sir Stephen Powis, national NHS medical director, said: “The NHS is already catching more cancers at an earlier stage, when they are easier to treat than ever before and the Faster Diagnosis Standard will allow us to build on this excellent progress.
“The updated ambitions will mean the NHS can be even more focused on outcomes for patients, rather than just appointment times, and it’s yet another example of the NHS bringing cancer care into the modern era of care.”
Health minister Will Quince said the “biggest factor in people surviving cancer is the stage at which they are diagnosed”, and added: “We have listened to the advice from clinical experts and NHS England to reform cancer standards which will speed up diagnosis for patients.”
Last week, NHS England data revealed 261,006 urgent cancer referrals were made by GPs in June – up 13% year on year from 231,868 in June 2022.
However, cancer wait times remain well below the government targets.
From October 2022 to June 2023, 418,000 people waited longer than the two-week period from referral to seeing a specialist, and in the same period, 623,000 people were still waiting for either a diagnosis or cancer to be ruled out 28 days after an urgent referral.
Oncologist Professor Pat Price, co-founder of the #CatchUpWithCancer campaign and chairwoman of charity Radiotherapy UK, welcomed the “simplification” of the system, she said targets should be “much higher”.
“The only measure that will ‘move the dial’ is the development and implementation of a radical new plan backed up with smart investment in people and kit,” she said.
But Genevieve Edwards, chief executive of Bowel Cancer UK, said it is “good news” for bowel cancer services and will “help NHS policymakers and the government to identify parts of the country that may need extra support”.
Image: Labour’s Wes Streeting was diagnosed with and treated for kidney cancer in 2021
Labour’s shadow health secretary Wes Streeting – who has himself undergone NHS cancer treatment – blasted the government’s record on cancer care, saying patients are “left waiting dangerously long for diagnosis and treatment” which means that for some, “their treatment won’t start until it’s too late”.
He added: “Since Rishi Sunak became prime minister, hundreds of thousands of patients have been let down. Now he’s moving the goalposts and cutting standards for patients, when he should be cutting waiting times instead.
“Having been through treatment for kidney cancer, I know the importance of early diagnosis and fast treatment. With Labour, the NHS will be there for cancer patients when they need it, once again.”
Government whips will be overestimating the number of Labour rebels over welfare cuts as a form of “expectation management”, Dame Harriet Harman has said.
Speaking to Beth Rigby on the Electoral Dysfunction podcast, the Labour peer and former deputy leader shed light on some of the dark arts that have traditionally been associated with government whipping operations – whereby MPs are encouraged to vote in line with the government.
Sir Keir Starmer and Rachel Reeves are facing a looming rebellion over the chancellor’s decision to impose nearly £5bn worth of welfare cuts, as outlined in the spring statement on Wednesday.
Dame Harriet said the “first thing” the government whips will be doing is suggesting that the rebellion will be larger than it is – so it looks less damaging when smaller numbers emerge.
“You’ll see floating around that there’s going to be 50 Labour MPs rebelling against their own government within a year of having been elected on a Labour manifesto,” she explained.
“And probably that’s because they think they’ll be considerably fewer than that. And they’re just setting the expectation.”
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Alongside this, Dame Harriet said there has always been talk about whips – who are responsible for enforcing party discipline – “blackmailing people with private information”.
She said that while this used to be the case when she was first elected as an MP in the 1980s, it would not be happening under the current government.
However, she said the whips will have a “spreadsheet of every single one of the 411 Labour members of parliament because the whips’ job is to get the government business through”.
“They’ll be identifying those who think that they might be at risk of voting against or abstaining,” she said.
“And they will talk to them, and they’ll be reminding them that actually, they really need to be supporting the government and think about the good things the government’s doing – think about the waiting lists coming down in your area.
“Don’t destabilize the government when we’ve only just started, because you know you want to focus the minds of everybody in your constituency on the fact that things are getting better in some areas.
“So they’ll be saying: ‘You promised you’d be voting with the whip. How can you be breaking that promise?'”
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Beth Rigby looks at the key moments from Reeves’s spring statement
Debbie Abrahams, the MP for Oldham East and Saddleworth and the chair of the work and pensions select committee, said: “All the evidence points to cuts in welfare leading to severe poverty and worsened health conditions. How will making people sicker and poorer get people into jobs?”
And Leeds MP Richard Burgon added: “Making cuts instead of taxing wealth is a political choice, and taking away the personal independence payments from so many disabled people is an especially cruel choice.
