My dad had prostate cancer about 7 years ago, treated with hormone and radiotherapy and PSA has stayed undetectable.
Despite that, he had a few urinary tract issues and back in late August he required bilateral nephrostomies due to hydronephrosis. A CT scan showed a large pelvic mass and spinal lesions. Originally, the urology consultant said it could be bladder cancer spread to prostate or vice versa and that we should ‘just let nature take its course’. Following this, he had an appointment at hospital, this time with a different urology consultant, who said it was 99% prostate cancer and decided to start hormone therapy, do biopsies, a TURP etc. After feeling quite hopeful over this turnaround, the next day, the palliative care consultant came and signed a DS1500 (life expectancy of less than 6 months) and started talking about hospices etc. She also said he was at risk of spinal cord compression.
Throughout this whole time, my dad has not seen or spoken with an oncologist. The urology consultant sent a letter to the oncologist (with us copied in) telling him of the plan for biopsies etc and asked if he could see my dad, but we’ve heard nothing from oncology and the biopsies were carried out last week.
Yesterday my dad received an appointment letter for a spinal MRI on Jan 1st. NHS guidance is for this to be carried out within a week of spinal lesion detection, but as with everything, it seems like nobody knows what’s going on or who is dealing with what and it’s all taking so long.
He’s had terrible symptoms such as persistent vomiting, severe anaemia, unable to eat due to extreme dry mouth and we spend most of our chasing up the palliative care team, the hospital or the district nurses, just trying to get him some help. I’ve worked in pharmacy for 25 years - many of which were in oncology/haematology (different hospital) and I am appalled by the treatment (lack of) he’s received. I’ve complained to PAL/ numerous times, just to get basic information and semi-decent care.
Has anyone else gone through this - 3 months after being told you have advanced cancer - and not had any contact with an oncologist at all?
Thank you. Advised by palliative care to contact the oncology specialist nurse, who could not help because my dad isn’t under oncology. She advised calling 999 so have been waiting for an ambulance for about 5 hours now.
In the meantime, I have been reading up on the MSCC pathway for our region so I am fully prepared to highlight any failings. Have also contacted MP and awaiting response. If all of this complete dereliction of care results in paralysis, I will be seeking legal advice asap.
Good Morning AM123
I appreciate you are busy now and hope you have received all the help your dad needs. If we as a community can help in any way just ask - we are all with you in this journey.
Good luck with everything and keep us updated when you have the time.
Kind Regards - Brian.

Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
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Thanks Brian.
Unfortunately still waiting for an ambulance (15 hours so far). The frustrating thing is that there’s no other way we can get him into hospital because he has to be immobilised/laid flat to avoid any further damage to the spine.
I just want to scream at the world.
Good Morning AM123
Shocking, that's all I can say. Let your anger out on here and once your dad has ben collected and you have time for a brew (or something stronger) and you know he's in good hands I would chronical his treatment (or lack of it) and at that point I would go direct to your MP as his care is still an ongoing case.
I see everything from "the other side" as it's me with the cancer but I see how it affects my wife, children and friends and I really do appreciate what they all do for me - I am sure that even though he might not show it your dad will appreciate what you are going through - keep the faith and well done.
Keep us posted - thanks.
Kind Regards - Brian.

Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
Strength, Courage, Faith, Hope, Defiance, VICTORY.
I am a Macmillan volunteer.
Hello AM123, I’m so sorry to hear of your continuing struggles to get the care your father so very much needs. I hope that you are not kept waiting much longer. Do let us know how it goes and I really hope all turns out well for you and your family.
there is always a possibility of turning to national media to highlight your plight, I guess?
It’s something I have considered tbh, but although I left the NHS last year, I still work within the medical ‘arena’ and I do have to be careful about being ‘outspoken’. At this point though, I feel like the risk of losing my job is worth it.
The hospital rang about half an hour ago to say they have an emergency MRI available now - but WE CAN’T GET THERE.
I do not blame the ambulance crews, who I know are under immense pressure and are broken by not being able to get to patients. My husband still works in the NHS and I know he has cried at work and struggled with sleeping because he feels like he cannot do his job properly and is letting patients down.
I do blame the original consultant (the one who said no treatment would be offered and it was “best to let nature takes its course”. He identified spinal lesions back in October and he should have referred my dad for an MRI within one week, but never did.
When we were running the family business we found ourselves caught between two conflicting parts of laws. I contacted our MP and he was on to it very quickly but emphasised the need to bring in the press. We had so much response that I joked and said I would soon be needing a press secretary! Of course, this was pre-internet, social media, streaming etc but it worked wonders!
The NHS publicly champions “freedom to speak up” but believe me, any form of whistleblowing will see you blacklisted for life. In the past we’ve had very threatening letters about not speaking to the press or commenting on social media.
Anyway, some good news finally - the ambulance has just come and taken dad in!
The palliative care nurse rang my mum to see how things were going and was shocked to hear he was still waiting for an ambulance. She said “let me speak to them” and in within 15 minutes, they arrived!
God bless these caring people who really do their most for their patients.
And thanks for letting me vent here!
So glad the ambulance has finally got your Dad and taken him to the hosp[ital. I hope you get someone to apologize for this bad treatment.
All the best
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