Skin Cancer: Not informed of MDT meeting and WL removal

My father in law has skin cancer and following surgery he was referred for radiotherapy on 8 October, 2024, 103 days. This was following surgery which attempted to remove skin cancer on his ear which we were told was not successful, with two areas of cancerous cells remaining. This surgery was arranged by the NHS and carried out at a private clinic.

In January, we had still not heard when his radiotherapy treatment would begin and so he and I made many telephone calls to figure out what was happening. To our dismay the radiotherapy booking team informed him that he was removed from the radiotherapy waitlist. Today (17 Jan) a non-clinical member of staff told me that an MDT discussing his case had taken place on 18 October 2024 (92 days ago). He has not been formally informed that he was removed from the WL, not has a clinical member of staff - either the MDT co-ordinator, CNS team, cancer care team, or consultant, told him the MDT took place, talked him through the recommendations, or involved him in decision-making around his treatment and care plan. Indeed, we are completely in the dark as to whether he even has a care plan or a care team.

A non-clinical member of staff is trying her best to help us, but the MDT co-ordinator told her this sits with the consultant, whom we haven't heard from. I am very concerned that he has fallen through the gaps, and had now lost his place on the waitlist.

Can you please advise what our options are for navigating the system? I would also be interested to know if he has the option, should he wish, to transfer his care to another location (Leeds? Sheffield?) if that may mean he may being treated sooner. 

Many thanks for any advice. 

  • Hi Sharon_DIL

    I am sorry to learn of your father-in-law's situation this must be very difficult.

    He could try and contact the consultant's secretary, to see if he can speak with the consultant to advise him on what is happening now and to clarify why he is no longer on the waiting list. Or if you have your father-in-law's permission you might be able to contact them on his behalf.

    If he is unable to contact the consultant, your father-in-law may find it helpful to speak with the Patient Advice and Liaison (PALS) team who offer confidential support and advice to people if they are having any concerns with their treatment.

    He could also speak with his own GP to see if they can help by contacting the hospital on his behalf.

    I am not sure your father-in-law does have the option of transferring his care to another hospital, because he is already under the care of a consultant, again, this is something he could clarify with his GP, or PALS may be able to offer advice with this. Sometimes it can be helpful to have a second opinion which can be arranged by a GP or consultant.

    I hope this reply helps a little and that you get some answers soon.

    If you would like to speak with one of the nurses on the helpline the freephone number to call is 0808 800 4040 and we are available between 9 am and 5 pm Monday to Friday.

    Jemma