“A disabled person who can’t cut up their own food without assistance, and can’t go to the toilet without assistance, and can’t wash themselves without assistance will lose their personal independence payment.”
Sir Keir Starmer has unveiled what he says is a major transport boost to stop the North being “held to ransom” by a Victorian-era system.
The prime minister said the £2.15bn investment was a “downpayment for growth” in northern England and a “vote of confidence” in its “world-beating industries”.
Some £415m of the total will be used to improve rail services between Manchester, Huddersfield, Leeds and York.
Number 10 also said local leaders would get more than £1bn to boost transport, while an additional £270m will be provided to bolster buses and £330m set aside for road maintenance.
The prime minister is due to visit a factory in the North on Friday to urge regions to speed up projects such as a mass transit system in West Yorkshire, a new rail station in Liverpool’s Baltic Triangle area, and the redevelopment of Bury Interchange.
“The North is home to a wealth of talent and ingenuity,” said Sir Keir.
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“But for too long, it has been held to ransom by a Victorian-era transport system which has stifled its potential.”
He added: “I lived in Leeds for years, I get that this has real-world impacts – missed appointments, children late to school, work meetings rescheduled – all leading to insecurity and instability for working people.
“My government won’t stand by and watch. We are rolling up our sleeves, and today’s downpayment for growth is a vote of confidence in the North’s world-beating industries.”
Image: The PM says poor transport leads to ‘insecurity and instability for working people’. Pic: Reuters
The multibillion-pound TransPennine Route Upgrade will reduce journey times between Manchester and Leeds from 50 to 42 minutes, while people will save 10 minutes from Manchester to York.
Electrification of the line has been long-delayed.
Sir Keir said it was time industry in the region “had a government on their side to get the North motoring again”.
He said the government was spending “double as much on local transport in the North than the South”.
Chancellor Rachel Reeves said reliable and affordable public transport links are “essential for kickstarting economic growth and putting more money in people’s pockets”.
She added: “The transport system outside of London and the South East has been plagued by delays and cancellations, frustrated by strikes and failing infrastructure because upgrades that were promised were never delivered.”
South Carolina has become the latest US state to dismiss its lawsuit against crypto exchange Coinbase over its staking services, which had accused the crypto exchange of offering unregistered securities.
The lawsuit was officially dismissed in a joint stipulation between the crypto exchange and the South Carolina Attorney General’s securities division on March 27.
“South Carolina just joined Vermont to dismiss its unfounded staking lawsuit against Coinbase,” the firm’s chief legal officer, Paul Grewal, said in a March 27 X post.
“This is not just a victory for us, but for American consumers and we hope it’s a sign of things to come in the few states left that restrict staking.”
South Carolina and Vermont were two of 10 US states that took legal action against Coinbase’s staking services on June 6, 2023 — the same day that the federal securities regulator filed its lawsuit against the crypto exchange.
The other eight US states that filed enforcement action similar to South Carolina were Alabama, California, Illinois, Kentucky, Maryland, New Jersey, Washington and Wisconsin.
Grewal said he hoped to see other states follow suit, and that South Carolina residents lost an estimated $2 million in staking rewards as a result of the lawsuit.
“The 52 million Americans who own crypto deserve commonsense consumer protections and clear rules,” he said. “We applaud South Carolina for standing up for justice and hope the remaining states with bans on staking will take notice.”
South Carolina introduces Bitcoin reserve bill
Meanwhile,a state lawmaker has just introduced the “Strategic Digital Assets Reserve Act of South Carolina” on March 27, which could see the state treasurer allocate up to 10% of certain state funds to cryptocurrencies such as Bitcoin (BTC).
Unlike most US state crypto reserve bills, North Carolina’s House Bill 4256, introduced by Rep. Jordan Pace, mentioned Bitcoin on several occasions for the Strategic Digital Assets Reserve that the bill seeks to establish.
The treasurer would be able to add Bitcoin to South Carolina’s General Fund, the Budget Stabilization Reserve Fund any other investment fund that they manage.
While no mention of stablecoins, non-fungible tokens, Ether (ETH) or any other crypto tokens was made, the House bill said the Strategic Digital Assets Reserve wouldn’t be limited to Bitcoin.
According to Bitcoin Law, 42 Bitcoin reserve bills have been introduced at the state level in 19 states, and 36 of those 42 bills remain live.
Earlier this month, US President Donald Trump signed an executive order to create a Strategic Bitcoin Reserve and a Digital Asset Stockpile, both of which will initially use cryptocurrency forfeited in government criminal cases.