Day: January 17, 2018

Routes to Diagnosis now includes 10 years’ worth of data, covering more than 3 million cancer cases, making it the most comprehensive diagnosis of its kind in the world.

The data shows a dramatic improvement in the way some cancers are being diagnosed across England, but also pinpoints areas where improvements could still be made.

Key findings from the latest Routes to Diagnosis data include:

• diagnoses from emergency presentations, where outcomes are the worst, have improved falling from 24% to 20% between 2006 to 2016
• diagnoses through urgent GP referrals – 2 week waits – have increased significantly from 25% in 2005 to 37% in 2015, meaning that around 110,000 cases are now diagnosed this way
• diagnoses of pancreatic cancer through emergency presentation – with the very worst outcomes – has fallen by 6%, a significant drop
• diagnoses of colorectal cancers through the national bowel screening programme – the route with the best survival rate – remain under 10%
• the number of cancer cases diagnosed in Accident and Emergency varies across the country , ranging from 8% of all cases in the Peninsular Cancer Alliance to 20% of all cases in the London Cancer Alliance – this is despite similar cancer incidence levels

This latest update includes a new interactive tool which, for the first time, shows trends in cancer diagnosis for 53 different types of cancer. By using the tool doctors and managers will be able to quickly and easily see the differences between cancers and understand where survival rates are improving.

Dr Jem Rashbass, Cancer Lead at Public Health England said:

Diagnosing cancer earlier is one of the most important ways to improve cancer survival and we know that those patients who have their cancer diagnosed as an emergency have poorer outcomes. In England we have pioneered the analysis of routes to diagnosis data which allows us to highlight where we are making an impact and where challenges still remain.

Health Minister Steve Brine said:

With cancer survival rates at a record high it’s imperative that we continue to see a greater awareness of the signs and symptoms of cancer.

These figures demonstrate that our healthcare professionals are making a real difference by giving patients quicker referrals so they can access the best treatment available.

Sir Harpal Kumar, Cancer Research UK’s chief executive, said:

The earlier cancer is detected, the greater the chance that treatment will be successful. This Routes to Diagnosis data is an invaluable tool to see how we can diagnose cancer earlier.

We’re pleased to see that the proportion of people who are diagnosed as an emergency has fallen, but with 40,000 cancers still diagnosed in A&E each year in England we know that more improvement is needed.

The main reason the number of cancer diagnoses are increasing is because people are living longer and risk is of developing cancer increases with age. Lifestyle factors, such as the increase in obesity over the last few decades have also contributed to the rise in cases.

Case study

Earlier diagnosis leads to more successful treatment, so this data also highlights the importance of our cancer screening programmes in detecting cancer early.

Julia was diagnosed with stage 2a cervical cancer after her GP quickly referred her as a 2 week wait following post-coital bleeding; however she knows that it would have been detected earlier if she had attended her routine cervical screening appointments.

Julia Tugwell, cervical cancer survivor said:

I believe that if a GP or other healthcare professional had questioned me directly about my lack of screening attendance, over many years, I would have been more likely to have attended.

The new data shows that 3-year survival for cervical cancer following a screening diagnosis is 95%, compared to 65% when picked up through the 2 week wait – when symptoms might indicate a later stage cancer.

Background

1. National Cancer Registration and Analysis Service (NCRAS) is part of Public Health England and works to drive improvements in standards of cancer care and clinical outcomes by improving and using the information collected about cancer patients for analysis, publication and research.
2. Routes to Diagnosis groups patients into 1 of 8 routes:

• screen detected
• emergency presentation
• 2 week wait
• GP referral
• other outpatient
• inpatient elective
• death certificate only
• unknown

Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. It does this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. PHE is an operationally autonomous executive agency of the Department of Health. Twitter: @PHE_uk, Facebook: www.facebook.com/PublicHealthEngland.

Ms Tina Redshaw has been appointed Her Majesty’s Ambassador to the Kingdom of Cambodia in succession to Mr Bill Longhurst, who will be transferring to another Diplomatic Service appointment. Ms Redshaw will take up her appointment in June 2018.

