A fall in urgent referrals for suspected cancer of nearly three quarters prompted a plea today from Scotland’s interim chief medical officer for people to still seek help.

A leading charity is warning that diagnosis and treatment in Scotland has been left in a “precarious position” by the coronavirus pandemic.

One month after the NHS was placed on an emergency footing as it prepared to deal with a surge in coronavirus cases, there has been a colossal reduction in the number of Scots seeking advice from their GP about symptoms that could be linked to cancer.

Last week an update to the government’s Beating Cancer strategy was published, with the caveat that the ‘bold and radical’ action promised would only happen once the threat of covid-19 had passed.

Leading care and research charity Breast Cancer Now said ‘incredibly tough decisions’ lie ahead for cancer patients and their doctors as they balance the need for treatment against the additional risks posed by covid-19 to some patients.

Marion O’Neill, Cancer Research UK’s head of external affairs in Scotland, said: “It’s hugely concerning there has been such a dramatic drop in the number of urgent suspected cancer referrals.

“It’s clear the pandemic has left cancer diagnosis and treatment in a precarious position.”

“If lots of suspected cancer cases are not investigated until a later date, there’s a risk of breaking an already flooded NHS system.

“Patients who have worrying symptoms should not be deterred from getting in touch with their GP. Many GP practices are offering telephone and video conference facilities so those who are worried about breaching social isolation guidelines can still access support.

“While the threat posed by covid-19 could change a patient’s treatment options, it’s vital that cancer is diagnosed as early as possible.”

Dr Gregor Smith, Scotland’s interim chief medical officer, has asked members of the public worried about symptoms to still contact the health service.

“It leaves me worried there are people out there who are not seeking help from their GP when they need it,” he said.

“Anyone with persistent signs and symptoms that are worrying them should seek help and advice. Don’t ignore it.”

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