 The Covid-19 pandemic has had a significant impact on cancer care services and overall excess deaths in people with cancer. Urgent referral rates and chemotherapy attendance rates have decreased significantly since the start of the pandemic, and have yet to recover. Additionally, there have been short-term excess death registrations for cancer, with peak relative risk of 1.17 during the first few weeks of the pandemic. Based on these findings and recent literature, we modeled 40% and 80% of cancer patients being affected by the pandemic in the long term. At 40%, we estimated one year total, direct and indirect, excess deaths in people with cancer as between 71.65 and 17.910, using relative risks of 1.2 and 1.5, respectively, where 78% of excess deaths occurred in patients with greater than or equal to one comorbidity. This suggests that the recovery of general practitioner, oncology and other hospital services should be prioritized to mitigate long-term excess mortality risks. This article was authored by Richard D. Neal, Amitava Banerjee, Deenam Pillay and others. We are article.tv, links in the description below.