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Investigatescancer careNOBODY WANTS TO hear the word cancer, but thankfully as science advances, it is becoming more treatable and people are living longer with the disease.
But from diagnostic scans to treatment to surgery to surveillance, people are encountering delays in the Irish healthcare system at every step on their cancer journey.
Delays in diagnosis and treatment “are Ireland’s biggest obstacle to improved cancer outcomes”, according to Averil Power, CEO of the Irish Cancer Society.
The Journal Investigates reported earlier today that hospitals are failing to consistently start treatments including chemotherapy on time.
Before ever reaching this step, many people anxiously wait — often for weeks or months — for tests needed to diagnose or monitor their cancer.
This is not a small number. Over 300,000 people were waiting on scans in Ireland at the end of March 2025, with a shocking 15% waiting over 18 months.
That is the waitlist for all conditions, but it includes tests that are vital for the diagnosis and treatment of cancer, such as urgent and surveillance CT, MRI and ultrasound scans.
Readers contacted us from across Ireland to share the physical and psychological impacts these delays are having on their lives.
They felt forgotten, holding their breaths, unable to think about their future.
Thank you to everyone who got in touch.
Here’s what you told us.
Emma Aspell from Dublin, who has two young children, received news she was dreading last week — her cancer was back, and had spread to her lungs.
She was diagnosed with breast cancer in 2023 and finished treatments for it in May 2024. Unfortunately, a year on, her surveillance scan wasn’t clear and lung cancer was subsequently confirmed.
But now she is waiting for a plan.
I have been so optimistic. I’ve had so much fight in me. But my anxiety is winning.
Emma said her consultant can’t make a plan until she has a biopsy and the wait is three weeks.
“My consultant said he feels for me, but as they need a CT scanner to do a lung biopsy the wait is this long.
“It’s breaking me. This could be the difference of life and death for me.”
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Margaret Higgins said that, after many “gruelling” months of chemotherapy and radiation, monitoring to see if her cancer has returned is her “lifeline”.
Due to a backlog, her mammogram at a large hospital in Dublin was delayed so she resorted to a private scan. Her next annual check-up was also pushed out by a number of months.
“The system is so broken,” she told The Journal Investigates. “The staff are killing themselves” but whoever is making funding decisions “is not doing a good job”.
If you haven’t got somebody strong to fight for you, you just get left behind.
“When you’re not feeling well, you can’t fight for your yourself,” Higgins added.
Margaret was just one of numerous readers who told us that their mammograms were significantly delayed.
Martina Balte, a breast cancer survivor, is waiting for an appointment for her overdue annual mammogram. It was due in May, but she doesn’t even have a date.
“I contacted my breast cancer nurse — who couldn’t help with an appointment and she told me to do regular breast checks myself while waiting on my appointment.”
“When I was diagnosed at 48, my symptoms were a pain under my arm. When I got my diagnoses of a 5 cm lump, I couldn’t feel it.
To put the responsibility on me to check for recurrence due to imaging not being available is wrong.
“Cancer survivors live with a fear of recurrence every day. There should be no delays with their appointments, mammograms or scans.”
Muireann Mc Colgan was diagnosed with stage four breast cancer two weeks after her daughter Aobh was born.
Getting access to scans continue to be an ongoing issue for her, even after diagnosis. That includes yearly mammograms.
But her last appointment was pushed out by five months.
“You feel forgotten about,” she said. The delay made her feel like she didn’t matter to the health service “because she was going to eventually die to the disease”.
Alongside two other women with breast cancer, Niamh Noonan and Ziva Cussen, she started a campaign — Too Young To Be Heard — calling for improvements across a number of areas of cancer care, especially for young women.
The ability to get scans or biopsies on the same day as a BreastCheck appointment is one of their key asks.
Muireann said that women who are waiting for tests are “terrified”. Rather than wait for a place in the public system, she said: “Honestly, without freaking them out, I just tell them to go private.”
She told us that “the whole thing is a mess”.
You’re forever left with the ‘what if’. What if it been done earlier? What if I had pushed for it?
Other issues the campaign group say need to be addressed include lowering the age of public breast cancer screening, immediately referring women with symptoms to specialist clinics regardless of age or family history, as well as financial assistance with treatment and lost earnings.
The Health Information and Quality Authority (HIQA) is to examine extending breast cancer screening beyond the current ages of 50-69. This comes as guidance issued in the United States last year recommended it should start at age 40.
Mater University Hospital diagnoses over a fifth of all breast cancers in Ireland.
When asked about delays to mammograms, a spokesperson for the hospital said that it “is facing significant capacity constraints due to high demand and a lack of funding”.
