Cancer care in the UK

Hypothetical Question:

Looking for info on the quality of cancer screenings and cancer care in Scotland, Wales, and in England. Is this one of the areas where the NHS in the respective country is struggling? Is there any information available to show one country manages these cases better than the others? [Or areas within one of the countries?]

Let's say gastrointestinal cancer and not breast cancer.  Just a what-if situation.

I think it will be post code dependent, vary between NHS trusts in the various countries. This year our daughter has been screened for breast and skin cancer. Our good friend here had a suspicious lesion on his face removed and tested a few weeks ago. Last year my wife was screened for skin cancer and the year before that I had 3 suspicious lesions removed and tested.

I think it will be post code dependent, vary between NHS trusts in the various countries. This year our daughter has been screened for breast and skin cancer. Our good friend here had a suspicious lesion on his face removed and tested a few weeks ago. Last year my wife was screened for skin cancer and the year before that I had 3 suspicious lesions removed and tested.

So, in other words, it's a crapshoot?

So, in other words, it's a crapshoot?

Yes. Did you expect anything different?

In February this year I was at a restaurant with the friend I mentioned when he took ill. When we got to the car he collapsed to the ground and the barman who had come out with us called 999. He was almost non-verbal and I had to do most of the talking and the dispatcher said they would sent an ambulance.  Within 5 minutes my friend said he thought he could get into the back of the car (it was very cold) and I drove him home. The barman called the ambulance to give them an update and pass on his address. The ambulance was there shortly after I delivered him home to his wife and by that time he was feeling much better. They gave him a full checkup including ekg and he insisted that he would be okay and go to the doctors in the morning.

He is aged 81 and has had 2 open heart surgeries to replace the aortic valve.(age 60 and 75). He also had a hip replacement last year, all on the NHS.  Over the following weeks he went through a battery of tests including cancer screening of his whole digestive system including bladder and colon. Conclusion of his issue was a bad bladder infection. After a couple of months he was fully recovered and we resumed our weekly outing to our favorite restaurant where we have bar snacks and a beer, and set the world straight.  We have been good friends for the last 46 years, he and his family being neighbors of hours when we first moved here in 1979.

Last year we went on an adventure cruise and my wife fell while coming down a hillside on an island in St Kilda badly damaging her ankle. The ship’s doctor didn’t think it was broken and we finished our cruise a couple of days later. The morning after we arrived home I drove her to our local walk-in medical center. We got there at 8:10 and I drove home (4 miles) expecting it to take several hours. It only took her about 45 minutes. She was triaged immediately and saw a doctor when the medics arrived at 8:30. An x-ray confirmed no break and they re-strapped her ankle. We were both back home by 9:30 and she recovered over the next few weeks.

Yes. Did you expect anything different?

I thought it possible that some regions were stretched more thinly re: available resources than others, and that since the NHS is different in Scotland than in England (and, by extension Wales?) that there would be some general knowledge of where the proverbial Black Holes of Calcutta were in each country. And the opposite, as well - what areas are known for a higher standard of care. 

I do see from visiting with Dr. Google with a search for top cancer treatment facilities in the UK that the list that comes up tend to be in London.

The Royal Marsden NHS Foundation Trust (London)
The Institute of Cancer Research (ICR) (London)
The Christie NHS Foundation Trust (Manchester)
The Francis Crick Institute (London)
Cancer Research UK (CRUK) - not a facility, per se

Looks like time for some serious academic research, I guess, unless someone happens to have a sense of it all and can share that info.

I did see - "Scotland's cancer treatment waiting times worst on record." https://www.bbc.com/news/articles/cx234drv3dgo

I thought it possible that some regions were stretched more thinly re: available resources than others, and that since the NHS is different in Scotland than in England (and, by extension Wales?) that there would be some general knowledge of where the proverbial Black Holes of Calcutta were in each country. And the opposite, as well - what areas are known for a higher standard of care. 

I do see from visiting with Dr. Google with a search for top cancer treatment facilities in the UK that the list that comes up tend to be in London.

The Royal Marsden NHS Foundation Trust (London)
The Institute of Cancer Research (ICR) (London)
The Christie NHS Foundation Trust (Manchester)
The Francis Crick Institute (London)
Cancer Research UK (CRUK) - not a facility, per se

Looks like time for some serious academic research, I guess, unless someone happens to have a sense of it all and can share that info.

I did see - "Scotland's cancer treatment waiting times worst on record." https://www.bbc.com/news/articles/cx234drv3dgo

My wife’s sister lives near Edinburgh and their trust certainly seems a LOT worse than ours. Scotland still don’t have their test results or doctor consultations available online.  Where we live then within 24 hours you can see all your detailed blood tests plus any GP notes from visits you have. It’s great to have such easy access. Unfortunately we have both needed several GP appointments over this past year but have been very pleased with the outcomes.

Yeah, I can believe that. When we were there everything was paper-driven at our GP.  To get a prescription we had to go home from an appointment, and then come back the next day to get a paper copy to take to Boots, and then wait a day or two for the meds if they were not in-stock.  I think later the Boots near us would go and collect the prescription paper for me if I phoned them, and then call us when the meds were ready, but it's been a while and it's all getting fuzzy now. It was nice because I was pretty much on foot, without having a car there.

I was horrified, though, to find out that if I had to go to the hospital it was going to be that Death Star new one across the Clyde (Queen Elizabeth Hosp?) that had kids getting sick/killed, while inpatients, from nasties in the water supply and pigeon droppings in the air system. (And a smattering of incompetence.) The GP did want to send me once, and was going to call for an ambulance to take me there from her office, but when I found out that's where they'd take me I refused. Took a cab home instead.  I told her I'd happily go to the one over by City Center, but she said my postcode had to use QE2. If the problem had continued I've had gone private and used the private hospital very close to where we lived. Thankfully, whatever the heck was wrong resolved itself without intervention.

The Death Star was also a major bus transfer point, and there were many days I transferred buses there to get to IKEA. They'd managed to build the main buildings so that they funneled the wind - I was literally blown over one day. Hadn't had that happen since I was like two years old! Very, very strange planning around that place.

I did read in that article I linked that the best wait times in Scotland were at the Lanarkshire NHS, though.

In England when our GP orders a prescription by default it goes to our online provider “Pharmacy2You” and arrives by post a few days later unless it is a one-off urgent prescription then we get a paper version. For repeat prescriptions we simply order them as needed through the NHS app. Something my wife’s sister would dearly love to have as she is on lots of meds due to open heart surgery in 2020.