NHS must act on PTSD crisis hitting nearly half of patients facing one type of treatment
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A stem cell transplant provides a second chance at life for thousands annually in the UK who are battling blood cancer and blood disorders. This process involves a period of intense preparation with chemotherapy, after which the patient’s white blood cells are replaced with those from a healthy donor, ultimately furnishing them with a new, disease-free immune system. Although these therapies possess the potential to save lives, merely surviving is just the outset of a challenging and often unseen journey, as patients contend with the psychological repercussions of their treatment.

Due to the nature of the transplant, patients may endure prolonged uncertainty while waiting for a compatible donor, in addition to extended periods of isolation because of compromised immunity. Some patients experience fertility issues, relationship difficulties, or long-term identity changes due to physical side effects like graft-versus-host disease (GvHD).

Others, especially children and young adults, miss critical developmental milestones as they prepare for and recover from the transplant. Despite this, most individuals are left to manage the psychological consequences without consistent, structured support.

A recent report indicated that nearly half of all stem cell transplant patients face mental health issues such as anxiety, depression, or post-traumatic stress disorder.

However, only 17% of transplant centres in the UK have a dedicated psychologist. Moreover, 85% of doctors report a lack of training in assessing and managing the psychological needs of patients.

This situation is also evident among cancer patients in the UK. Within a year after a cancer diagnosis, approximately 10% of patients exhibit anxiety and depression symptoms severe enough to necessitate intervention by specialist services. For those who experience disease recurrence, the rates of anxiety and depression escalate to 50%.

It’s ironic that while society has made tremendous progress in medical treatment, progress has not been extended to psychological care. Success continues to be measured by survival alone, when it should also be measured by quality of life.

At Anthony Nolan, we’re proud to have always been at the forefront of providing holistic support to stem cell transplant patients and their families. Our patient services offer a vital lifeline of practical and emotional support – from telephone counselling, peer support networks and financial grants.

And this year, we funded four clinical psychologist posts, embedded in NHS transplant centres to provide proactive, hands-on care to patients when they need it most.

But it’s clear more must be done. Psychological support must be an integral part of every patient’s journey. This includes ensuring psychological assessments are available from the outset – to ensure patients at risk of mental health distress are identified early – and that specialist support continues after treatment ends.

Only then can we truly say we are supporting our patients and their families in every way possible. Politicians and NHS leaders must act now.

For transplant patients, this means providing ringfenced funding for more clinical psychologists in transplant units, routine psychological screening, and mandated long-term follow-up care. This isn’t just about compassion.

The evidence is clear: unaddressed mental health issues can delay recovery and return to work, reduce adherence to medication and lead to poorer long-term outcomes. The psychological health of cancer patients is not an optional extra – it is an essential pillar of recovery.

Let us not be content with simply helping people survive. We must help them thrive.

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