Publication of Northern Ireland Cancer Waiting Time Statistics: January to March 2026
Date published:
The Department of Health today published Accredited Official Statistics on cancer waiting times for the quarter ending March 2026.
This release gives details of the waiting times for patients accessing cancer services at hospitals in Northern Ireland during January, February, and March 2026.
***On 9 November 2023 the South Eastern Health and Social Care (HSC) Trust launched ‘encompass’ - a new electronic patient record system. The system also went live in Belfast Trust on 6 June 2024, in Northern Trust on 7 November 2024, and in Southern and Western Trusts on 8 May 2025. Due to the rollout of encompass, validated data for Belfast Trust for quarter ending June 2024, and breast cancer referrals data for this Trust for quarter ending September 2024, are not available. Validated breast cancer referrals data for Southern and Western Trusts for quarter ending June 2025 are also not available.
Figures sourced from encompass are considered to be ‘official statistics in development’, which are a subset of Official Statistics in line with the Code of Practice for Statistics. While caution must be exercised when using these figures and they are not directly comparable with legacy (pre-encompass) data, they are a meaningful representation of what they measure and are of sufficient quality for publication and use.
Please note that data relating to patients commencing treatment following an urgent GP referral (the 62-day cancer waiting time target) are currently undergoing further validation. As a result, these figures are not included in the quarterly waiting times statistics publication for the quarter ending 31 March 2026. Corrected and fully validated data will be published separately as Accredited Official Statistics in due course.***
Key Facts
Waiting times for first definitive treatment following a decision to treat (31-day target)
- In the quarter ending March 2026, 2,954 patients started their first definitive treatment following a decision to treat, 0.4% (11) less than in the previous quarter (2,965).
- 87.3% (2,580) of those patients started treatment within 31 days of a decision to treat, compared with 90.1% (2,672) in the previous quarter.
Waiting times for first definitive treatment following an urgent GP referral for suspect cancer (62-day target)
- The percentage of patients starting treatment within 62 days of an urgent GP referral will be reported on in due course after necessary validations have been completed. Please see notes above.
Patients first seen following an urgent referral for suspect breast cancer (14-day target)
- In the quarter ending March 2026, 3,890 patients were seen by a breast cancer specialist following an urgent referral across all five HSC Trusts, 0.3% (12) less than in the previous quarter (3,902).
- 7.9% (306) of those patients were seen within 14 days of their urgent referral for breast cancer, compared with 5.5% (213) in the previous quarter.
Referrals for suspect breast cancer
- During the quarter ending March 2026, 6,665 referrals were received by HSC Trusts for suspect breast cancer, compared with 6,658 last quarter. As referrals transferred from one Trust to another create duplicate referrals, these figures may inflate the true demand on the service.
- Some 86.2% (5,745) of the referrals received during quarter ending March 2026 were classified as urgent, compared with 86.3% (5,748) last quarter.
Notes to editors:
1. All statistical publications relating to cancer waiting times are available online at: www.health-ni.gov.uk/articles/cancer-waiting-times
2. About the data:
Data for the South Eastern HSC Trust from 9 November 2023 onwards are sourced from the encompass electronic patient record system. The system also went live in Belfast HSC Trust on 6 June 2024, in Northern HSC Trust on 7 November 2024, and in Southern and Western HSC Trusts on 8 May 2025.
Figures sourced from encompass are considered to be ‘official statistics in development’, which are a subset of Official Statistics in line with the Code of Practice for Statistics. While caution must be exercised when using these figures and they are not directly comparable with legacy (pre-encompass) data, they are a meaningful representation of what they measure and are of sufficient quality for publication and use.
Data used to report on the 31- and 62-day targets were formerly sourced from the Cancer Patient Pathway System (CaPPS), the data system used to administer cancer treatment services within HSC Trusts.
Data used to report on the breast cancer activity and referrals were formerly sourced from the Patient Administration System (PAS), an administrative system used to manage, record, and monitor hospital waiting lists within HSC Trusts.
3. Targets for cancer waiting times
The draft waiting times targets for cancer state that:
- At least 98% of patients diagnosed with cancer should begin their first definitive treatment within 31 days of a decision to treat.
- At least 95% of patients should begin their first definitive treatment for cancer within 62 days of an urgent General Practitioner (GP) referral for suspect cancer.
- All urgent breast cancer referrals should be seen within 14 days.
3. Waiting times for treatment following a decision to treat for cancer (31-day target)
These data relate to all patients who received a first definitive treatment for cancer during each of the three months covered by the publication, irrespective of their source or type of referral.
This is measured from the date on which the patient and the clinician agree the planned treatment and ends on the date the patient receives their first definitive treatment for cancer. Adjustments are made to the completed waiting time in the event of a patient cancelling or self-deferring treatment or because of suspension for either medical or social reasons.
4. Waiting times for treatment following an urgent GP referral for suspect cancer (62‑day target)
These data relate to patients who received a first definitive treatment for cancer during each of the three months covered in the publication, following an urgent referral for suspect cancer from a GP or a routine GP referral that has subsequently been reclassified as urgent by a cancer specialist. Referrals from sources other than a GP, routine referrals and patients who have not been given an ICD‑10 diagnosis are excluded.
This is measured from the date an initial urgent GP referral for suspect cancer is received by the HSC Trust and ends on the date the patient receives their first definitive treatment for cancer. Adjustments are made to the completed waiting time in the event of a patient cancelling or self-deferring treatment or because of suspension for either medical or social reasons.
The measurement of a patient’s waiting time against the 62-day target includes cases in which a patient was initially referred to one Trust for consultant assessment but was then subsequently transferred to another Trust for treatment. In such cases, the responsibility for that patient is shared, with 0.5 allocated to the Trust where the patient was first assessed and 0.5 to the Trust of first treatment.
5. Patients first seen following an urgent referral for suspect breast cancer (14‑day target)
These data relate to urgent referrals for suspect breast cancer that were first seen during each of the three months covered in the publication, irrespective of the source of referral. Figures include routine referrals that have subsequently been reclassified by a breast specialist as urgent and exclude urgent referrals reclassified as routine.
The waiting time is measured from the date an initial breast cancer referral is first received by the HSC Trust and ends on the date that the patient attends their first outpatient appointment with a breast cancer specialist. Adjustments are made to the completed waiting time in the event of a patient cancelling, self-deferring or failing to attend a first outpatient appointment.
6. Number of referrals for suspect breast cancer
These data refer to all new referrals received for suspect breast cancer irrespective of the source or urgency of referral. Referrals for suspect breast cancer can be for advice, assessment, or both.
Adding the number of referrals for suspect breast cancer at each HSC Trust to give a total for Northern Ireland may inflate the true demand on the service regionally, as referrals transferred from one Trust to another create duplicate referrals.
7. This information is provided by Hospital Waits Information Branch, Department of Health. Further information is available from:
Hospital Waits Information Branch
Department of Health
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Stormont
BT4 3SQ.
Telephone: 028 9076 5725
e-mail: Statistics@health-ni.gov.uk
Internet: https://www.health-ni.gov.uk/topics/doh-statistics-and-research
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