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Leukaemia: Blood Tests

Asked by Laura Kyrke-SmithLabourDepartment of Health and Social CareTabled Answered 20 May 2026UIN 578

The question

To ask the Secretary of State for Health and Social Care, with reference to the National Institute for Health and Care Excellence's NG12 guideline document entitled Suspected cancer: recognition and referral, updated on 15 April 2026, what steps he is taking to tackle phlebotomy capacity issues to ensure full blood count testing occurs for patients in primary care presenting with non-specific symptoms which may indicate leukaemia within 48 hours of referral, as recommended in the NG12 guidelines.

Answered by Mrs Sharon Hodgson

The National Cancer Plan for England, published on 4 February 2026, sets out a commitment to diagnose cancers earlier and ensure people receive timely, effective treatment. The Government is committed to helping NHS England detect cancers, including blood cancers, earlier and provide faster treatment to improve outcomes.

NHS England uses non‑specific symptom pathways for people presenting with symptoms such as unexplained weight loss, fatigue, or general illness that do not point to a particular cancer type. These pathways are especially important for detecting blood cancers, which often present with vague or non‑specific symptoms.

In addition, ongoing investment in diagnostic capacity, including new magnetic resonance imaging and computed tomography scanners, the Government will support NHS England to diagnose all cancers, including blood cancers, earlier to ensure patients can begin treatment as quickly as possible.

The National Institute for Health and Care Excellence (NICE) has a guideline on suspected cancer called Recognition and referral, which aims to support the identification of children, young people, and adults with symptoms that could be caused by cancer. The guideline provides guidance on appropriate investigations in primary care, and the selection of people to refer for a specialist opinion. The guideline recommends that people with specific symptoms should be offered a very urgent full blood count to assess for leukaemia. Local National Health Service organisations are expected to take NICE guidelines fully into account in ensuring that their services meet the needs of their local populations. The NHS is held to account to deliver guidelines, which include all NICE directions, at a local and regional level.

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