Median pathway analysis - breakdown by patient demographics, cancer stage and route to diagnosis, 2013-2018

This website presents the median time taken, in days, for patients to be seen for their first treatment following a referral, stratified by four intervals of the patient pathway. These are:

  1. Referral to first seen in secondary care
  2. First seen in secondary care to diagnosis
  3. Diagnosis to first multidisciplinary team (MDT) meeting
  4. MDT meeting to treatment start date
This analysis is broken down by socio-demographic factors, stage at diagnosis, route to diagnosis, and geography, for patients diagnosed with one of fifteen cancers in the diagnosis years 2013 to 2018.

This website has been split up into three sections:
  1. Overview - Provides a high-level summary of the variation in the median time taken for patients to be seen for their first treatment following a referral.
  2. Demographic Factors - Provides analysis on the variation in the median time taken for patients to be seen for their first treatment following a referral, broken down by socio-demographic factors, cancer stage and routes to diagnosis, at Cancer Alliance level.
  3. Geography - Provides analysis on the variation in the median time taken for patients to be seen for their first treatment following a referral, broken down by Cancer Alliance, STP and CCG.
Analytical notes:
  • Figures for Cancer Alliances are derived from their respective CCGs as of April 2020.
  • Records identified as Death Certificate Only are not included in this analysis.
  • Caution should be taken when interpreting results with small cohorts as small numbers can lead to variation and unreliability of data.
  • In cases where there are less than six patients, the patient number is recorded as <6.
  • The median pathway length from referral to first treatment may not be the same as the sum of the median lengths for each pathway interval.
  • CCGs and STPs listed will always reflect the Cancer Alliances for which they are in, however, selected CCGs or STPs should be treated as independent geographies.

Click below to download a copy of the data and graphs:
Download graph - Patient Counts
Download graph - Distribution
Download graph - Median Days
Download data - selected Cancer Alliance
Download data - all Cancer Alliances
Download data - Statistical Significance

This work is produced by the Cancer Alliance Data, Evidence and Analysis Service (CADEAS), a partnership between NHS England and NHS Improvement & Public Health England. It builds on work previously carried out by the NCRAS-TCST (National Cancer Registration and Analysis Service - Transforming Cancer Services Team for London) Partnership.

Data for this project is based on patient-level information collected by the NHS, as part of the care and support of cancer patients. The data is collated, maintained and quality assured by the National Cancer Registration and Analysis Service, which is part of Public Health England (PHE).

For queries regarding the tool, please contact