Show more Cancer patients are only finding out they have the disease at A&ECredit:Chris Radburn /PA Professor Helen Stokes-Lampard, Chairman of the Royal College of GPs, said:“We know that our patients have great trust in their family doctor – according to the last GP Patient Survey, over 90 per cent had trust and confidence in the last GP they saw – so it’s understandable that some patients are willing to wait longer for an appointment with their preferred GP.“However, with conditions as serious a cancer, we would urge patients to make an appointment to discuss any potentially serious symptoms, as soon as possible – and we would reassure patients that all registered GPs working in the UK, irrespective of whether they’re the patient’s regular family doctor, will be highly trained to have sensitive, non-judgemental conversations with them about any issue affecting their health.”Dr Claire Knight, Cancer Research UK’s health information manager, said: “This study, unsurprisingly, found that GP’s listening skills are important. But the researchers asked questions to members of the public based on a hypothetical scenario so the answers weren’t based on actual patient experience. Consequently the results of this study cannot be linked to cancer trends and don’t tell us whether GPs have good or bad listening skills.”. GPs need to improve their listening skills because patients with possible cancer are suffering delays being diagnosed as they seek out one with a good bedside manner, research suggests.A new study found patients with possible signs of the disease will wait almost a month longer to see a GP – if it means finding someone who would listen properly to them.The research University College London found that patients were so desperate to see a family doctor with a decent bedside manner that they would defer consultations even about symptoms which could be life-threatening.Researchers conducted a series of experiments to see how more than 600 particpants weighed up decisions to see a doctor. Those enrolled in the study were assigned symptoms which could mean cancer and asked what would inform their decisions to make an appointment. Participants said they would want a short waiting time, to be able to choose their own doctor, and to find a GP with good or very good listening skills.But the analysis, published in the British Journal of General Practice found that concerns about communication were so great, that participants were willing to wait an average of three and a half weeks extra, in order to obtain a consultation with a GP who listened properly. “Conversely, and more worryingly, this means that having negative experiences when communicating with the doctor may put people off seeking help promptly.”The research said that poor listening skills also increased the risk that GPs would fail to elicit information about crucial symptoms.In recent years, health officials have run campaigns urging patients to get over potential embarassment and describe symptoms such as changes in bowel habits, which could be a warning sign of cancer. Britain has some of the worst cancer survival figures in the western world, largely because of late diagnosis.One in five patients with cancer is not diagnosed until they have arrived at an Accident & Emergency department.Last month, a study found that the vast majority of such patients had visited their GP at least one, while quarter had been to their surgery three or more times before arriving at A&E.Charities said the problem was exacerbated by difficulties obtaining a GP appointment. Want the best of The Telegraph direct to your email and WhatsApp? Sign up to our free twice-daily Front Page newsletter and new audio briefings. Leading doctors have said too many patients are being forced to wait up to a month to see a family doctor, by which time problems may have become far more urgent.Researchers from UCL and the University of Surrey said the findings suggested work needed to be done to improve the communication skills of GPs.“In the context of experiencing a possible cancer symptom, people are willing to trade speed of access for a doctor with better interpersonal skills. It may therefore be possible to promote help seeking by improving doctors’ communication skills,” they concluded.
It can take four to six weeks to fully recover from cataract surgery. If cataracts affect both eyes, two separate operations are required, usually carried out six to 12 weeks apart.The risk of serious complications developing as a result of cataract surgery is very low.Worldwide, cataracts are the leading cause of blindness, according to The International Agency for the Prevention of Blindness, for which the Queen’s daughter-in-law the Countess of Wessex is a global ambassador.Some 65 million people across the globe have been left blind or with moderate to severe visual impairment due to the condition.The Queen’s robust health over the yearsThe Queen is known for her robust health. Her son the Duke of York once described her as being incredibly fit for her age, and the 92-year-old monarch still rides her Fell ponies at Windsor, and drives, mainly around her private estates.She has called time on her overseas travels, leaving long-haul destinations to the younger members of her family. But she still has a busy diary of events, and in 2017 carried out 296 engagements.In November 2017, the Prince of Wales led the nation in honouring the country’s war dead on Remembrance Sunday at the Cenotaph. Want the best of The Telegraph direct to your email and WhatsApp? Sign up to our free twice-daily Front Page newsletter and new audio briefings. There was a short gap between May 4, when she held an investiture, and May 15 when she undertook a series of jobs including hosting a garden party and welcoming the President of the Republic of Turkey and Mrs. Erdogan to the palace. The Queen was not well enough to attend the Christmas Day service at St Mary Magdalene church and also missed the New Year’s Day one. She later described it as a “particularly grisly mixture of cold and flu”.She turned 90 in 2016 and, the same year, used the lift rather than stairs to enter Parliament for the State Opening, avoiding the 26 steps of the royal staircase at the Sovereign’s Entrance.Buckingham Palace said the “modest adjustment” to arrangements were made for “the Queen’s comfort”. The decision was attributed to the Queen suffering from knee pain.In 2014, the Prince of Wales stood in for the Queen for part of the Order of the Bath service to avoid her having to make an extra journey up and down some steep steps in full regalia. The Queen, who is in good health, is known for her robust constitution. In 2013, she had her first hospital stay in 10 years when, at the age of 86, she suffered symptoms of gastroenteritis and missed an engagement in Swansea.A week of engagements, including a two-day trip to Rome, was cancelled and the Queen spent