CURRICULUM VITAE

Full name: Tina Susan Redshaw

2016 – present Full time language training

2013 – 2016 Chongqing, Her Majesty’s Consul General

2011 – 2013 FCO, Deputy Head of Climate Change & Energy Department

2011 FCO, Head of Multilateral team, Asia Pacific Directorate

2007 – 2010 Beijing, Head of Energy, Environment & Infrastructure, UK Trade & Investment

2006 – 2007 FCO, Researcher for FCO Board

2003 – 2006 Timor Leste, Her Majesty’s Ambassador

2000 – 2003 Beijing, First Secretary

1999 – 2000 FCO, China, Hong Kong Department

1999 Joined FCO

Further information

• Follow the Foreign Office on Twitter @foreignoffice and Facebook
• Follow the Foreign Office on Instagram, YouTube and LinkedIn

Every year, following the 31 January Self Assessment (SA) deadline, HM Revenue and Customs (HMRC) receives a number of imaginative and intriguing excuses for not completing tax returns on time. Each year also sees some wildly optimistic expense claims. Recent excuses include:

1. I couldn’t file my return on time as my wife has been seeing aliens and won’t let me enter the house.
2. I’ve been far too busy touring the country with my one-man play.
3. My ex-wife left my tax return upstairs, but I suffer from vertigo and can’t go upstairs to retrieve it.
4. My business doesn’t really do anything.
5. I spilt coffee on it.

As well as the excuses, HMRC also receives some questionable items which taxpayers have tried to expense:

1. A three-piece suite for my partner to sit on when I’m doing my accounts.
2. Birthday drinks at a Glasgow nightclub.
3. Vet fees for a rabbit.
4. Hotel room service – for candles and prosecco.
5. £4.50 for sausage and chips meal expenses for 250 days.

The excuses and expenses listed above were all rejected.

Self Assessment – Weakest Excuses and Worst Expenses

Angela MacDonald, HMRC Director General of Customer Services, said:

Each year we’re making it easier and more intuitive for our customers to complete their tax return, but each year we still come across some questionable excuses, whether that’s blaming a busy touring schedule or seeing aliens. However, help will always be provided for those who have a genuine excuse for not submitting their return on time.

We also receive absurd expense claims from vet fees for a rabbit to room service at a hotel. It is unfair to make honest taxpayers pick up the bill for other people’s spurious claims, so HMRC will only accept sincere claims such as legitimate expenses for a job.

If you think you might miss the 31 January deadline, get in touch with us now – the earlier we’re contacted, the more help we can offer.

The deadline for sending 2016-17 Self Assessment tax returns to HMRC, and paying any tax owed, is 31 January 2018. Self Assessment customers can now also submit their return via their Personal Tax Account. It takes five minutes to sign up for an account here.

Notes for Editors

1. If you are submitting your 2016-17 Self Assessment return online for the first time, you will need to register for SA Online. Registering for online filing is simple – you can do it here
2. HMRC has previously announced that we will treat those with genuine excuses leniently, as we focus our penalties on those who persistently fail to complete their tax returns and deliberate tax evaders. This remains the case, although the excuse must be genuine and we might ask for evidence. Those listed above were all declined on the basis that they were either untrue or not good enough reasons.
3. Customers who provide HMRC with a reasonable excuse before the 31 January deadline can avoid a penalty after this date.
4. Help is available from the GOV.UK website or from the Self Assessment helpline on 0300 200 3310.
5. The deadline for Self Assessment returns is 31 January.
6. The penalties for late tax returns are:
   • An initial £100 fixed penalty, which applies even if there is no tax to pay.
   • After three months, additional daily penalties of £10 per day, up to a maximum of £900
   • After six months, a further penalty of 5% of the tax due or £300, whichever is greater
   • After 12 months, another 5% or £300 charge, whichever is greater.
7. There are also additional penalties for paying late of 5% of the tax unpaid at 30 days, six months and 12 months.
8. An audio clip of Angela McDonald’s statement is also available upon request.
9. Follow HMRC’s press office on Twitter @HMRCpressoffice.
10. HMRC’s Flickr channel can be found here.

Press contact

Patrick O’Brien
Tel: 03000 585 024
Email: patrick.o’brien@hmrc.gsi.gov.uk