There is considerable variation in use of urgent referral for suspected cancer between general practices. This study shows a significant association between higher practice use of urgent referral for suspected cancer and lower cancer patient mortality (2011–2015), for all cancers combined and for the most common types of cancer (colorectal, lung, breast, and prostate). A significant proportion of this reduction in mortality is likely due to earlier stage at diagnosis for all cancers, except colorectal. This study supports the observed increased use of urgent referral for suspected cancer in primary care following the updated National Institute for Health and Care Excellence guidelines. |