one night in hospital. She usually attends hospital for an annual routine check-up.What is cataract eye surgery? The most common operation on the NHS explainedCataracts occur when changes in the lens of the eye cause it to become less transparent, which results in cloudy or misty vision. A family history of cataracts can increase the risk of developing them.The Queen Mother had an operation to remove a cataract from her left eye in 1995 when she was 95 but, unlike her daughter, she spent a night in King Edward VII’s Hospital after the surgery.Video: The Queen attends Chelsea Flower Show on May 21 This can prevent someone from driving, undertaking work that requires fine detail and recognising faces.Surgery to remove and replace the affected lens with an artificial one is the most common surgical procedure carried out on the NHS.Around 390,000 cataract surgeries take place each year in England and 16,000 in Wales, according to the eye research charity Fight for Sight.The condition most commonly affect adults as a result of ageing. Most people start to develop cataracts after the age of 65, but some people in their forties and fifties can also develop them. Surgery to remove a patient’s cataracts. File pictureCredit:Clara Molden for The Telegraph The Queen, who placed great importance to her role as Head of the Commonwealth, did however attend the Commonwealth Reception at Marlborough House on the evening of March 11 to sign the new Commonwealth Charter. The Queen leaves the King Edward VII hospital in March 2013 following a short stayCredit:Alastair Grant /AP The Queen at Epsom Downs Racecourse on June 1Credit:Steve Parsons /PA It was the first time that the Queen, as head of state, had watched the ceremony from a nearby balcony, and was seen as a sign of the royal family in transition and an acknowledgement of her age.Just before Christmas 2016, the Queen and the Duke of Edinburgh both fell ill with heavy colds, forcing them to delay their trip to Sandringham by a day. The first time the Queen was actually admitted to hospital was in July 1982 when she had a wisdom tooth extracted at the King Edward VII Hospital in central London.The Queen’s no-fuss approach to injury and illness was perfectly illustrated in 1994. She broke her left wrist when her horse tripped during a ride on the Sandringham estate in Norfolk.The break was not diagnosed until almost 24 hours later when her arm was X-rayed and set in plaster at a hospital.It was the first time she had fallen in many years and the Queen had simply brushed herself down, remounted her horse and trotted on back to Sandringham. Cataracts are when the lens, a small transparent disc inside the eye, develops cloudy patches. Over time these patches usually become bigger causing blurry, misty vision and eventually blindness, if left untreated.Cataracts are more common in the elderly and can affect the ability to carry out daily activities such as driving. The Queen wears sunglasses at Epsom Downs on June 1 – just days after her cataracts procudureCredit:Steve Parsons /PA The Queen watched the 2017 Remembrance Sunday service from a balconyCredit:Samir Hussein /WireImage Buckingham Palace insisted it was just the “tail end” of the symptoms and that her condition had not worsened.But the next day she cancelled her engagements for the rest of the week, with her son, the Duke of York, saying later that it was sensible not to risk her coming out, but that she was not ill.Her illnesses have been few and far between over the years. She has suffered from back pain, and also had operations to remove torn cartilage from both knees.She caught measles when Prince Charles was two months old in 1949 and had to be separated from her baby son. In November 2013, the Duke of Cambridge stepped in to represent the Queen at an investiture ceremony after she suffered some “mild discomfort” with her ankle after a busy weekend of engagements including the service of remembrance at the Cenotaph.Video: The Queen’s life on screen The Queen has undergone eye surgery to remove a cataract, wearing sunglasses in public rather than cancel her long-planned engagements.The 92-year-old monarch underwent the successful procedure in May, Buckingham Palace confirmed on Friday afternoon.In recent weeks, the Queen has been seen wearing sunglasses at a number of events including the Royal Windsor Horse Show and Buckingham Palace garden parties.It emerged on Friday that the Queen was treated as a day patient at the private King Edward VII’s hospital in London.When approached, a Buckingham Palace spokesman said: “I can confirm that the Queen successfully underwent a short planned procedure to treat a cataract last month.” Most people will need to wear glasses for some tasks, like reading, after surgery regardless of the type of lens they have fitted. Cataracts, which can affect one or both eyes, are a major cause of sight loss. But the surgery is a straightforward procedure that usually takes 30 to 45 minutes.It is often carried out as day surgery under local anaesthetic, meaning the patient can go home the same day.During the operation, the surgeon makes a tiny cut in the eye to remove the cloudy lens and replaces it with a clear plastic one.On the NHS, patients are offered monofocal lenses, which have a single point of focus – either near or distance vision.Those going private, like the Queen, can choose either a multifocal or an accommodating lens, which allows the eye to focus on both near and distant objects. It was business as usual for the head of state, who did not cancel or postpone any engagements.The Court Circular, the public record of the working life of the Royal family, shows no major break in the Queen’s work in May, from receiving official visitors at Buckingham Palace to attending the wedding of Prince Harry and Meghan Markle with the Duke of Edinburgh, who had recovered from a hip replacement operation. Her first hospital stay in 10 years came in 2013 when she was 86 after she suffered symptoms of gastroenteritis and missed an engagement in Swansea when she was due to present St David’s Day leeks to the 3rd Battalion The Royal Welsh.On March 3 2013, she was admitted to King Edward VII’s Hospital to be assessed. A week of engagements, including a two-day trip to Rome, was cancelled.The Queen spent one night in hospital and left thanking staff and smiling before being driven to Buckingham Palace to rest.It was thought her public appearances were back on track until Buckingham Palace announced on the morning of the Commonwealth Day Observance service on March 11 that she regrettably could no longer attend “as she continues to recover following her recent illness”.It was the first Commonwealth Day Observance service she had missed in 20 years, the last occasion being when she had flu in 1993. The Queen wears sunglasses during the Royal Windsor Horse Show at Windsor Castle on May 13Credit:Steve Parsons /PA