18 Accepted

In September 2021, patients in the worst-performing of NHSE&I’s 42 geographic areas of England were...

Conclusion
In September 2021, patients in the worst-performing of NHSE&I’s 42 geographic areas of England were more than twice as likely as patients in the best-performing areas to have been waiting over 18 weeks for elective care. Patients were also more than twice as likely to have waited more than 62 days for cancer treatment following an urgent referral in the worst-performing area compared with the best-performing. The difference between the worst and best areas in the proportion of patients waiting over 52 weeks for elective care was around 12 times.40
Government Response Summary
The government agreed with the committee's observation, describing existing work including demand modelling, providing tools to regions for activity planning, publishing cancer referral data, and offering support through regional cancer teams and the GIRFT programme to address variation and reduce backlogs.
Government Response
Accepted
HM Government Accepted
5.1 The government agrees with the Committee’s recommendation. Target implementation date: Spring 2023 5.2 Future demand for elective services has been significantly affected by the pandemic and the government has done extensive work to model a range of scenarios to better understand the levels of ‘bounce-back’ demand. Modelling estimates that there could be over 7 million patients who did not come forward for treatment so far during the pandemic, a significant proportion of whom may do so in the coming years. 5.3 A number of tools have been made available to regions and systems to support the development of robust activity plans for the remainder of this year, as part of the formal activity planning process for the period. Since September 2020, NHSE&I have published analysis on the recovery of urgent cancer referrals and first treatments by age, sex, ethnicity, and deprivation. 5.4 Support has been provided to address variation in a number of areas such as establishing regional and national cancer teams, collaborative work with Getting It Right First Time (GIRFT), a national programme designed to improve the treatment and care of patients through in-depth review of services, benchmarking, and presenting a data-driven evidence base to support change. Improvements across the NHS in planning and delivery of all services, such as addressing the 104+ week waiters are a key priority along with minimising urgent cancer backlogs.
Addressee Bodies
HM Treasury
Timeline
Recommendation age 4.4 yrs
Report published 16 Mar 2022