People in deprived parts of the North of England and Scotland are significantly more likely to die from head and neck cancers than those in wealthier areas, a new report has revealed.

The research, published by the Northern Head and Neck Alliance, warns that a combination of lifestyle factors, late diagnosis, and the logistical struggle of accessing healthcare is costing lives.

Paul Dooley initially reached for over-the-counter remedies rather than a medical appointment, when a persistent cough took hold in 2023.

"I was probably, like a lot of people are, thinking I'll be alright and took some cough sweets," Paul said.

"My wife knew better, and sent me along, and it's probably a very good job she did."

Paul was diagnosed with neck cancer. Following a course of chemotherapy, radiotherapy, and participation in a vaccine clinical trial, the 62-year-old is now back at work and cancer-free.

The heating engineer, from Halewood, who was treated at the Clatterbridge Centre, is now urging others to look out for symptoms.

What are the most common symptoms of head and neck cancer?

• Lumps in the neck

• Persistent mouth ulcers

• Sore throats accompanied by earache

• Hoarse voice

"I was treated very quickly and efficiently," Paul added. "I feel very well. I haven't felt this well in my life."

Paul is now acting as an ambassador for the cancer care centre, but experts say more research and targeted support are needed to ensure survival is not determined by a patient's bank balance or postcode.

Mortality rates for head and neck cancer in deprived northern communities are more than double those seen in affluent parts of the UK, according to the Northern Head and Neck Alliance.

While traditional factors like smoking, alcohol consumption, poor diet, and housing play a role, experts say the barriers of poverty are just as lethal.

Professor Terry Jones, who helped compile the report, says the timing of the diagnosis is vital.

"Head and neck cancer is eminently curable - and much more curable the early you catch it," he explained.

"It tends to present later with more advanced tumours, so they’re harder to cure. That’s more challenging, so the mortality rate is also increased."

He also highlighted the reality of receiving treatment while living in poverty. For many patients living in a deprived area, he said simply getting to the hospital can be a battle.

"You can imagine getting to a hospital appointment when you have to catch three buses through arduous treatment," Professor Jones added.

"You're more likely to miss treatments by being in those situations. Everything multiplies and escalates."

The report also found nearly 50% of all patients miss the NHS 62-day treatment target.Credit: PA Images

A collaborative study by the NHS and several leading UK universities, including the University of Liverpool and University of Glasgow, found:

• Patients in the most deprived areas are 2.5 times more likely to die from these cancers compared to those in the wealthiest areas.

• Every Integrated Care Board in Northern England exceeds the national average for cancer rates.

• Individuals from the poorest backgrounds are 16% more likely to be diagnosed only once the disease has reached an advanced stage.

• Nearly 50% of all patients miss the NHS 62-day treatment target.

• Patients in deprived areas are 33% more likely to face extreme delays of over 104 days.

Professor Matt Ashton, Director of Public Health for Liverpool City Council, said: “This report lays out those inequalities with real clarity and brings forward practical opportunities to change that story across prevention, diagnosis, treatment, and survivorship.”