
Cancer patients in Wales are experiencing delays in diagnostic imaging services amid a significant shortage of radiologists, raising concerns about treatment effectiveness and disease progression. The Royal College of Radiologists reported that NHS Wales currently lacks 88 radiologists needed to meet demand, representing a 28% shortfall across the region. This represents the first time the organization has documented cases where patients’ medical conditions have deteriorated while awaiting diagnostic scans and related tests.
The shortage disproportionately affects northern and western areas of Wales. According to data from the Royal College of Radiologists’ 2025 clinical radiology census, north and west Wales experience a 42% shortfall in consultant radiologists, compared to 22% in south Wales. A key factor contributing to the workforce challenge is that Wales has experienced more recruitment freezes in radiology departments than any other part of the UK. In 2024, the radiology workforce in Wales grew by just 1.1%, significantly lower than the UK average of 5%.
Patients with cancer have articulated concerns about how delays impact their ongoing care. One patient with ovarian and peritoneal cancer, initially given a five-year prognosis 14 years ago, emphasized that regular scans have been essential to maintaining stability through continuous treatment. Without timely imaging, she noted, cancers risk spreading undetected, potentially undermining therapeutic effectiveness. Another patient described the psychological toll of waiting for scan results while facing uncertain outcomes.
Betsi Cadwaladr health board, covering one of the most affected areas, acknowledged the situation while outlining mitigation efforts. The health board stated it is actively recruiting radiologists and oncologists while strengthening partnerships with medical education institutions for future workforce development. Despite substantial increases in imaging demand, the board reported that partnering with a third-party provider has contributed to improvements in scan and reporting wait times since April. Clinicians have also highlighted the professional impact, noting difficulty informing anxious patients about treatment outcomes when imaging reports remain unavailable.
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