Has COVID-19 Exacerbated Ethnic-Related Inequalities in Cancer Care in the UK? Findings from a Narrative Review with a Systematic Search.

Ethnic inequalities in cancer care have long been a concern in the UK, with minoritised populations facing inequalities in access, diagnosis, treatment, and outcomes. The COVID-19 pandemic exacerbated these inequities, worsening barriers to care. This narrative literature review, which incorporates a systematic search, examines the impact of the pandemic on ethnic inequalities in cancer care in the UK. Findings indicate that due to the pandemic, ethnic minority patients experienced lower screening uptake, greater delays in diagnosis, and reduced access to timely treatment. GP referral thresholds were higher for ethnic minority groups, leading to later-stage diagnoses, while emergency presentations and treatment delays were more frequent. Systemic healthcare pressures and communication gaps further contributed to inequalities. Addressing these inequities requires urgent policy interventions, including improved access to screening, equitable referral processes, and culturally sensitive care pathways. Further research is needed to assess post-treatment outcomes and evaluate targeted interventions. As the NHS recovers from the COVID-19 pandemic's disruptions, ensuring equitable access to high-quality cancer care for all ethnic groups must remain a priority.