Last year, “dedicated funding for additional mammography lists was removed, which directly impacted on the unit’s ability to meet the demand for services”.
The Mater’s unit receives about 7,500 referrals every years and also receives patients post diagnosis from the Breastcheck unit. “A comprehensive business case” for extra staff and resources has been submitted by the hospital.
The Dublin hospital said that it “regrets any inconvenience caused to our patients due to the capacity constraints of the service” and it is “working to find solutions to the issue”.
“Patients are consistently advised to consult their GP for re-referral if they develop symptoms of concern.”
The readers that contacted us attended a wide variety of hospitals, so it is clear that cancer units right across Ireland are impacted by these capacity constraints.
One reader who lives in the midlands has been waiting for years to find out if her symptoms are, in fact, cancer. She first had them around three years ago, and between delays and lack of capacity, she only had a biopsy in April.
“It’s almost three months since I had the procedure and getting close to three years since I first reported symptoms to my GP and I still have no results.
“I fully understand the pressure on hospital staff, but I also think there is a significant degree of inefficiency in the system.”
Other readers recounted their hurt and frustration about the treatment of their relatives who died of cancer. Many cited delays in diagnosis while waiting for PET and CT scans, even as an inpatient or when attending the emergency department with cancer-related symptoms.
Kiri, who is based in the south, told us that his wife had to endure this “hell”.
“Simply in order to get the required MRI scans my wife had to spend four days (of what turned out to be her last two weeks) on a trolley in corridors and later a basement storage room, with lights constantly on, waiting for the scan the doctor had ordered.”
Because of the lack of capacity, she had to be admitted as an inpatient to get further tests.
Despite her not needing to stay in hospital, she was forced to stay in an overcrowded ward for a further five days away from her family simply to hold her place in the queue.
Claire, who contacted us about her mother’s care, told us that a follow-up scan wasn’t scheduled until she, and her sisters, pushed the hospital for it.
When the scan eventually happened, the cancer had regrown.
“From waiting for weeks for scans, further weeks for results and constantly having to follow up ourselves… I am convinced that if we had not been there to advocate for her, her life would have been cut even shorter.”
We also received a positive story from reader Peter Larner living in the midwest. He was diagnosed with bowel cancer following routine screening by the HSE.
I received, in a matter of days, a letter with an invitation for more tests.
A CT scan was scheduled for the following week and Peter had an appointment with a surgeon a few days after that. He said it took eight days from “investigation to consultation” and he had surgery within five weeks.
This experience was “hugely positive thanks to the HSE”, he told us.
There is a need for dedicated units to prevent delays, according to Liam Downey, president of the Irish Institute of Radiography and Radiation Therapy (IIRRT).
“If you had units that are purely scheduled care… it’s more streamlined and better for patients,” he told us.
Unscheduled care, such as a trauma patient after a car crash or an ICU patient who needs an urgent scan, mean there is a “constant balance” between ensuring they can be seen and fitting in outpatient scans.
“They’re all coming through one system.”
Downey said his members “are seeing delays to oncology patients needing a scan after radiation or chemotherapy”.
“Trying to meet these timelines is a particular challenge. There isn’t capacity there to get them back in.”
That is an issue that the Irish Cancer Society’s Averil Power also raised. “Effects on the body can be quite harsh, so you don’t want to be giving somebody chemotherapy if it’s not working.
“It’s really important that people are getting regular scans” to check this, she told The Journal Investigates. As a result of not getting these scans, she said:
Patients are starting their treatment later, and also patients are potentially being given treatment that isn’t working. That is hugely concerning.
As well as more investment in diagnostic capacity the charity is calling for dedicated cancer centres. That is the “long-term goal” so that “cancer isn’t competing with other diseases” when it comes to scans, treatment slots or surgery.
A Department of Health spokesperson told us: “The Government is fully committed to improving cancer care, ensuring better prevention, maintaining improvements in cancer survival rates, and timely access to treatments.”
They said that since 2017, €105 million been invested in the National Cancer Strategy, including €23 million this year.
“This has enabled the recruitment of over 670 staff to our national cancer services, including 200 nursing staff, 100 consultants, and 180 health and social care professionals in designated cancer centres.”
In relation to delays in diagnosis of cancer, the spokesperson told us:
“The Department is reviewing utilisation of diagnostics and this will utilise the National Integrated Medical Imaging System (NIMIS) to provide hourly usage data of machines and look at enablers to use machines on evenings and weekends.”
IIRRT’s Downey told us “there are huge efforts being put in across the country to increase the capacity”.
Radiographers are working on call, evenings and weekends in some places.
“But without the resource behind it, it doesn’t actually lead to any increase in volume.”
To address this, he said more staff are needed. The IIRRT have submitted a business case on this to the HSE and Department of Health.
