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Watchdog Shines Light On 'Serious Impact' Of Cancelled Care

Patients are facing "catastrophic health impacts" due to vital appointments being postponed and cancelled, a watchdog has warned. 

Healthwatch England said that last-minute cancellations were leading to people's symptoms getting worse and causing their mental health to deteriorate. Some are facing multiple cancelations and postponements, it added.

It comes as a poll, conducted on behalf of Healthwatch, found that more than a third (39%) of people who had an appointment called off this year experienced cancellations or postponements two or more times.

Some 1084 adults in England who had an appointment cancelled in 2023 were polled by Yonder Data Solutions on behalf of Healthwatch England. This group includes people who had faced postponements for pre-planned hospital care, hospital outpatient appointments, diagnostic scans or tests, and community health appointments.

  • Nearly one in five (18%) said their appointment was cancelled at the "last minute" – either on the day or as they arrived for their appointment
  • Some 66% said cancellations to care had impacted their lives, reporting ongoing pain, worsening symptoms, worsening mental health, and disrupted sleep, among other problems
  • Half (52%) said they had not been offered support to manage their medical condition during the new wait for care and 79% said the NHS had offered them "very little" or "no support" with their mental health

Health Inequalities Worsened by Cancelled Appointments

Healthwatch said that some groups appeared to be disproportionately affected by the impact of cancellations including unpaid carers, neurodivergent people, those on lower incomes, and people from minority ethnic backgrounds. And people more likely to report two or more NHS postponements include neurodivergent people, those on lower incomes, ethnic minorities and LGBTQ people, it added.

In 2022-23, NHS data show that there were 77,266 last minute cancelled operations for people waiting for pre-planned care in hospitals in England. NHS figures also show that industrial action in England over the last 8 months has led to 819,000 appointments, operations, and procedures being postponed.

Only 15% of those surveyed had been told their appointment was postponed due to industrial action while 41% said they care was cancelled for another reason.

The poll was released as junior doctors in England announced a fresh round of strikes in August, which could lead to upheaval for tens of thousands of additional appointments.

Louise Ansari, chief executive of Healthwatch England, said: "The findings of our research show that many people are currently facing worsening and, in some cases, catastrophic health impacts due to ongoing delays to care. She warned that if patients' symptoms worsen, or their mental health deteriorates, "this in turn puts extra pressure on health and care services".

The organisation has called on the NHS to publish more comprehensive data on cancellations and offer better support to people when their cancellations are unavoidable.

An NHS spokesperson said: "Obviously industrial action over the last eight months has had a significant impact, with at least 765,000 appointments being rescheduled since they began last year.

"Hardworking staff are doing all they possibly can to manage this disruption, which includes rescheduling appointments as quickly as possible, with the NHS making progress on the longest waiters, including reducing the number of people waiting more than 18 months, down by around a third since April."

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