Ministers confirm plans to scrap two-thirds of cancer targets by autumn – but new Faster Diagnosis Standard has never been met
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;
• 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.
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.
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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”.
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.”
The last blast furnaces left operating in Britain could see their fate sealed within days, after their Chinese owners took the decision to cut off the crucial supply of ingredients keeping them running.
Jingye, the owner of British Steel in Scunthorpe, has, according to union representatives, cancelled future orders for the iron ore, coal and other raw materials needed to keep the furnaces running.
The upshot is that they may have to close next month – even sooner than the earliest date suggested for its closure.
Read more: Thousands of jobs at risk as British Steel consults unions over closure
The fate of the blast furnaces – the last two domestic sources of virgin steel, made from iron ore rather than recycled – is likely to be determined in a matter of days, with the Department for Business and Trade now actively pondering nationalisation.
The upshot is that even as Britain contends with a trade war across the Atlantic, it is now working against the clock to secure the future of steelmaking at Scunthorpe.
The talks between the government and Jingye broke down last week after the Chinese company, which bought British Steel out of receivership in 2020, rejected a £500m offer of public money to replace the existing furnaces with electric arc furnaces.
The sum is the same one it offered to Tata Steel, which has shut down the other remaining UK blast furnaces in Port Talbot and is planning to build electric furnaces – which have far lower carbon emissions.
These steel workers could soon be out of work
However, the owners argue that the amount is too little to justify extra investment at Scunthorpe, and said last week they were now consulting on the date of shutting both the blast furnaces and the attached steelworks.
Since British Steel is the main provider of steel rails to Network Rail – as well as other construction steels available from only a few sites in the world – the closure would leave the UK more reliant on imports for critical infrastructure sites.
However, since the site belongs to its Chinese owners, a decision to nationalise the site would involve radical steps government officials are wary of taking.
They also fear leaving taxpayers exposed to a potentially loss-making business for the long run.
The dilemma has been heightened by the sharp turn in geopolitical sentiment following Donald Trump’s return to the White House.
The incipient trade war and threatened cut in American support to Europe have sparked fresh calls for countries to act urgently to secure their own supplies of critical materials, especially those used for defence and infrastructure.
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Gareth Stace, head of UK Steel, the industry lobby group, said: “Talks seem to have broken down between government and British Steel.
“My advice to government is: please, Jonathan Reynolds, Business Secretary, get back round that negotiating table, thrash out a deal, and if a deal can’t be found in the next few days, then I fear for the very future of the sector, but also here for Scunthorpe steelworks.”
British Steel declined to comment.
UK
Prince Andrew’s Pitch@Palace branded ‘crude attempt to enrich himself’ as Chinese spy documents set to be released
Prince Andrew’s efforts to make money from his Pitch@Palace project have been branded as a “crude attempt to enrich himself” at the expense of “unsuspecting tech founders”, as new documents may shed more light on what he and his team have been attempting to sell.
Today is the deadline for documents to be released relating to Prince Andrew‘s former senior adviser Dominic Hampshire and his interactions with the alleged Chinese spy Yang Tengbo.
In February, an immigration tribunal heard how the intelligence services had contacted Mr Hampshire about Mr Yang back in 2022. Mr Yang helped set up Pitch@Palace China, a branch of the duke’s scheme to help young entrepreneurs.
The alleged Chinese spy, Yang Tengbo, has links with Prince Andrew
Yang Tengbo. Pic: Pitch@Palace
Judges banned Mr Yang from the UK, saying his association with a senior royal had made Prince Andrew “vulnerable” and posed a threat to national security. Mr Yang challenged that decision at the Special Immigration Appeals Commission (SIAC).
Since that hearing, media organisations have applied for certain documents relating to the case and Mr Hampshire’s support for Mr Yang to be made public. SIAC agreed to release some information of public interest. It is hoped they may include more details on deals that he was trying to do on behalf of Prince Andrew.
So what do we know about potential deals for Pitch@Palace so far?
In February, Sky News confirmed that palace officials had a meeting last summer with tech funding company StartupBootcamp to discuss a potential tie-up between them and Prince Andrew relating to his Pitch@Palace project.
The palace wasn’t involved in the fine details of a deal but wanted guarantees to make sure it wouldn’t impact the Royal Family in the future. Sky News understands from one source that the price being discussed for Pitch was around £750,000 – there are, however, reports that a deal may have stalled.
Photos we found on the Chinese Chamber of Commerce website show an event held in Asia between StartupBootcamp and Innovate Global, believed to be an offshoot of Pitch.
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Who is alleged Chinese spy, Yang Tengbo?
Documents, released in relation to the investigations into Mr Tengbo, have also shown how much the duke has always seen Pitch as a way of potentially making money. One document from 21 August 2021 clearly states “the duke needed money at the time, and saw the relationships with China through Pitch as one possible source of funding”.
But Prince Andrew’s apparent intention to use Pitch to make money has led to concerns about whether he is unfairly using the contacts and information he gained when he was a working royal.
Norman Baker, former MP and author of books on royal finances, believes it is “a crude attempt to enrich himself” and goes against what the tech entrepreneurs thought they were signing up for.
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He told Sky News: “The data given by these business people was given on the basis it was an official operation and not something for Prince Andrew, and so in my view, Prince Andrew had no right legally or morally to take the data which has been collected, a huge amount of data, and sell it…
“And quite clearly if you’re going to sell it off to StartupBootcamp, that is not what people had in mind. The entrepreneurs who joined Pitch@Palace did not do so to enrich Prince Andrew,” he said.
Rich Wilson was one tech entrepreneur who was approached at the start of Pitch@Palace to sign up, but he stepped away when he spotted a clause in the contract saying they’d be entitled to 2% equity in any funding he secured.
He feels Prince Andrew is continuing to use those he made a show of supporting.
He said: “It makes me feel sick. I think it’s terrible – that he is continuing to exploit unsuspecting tech founders in this way. A lot of them, I’m quite grey and old in the tooth now, I saw it coming, but clearly most didn’t. And a lot of them were quite young.
“It’ll be their first venture and you’re learning on the trot, so to speak. So to take advantage of people in such a major way – that’s an awful, sickening thing to do.”
We approached StartupBootcamp who said they had no comment to make, and the Duke of York’s office did not respond.
With reports that a deal may have stalled, it could be a big setback for the duke – especially with questions still about how he’ll continue to pay for his home on the Windsor estate now that the King no longer gives him financial support.
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