Handling Cancer on the NHS

The NHS boasts it is "best in the world". So why dooff with "it's your age" and demanded to know
we have one of the worst post cancer survival rates"why?"
in Europe?Eventually it became obvious that the NHS is
Possibly this is partly our fault. Most people diagnosedoverstretched; it concentrates on primary treatment,
with cancer in Britain meekly accept what doctorsleaving cancer charities to pick up the aftermath.
offer; they feel it is wrong to challenge a diagnosis,So, why not take advantage of a short break holiday
and as one doctor told me "patients should ask for aand go to Europe? In most EU countries patients live
second opinion".longer post cancer, and I suspect this is because their
My favourite medic told a conference at the Royaldoctors don't dismiss side effects from hormonal
Marsden, Britain's flagship cancer treatment centre,drugs, but help patients throughout the five years
"doctors don't know how to talk to patients": loudthey take them. I had a lovely time learning about
cheers from patients in the audience, whilst medicsgood post cancer treatment. Who could complain
sat stony-faced. Revd. David Brown was Chaplain atjoining German cancer patients having free massages,
the hospital for 21 years, and said doctors wouldor French women getting skincare advice with lovely
come to him and say "David, I don't know how toclinically-tested products proven to do cancer-skins
talk to patients".good?!
So it is up to patients to talk WITH their doctors.Currently the UK ranks between 17th and 25th for
Don't worry about being a nuisance, as privatelylife expectancy post cancer (depending if it is NHS or
oncologists admit patients that "kick up a fuss"World Health Organisation survey), I asked the Dept
generally recover better. We need to get over NHSof Health if the NHS were sending people to Europe
arrogance, and copy what is offered to patients into see what we could copy. Their arrogant reply "we
Europe. As a patient, I became incensed whenhave no plans" beggars belief.
doctors in Britain dismissed blindness in one eye,Pound for pound, euro for euro, French cancer
caused by one of the drugs I was on, with "I havetreatment is probably the best in world. Overall their
never seen this before". It was a French professorhealth service (state and health insurance top ups
who said this was a rare but well-documented sidetogether) costs roughly the same as our NHS. But
effect of the drug I had been put on, Tamoxifen.when private insurance companies are involved, they
I saw what help I could get in Europe, mostlydemand accountability. No insurance company would
common sense, but denied to patients in Britainallow hospitals get away with the expensive
because doctors just won't look abroad and copyadministration we have in the NHS. The Sunday
procedures and treatments. If we find information onTelegraph wrote recently that in the past ten years
the Internet that will help us, we don't have to"NHS administrator numbers increased 64%, as
meekly accept arrogant decisions and advice fromagainst 43% for doctors and 25% for nurses", yet
our medics. We should demand treatment and"productivity has fallen by 10%".
products European cancer patients receive - soWith administrators on £150,000+ salaries we
hopefully we all survive longer.still have the worst MRSA figures in Europe. So
For most patientss, everything goes relatively well.instead of giving us similar treatment to Europeans,
Yes, you are going to get tired for no apparentthe NHS is paying for the extra administrators, and,
reason. Yes, you get nauseous and have problemsas cancer guru Prof. Karol Sikora says, "the depth of
with chemo, but as time goes on these are muchpile in their carpets".
better handled. You get used to talking to medics,But there is no reason why we can't copy some of
and find whilst you arebeing treated in hospital yourthe European treatments, and have fun after cancer.
problems get sorted. Complicatons come when youThese aren't 'airy fairy' treatments or 'miracle foods',
are given a hormonal drug such as Tamoxifen, andbut clinically approved products, some of which we
told you don't have to come back for three months.can obtain on NHS, but doctors don't have time to
5% of patients won't get any side effects, and sailtell us, and things such as massage that Macmillan
through the next five years. The other 95% do, andsurveys have proven to be very helpful. But before
these can include temporary blindness and peeling,trying anything, tell your doctor or oncology nurse -
bloody and painful skin eruptions. These made me thethere might be contra-indications.
patient from hell. I didn't believe attempts to fob meAnd HAVE FUN!