Though he also warned that even with all units running at full capacity “we’re constantly behind the curve”.
“By the time we increase infrastructure, we are already behind what is needed.”
Reporter / Editor: Maria Delaney • Main Image Design: Lorcan O’Reilly • Social Media: Cliodhna Travers
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It takes away the personal aspect of the game, with no line judgement. When you go back to the times of John McEnroe and Jimmy Conor’s,and even Nick Kyrgios in the tennis matches a few years ago, it was more exciting with the line judges making a call and for the player to disagree. Then you would be waiting for “VAR” to show if it was in or out. Bring back the line judges.
Hawkeye is a great example of using technology to backup the umpires when necessary. Shouldn’t ever be replaced fully for the exact situation outlined above
Unfortunately life has being taken over by machines.
People make these machines to put people out of work so others can get bigger profits.
Just look at self cash out in shops never mind trying to see someone in a bank.
@Ivan Genockey:
I doubt it saves that much money but saves on strikes or needing people who love the game objecting… It gives more power to fewer people..
But what it really does is make Wimbledon a more sterile place… It just becomes another ATP tournament… In marketing terms it is a huge own goal, it clearly means you totally don’t understand the product you are selling.. Wimbledon is as much about drama as it is about Tennis..
Tech is only as good as the people using it. This was human error.
For the money these competitions generate, having trained linesmen should still be there, even if aided by the stuff like a Hawkeye or VAR system.
Even if the detection was turned off, they should have still had camera footage to replay.
It’s pretty weird that someone would or could have turned off that system during a game.
Wish we had it for Henry’s Le Handball.
@Notty Tee: That match ruined most of my love for the game. It wasn’t just how obvious of a foul and failing by the officials, but that it was from someone that I’d admired as being a pretty honest sportsperson.
@ben wu: Nearly all footballers try to cheat in every match by claiming throw-ins that they know should go to the other team and so on. I think it’s unfair to hold that incident against one of the greatest footballers.
@Brendan O’Brien: What are you on about? He not only handballed it once, but TWICE.
Yeah sure. We all make mistakes. But he never apologised. Keeps using the term “expressed remorse”.
No respect.
@Notty Tee: Yeah, there are a lot of soccer players that are known for diving, or feigning or faking.. Henry was not really in that cohort, but he gave away any concept of being honest in that match.
If its not activated as in this case then the problem is Human Error
VAR has destroyed football, and the TMO in rugby is heading that way. We are no seeing tries been disallowed, due to a missed infringement two or three minutes before the try, so where does it end??
@The Firestarter: I think VAR has reduced the number of wrong decisions, therefore it’s a good thing.
@The Firestarter: the biggest difference is rugby interacts with the crowd and the TV viewer, with VAR no one knows anything except the ref.
@The Firestarter: perfect systems used dishonestly.
VAR is absolute bollocks and has ruined football as a spectacle imo. It was suppposed to be for clear and obvious errors, now officials are falling over themselves to disallow everything. If you have to draw lines for 5 minutes to determine if someones elbow was a cm over the line, has the attacker really gleaned that much of an advantage? There is no consistency in handball decisions either. The charade of the refs going over to the screen as if 99.9% they are ever going to do anything but toe the jobsworth line annoys me too. Prefer the ol’ things evening themselves out over a season tbh.
The simple thing is it would remove all the errors. Removing all controversy, and ability to allow manipulation in favour of certain teams/athletes. However there is no appetite to remove that controversy, as we all know that what draws attention and keeps journalists in their jobs. When there’s an opportunity to for it to look like technology made an error it’s seized upon. Regarding the latest controversy at Wimbledon, it would be reasonable for one to suspect that that system was turned off on purpose to create a media hullabaloo.
The judge’s/referee’s decision must be final in all sport.
It’s a front for ‘Skynet’…
TMO/VAR should ONLY intervene in cases of dangerous play. Otherwise let the ref and umpires get on with it. In my own sport (rugby) it has reachec the stage where touch judges completely ignore everything apart from line outs and refs refer everything onwards to the TMO. Bring back the good old days where touch judges flagged for forward passes and off sides, etc. and refs were brave enough to award tries and give straight reds!!
In sport the most accurate system is always the best. Participants and spectators want dependable continuity. If the AI is more reliable and faster than the human, then use the AI. There are still a lot of things for a human ref to do, that AI’s can’t do yet. Some of the worst moments in sport have been the egregious errors of bad referees.
Rugby has the best field sport back up for the field ref and line refs. GAA has the best tech support but the operating skills are variable at times. Other fast ball sports need tech recheck support as tefs have just 1 split
second view, but operational skill/ reliability essential.
have your say