The Public Accounts Committee has blasted the Department for Health and Social Care for having ‘overseen years of decline in the NHS’s cancer and elective care waiting time performance’.
The NHS has not met the 18-week maximum waiting time standard for elective care since February 2016 nor the eight key standards for cancer care in totality since 2014. Additionally, at the end of December 2021, 6.07 million patients were waiting for ‘elective’ care - such as hip or knee replacements or cataract surgery - the biggest waiting list since records began.
MPs on the committee have stressed that in addition to these previous failures and despite the heroic efforts of the NHS workforce, the pandemic has ‘inevitably caused a further huge deterioration in the NHS’s provision of elective and cancer care’.
The legal standard for elective care states that 92 per cent of people on the waiting list should be seen within 18 weeks, but only 64 per cent (3.87 million) of these patients have been waiting less than that, and 311,000 have now been waiting for more than a year. Even before the pandemic only 83 per cent were being seen within 18 weeks. Only 67 per cent of patients with an urgent referral for suspected cancer were treated within 62 days, compared to the requirement for 85 per cent to be treated within that time.
The Public Accounts Committee has also said that ‘a striking feature of the pandemic was that very large numbers of patients did not present at, or were unable to access, routine NHS services’.
As of September last year, there were between 7.6 million and 9.1 million missing referrals of patients for elective care and between 240,000 and 740,000 missing urgent referrals for suspected cancer. People will face serious health consequences as a result of delays in treatment, with some dying earlier and many living with pain or discomfort for longer.
Dame Meg Hillier, chair of the committee, said: “DHSC has overseen a long-term decline in elective and critical cancer care that is dragging our National Health Service and the heroic staff down. We on PAC are now extremely concerned that there is no real plan to turn a large cash injection, for elective care and capital costs of dangerously crumbling facilities, into better outcomes for people waiting for life-saving or quality-of-life improving treatment. Nor is it obvious that the Department finally understands that it’s biggest problem, and the only solution to all its problems, is the way it manages its greatest resource: our heroic NHS staff. Exhausted and demoralised, they’ve emerged from two hellish years only to face longer and longer lists of sicker people. And this is compounded by staffing shortages in a number of professional areas.
“The cycle of glib headlines and fiddling with management structures must be broken, with an overhauled ‘people plan’ that gets to the core of the desperate under-staffing and under-resourcing that have undermined our health system.”
