A report has found too many people diagnosed with cancer are not starting treatment quickly enough
Too many people diagnosed with cancer in Wales are not starting treatment quickly enough, a Welsh Government report has found. The findings also show that people who live in the most deprived areas have a lower chance of surviving.
The Welsh Government have a 62-day target for patients to begin treatment after they have been diagnosed with cancer. The latest data for November 2025 show only 58% of treatments start before this target.
In 2023, the Welsh Government set a target that 80% of cancer patients should start treatment within 62 days by March 2026, however they have fallen significantly behind this. Stay informed on the latest health news by signing up to our newsletter here
Certain cancers have longer waits for treatment, the figures from November 2025 show, with less than half of patients starting their treatment within 62 days for gynaecological (32 per cent), urological (34 per cent) and lower gastrointestinal (36 per cent) cancers and for sarcoma (27 per cent.)
Responding to the data shown in the Auditor General for Wales’s report on Cancer Services in Wales, the Wales Cancer Alliance explained: “It’s a clear indicator that the current system can’t keep up with the demand that we’re seeing coming into the system, and it isn’t working for far too many people across Wales.
“The impact on receiving a cancer diagnosis is devastating, but then to have to deal with the long delays in receiving that diagnosis compound it.”
The report also states that while improvements have been made in some areas, “the Senedd’s Public Accounts and Public Administration Committee warns that Wales continues to lag behind other UK nations and comparable countries internationally”.
Within the report the Committee share the response from the Welsh Government on the failure to meet the 62-day target. They were told that the Welsh Government has a: “target that is for 75 per cent of patients to be treated on the single cancer pathway within 62 days; 60 per cent is clearly an unacceptable level in terms of performance for those patients”.
They added: “The target is very challenging in order to be delivered, but doesn’t necessarily reflect the experience of a huge number of people who are on the cancer pathway. It only reflects those that go through and have treatment for cancer.”
In Wales there is a “significant deprivation gap in cancer survival rates” as more people from affluent areas survive than those living in the most deprived areas.
The Auditor General’s report explains that while 69 per cent of cancer patients living in the most affluent parts of Wales survive cancer at five years, that falls to 51 per cent for those in the most deprived areas.
The Committee heard evidence that “highlights persistent inequalities in access to timely diagnosis and treatment which are compounded by structural challenges across health boards and regional variation in service delivery”.
Speaking with Wales Cancer Alliance, the Committee were told that in Wales, death rates are 50 per cent higher in the most deprived groups compared to the least.
The Senedd’s Public Accounts and Public Administration Committee says these inequalities highlight persistent problems in access to timely diagnosis and treatment, variations in services between health boards, and barriers to screening uptake in disadvantaged groups.
The Chair of the Senedd’s Public Accounts and Public Administration Committee, Mark Isherwood MS, said: “Living with a cancer diagnosis places immense psychological, physical, and practical strain on individuals and their families. Cancer patients and their families deserve better than the level of performance we are seeing in Wales.
“The Welsh Government has set the national vision for cancer care, and it must now show far stronger leadership to deliver it. Waiting times remain unacceptable, inequalities are widening, and essential reforms are progressing far too slowly. The Government must grip this urgently – because without decisive national leadership, cancer outcomes in Wales will continue to fall short of what patients rightly expect and deserve.”
Cancer waiting time performance does not include the numbers of people who have been investigated and found not to have cancer.
In the most recent 12 months, more than 170,000 people on the cancer pathway received the good news they did not have cancer whilst some 24,000 people were diagnosed with cancer and started treatment.
The Welsh Government says: “We are working with the NHS to improve cancer care, including earlier access to diagnosis and treatment. Cancer is one of the most common causes of illness and death in Wales – there is more to do to prevent cancer and learn through research.
“We have invested tens of millions of pounds in new cancer facilities, equipment, digital systems, workforce training, treatments, screening and diagnostic services. We support health boards to improve cancer waiting times as part of our £2m Cancer Recovery Programme, which is changing how services are delivered to improve access.”
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