At the inaugural C the Signs Conference, Dr Miles Payling - Co-Founder and Chief Scientific Officer - delivered a message that captured the spirit of the movement redefining how the world detects cancer.
In a talk that fused science with humanity, he spoke not only about technology, but about time and how every second counts in the journey to early diagnosis.
“We can’t afford to wait for symptoms to become obvious. Every moment matters - because every moment lost is a choice, a treatment, a life that could have been saved.”
The Why - Where It All Began
Miles began with the story that shaped C the Signs’ mission. As an NHS doctor, he met a patient named Joe - fit, active, and 60 years old. After several GP visits with vague symptoms, Joe arrived at A&E jaundiced and weak. Scans confirmed metastatic pancreatic cancer. Three weeks later, Joe died.
“Joe never asked, why do I have cancer? What he asked was, why was my cancer picked up so late?”
That single question became the foundation of C the Signs - a platform designed to detect cancer early enough to change the outcome .
Today, that vision saves time and lives - with a patient with cancer detected every 22 minutes.
Why Early Detection Still Fails Too Many
Cancer remains the leading cause of death in the UK, with survival determined by the stage at diagnosis.
For breast cancer, five-year survival is 97.9 % at stage 1 but just 26.2 % at stage 4.
For bowel cancer, it falls from 91.7 % to 10.3 % .
Yet only 58.7 % of patients are diagnosed at early stages .
In primary care - where 90 % of all NHS patient contact takes place - GPs face impossible pressures: 10-minute consultations, thousands of patients, and on average just eight new cancer diagnoses a year .
“The problem isn’t people. It’s knowledge. We need to give every GP the power of precision - instantly.”
The Innovation - Redefining What’s Possible
C the Signs is an AI-powered, pan-cancer platform integrated directly with electronic health records. In under 30 seconds, it assesses risk, predicts tumour origin, and guides clinicians to the right diagnostic pathway across 100+ cancer types.
Real-world evaluations across the NHS have shown:
- 99 % sensitivity - finding nearly all patients with cancer
- 99 % negative predictive value - safely ruling out risk
- 94 % accuracy in predicting tumour origin
- 50 % reduction in emergency cancer presentations
- 21 % faster time-to-diagnosis - from 85 days to 67 days
Each figure represents a human life identified earlier, a family spared uncertainty, and a system made stronger.
The Movement - Honouring Jess’s Rule
Miles closed his speech by reflecting on Jessica Brady’s story - a 27-year-old whose symptoms were missed, leading to a late diagnosis and preventable loss .
To honour her legacy, C the Signs is implementing “Jess’s Rule” - a feature that automatically alerts clinicians when a patient presents three times or more with unresolved symptoms, and triggers a cancer risk assessment .
“We can turn tragedy into transformation - by ensuring that no patient is ever overlooked again.”
Together, we can make early cancer detection a standard for all, not a privilege for some - and give every person the time they deserve.
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