Dommett RM, et al. - Researchers determined time to diagnosis (TTD) for teenagers and young adults (TYA) with cancer, given its impact on outcomes, in this study. They reported events from first symptom to treatment start via evaluating healthcare records from 105 TYA. For 104 patients, detailed pathway construction was possible, which enabled a multidisciplinary panel review of each pathway with evaluation of good practice and lessons for the future. Overall, 86 patients had first presentation to primary care, and having consulted in primary care prior to diagnosis was reported in 93%. Short time in primary care was reported (median 3, range 0–537 days) than time in secondary care (median 29, range 0–195 days). Also, for lymphoma, carcinoma, brain/CNS, time in primary care was the longest (medians: 10, 15, 16 days). Furthermore, good/best practice was demonstrated by 40% of pathways, but 16% were less than satisfactory. Delays in referral from primary care was the point of focus in previous reports of prolonged TTD, but findings in this present investigation suggested that optimizing management in secondary care might attenuate this.