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971811

registered interest
date	11/09/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what facilities in the UK offer high-energy proton beam cancer therapy treatment in (a) the NHS and (b) the private sector.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	173485
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>In April 2012, the Secretary of State for Health and Social Care announced that £250 million would be invested to build proton beam therapy facilities at The Christie Hospital in Manchester and University College London Hospital (UCLH). Contracts were signed with Varian Medical Systems, Interserve Construction at The Christie, and Bouygues UK at UCLH at the end of July 2015. The Christie has been operational since 20 August 2018 and expects the first patients to be treated in the autumn. UCLH is currently on schedule to begin treating patients in summer 2020.</p><p> </p><p>NHS England does not hold information about high-energy proton beam provision in the private sector.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2018 16:53:23 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton

971813

registered interest
date	11/09/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many NHS England patients have been treated with high-energy proton beam cancer therapy in England and Wales in each of the last five years.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	173486
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>NHS England has not funded any patients to have high-energy proton beam therapy in England and Wales in the last five years.</p><p> </p><p>Over the past five years, 895 National Health Service patients have been treated overseas with high-energy proton beam therapy at a total cost of just over £91 million. These figures include patients from England, Scotland and Northern Ireland but exclude patients from Wales. NHS England does not routinely split financial information between treatment and travel/subsistence costs. Further detail is provided in the following table.</p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td><td><p>Total</p></td></tr><tr><td><p>Number of patients approved for referral</p></td><td><p>119</p></td><td><p>144</p></td><td><p>213</p></td><td><p>203</p></td><td><p>216</p></td><td><p>895</p></td></tr><tr><td><p>Total cost</p></td><td><p>£9.13 million</p></td><td><p>£12.63 million</p></td><td><p>£20.81 million</p></td><td><p>£24.51 million</p></td><td><p>£24.19 million</p></td><td><p>£91.27 million</p></td></tr></tbody></table><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 173487 question first answered 09/10/2018 16:56:45 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton

971814

registered interest
date	11/09/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many NHS patients have been treated with high-energy proton beam cancer therapy overseas in each of the last five years; and what the cost to the NHS was of those treatments by (a) treatment and (b) travel and subsistence costs.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	173487
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>NHS England has not funded any patients to have high-energy proton beam therapy in England and Wales in the last five years.</p><p> </p><p>Over the past five years, 895 National Health Service patients have been treated overseas with high-energy proton beam therapy at a total cost of just over £91 million. These figures include patients from England, Scotland and Northern Ireland but exclude patients from Wales. NHS England does not routinely split financial information between treatment and travel/subsistence costs. Further detail is provided in the following table.</p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td><td><p>Total</p></td></tr><tr><td><p>Number of patients approved for referral</p></td><td><p>119</p></td><td><p>144</p></td><td><p>213</p></td><td><p>203</p></td><td><p>216</p></td><td><p>895</p></td></tr><tr><td><p>Total cost</p></td><td><p>£9.13 million</p></td><td><p>£12.63 million</p></td><td><p>£20.81 million</p></td><td><p>£24.51 million</p></td><td><p>£24.19 million</p></td><td><p>£91.27 million</p></td></tr></tbody></table><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 173486 question first answered 09/10/2018 16:56:45 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton

971815

registered interest
date	11/09/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of the capacity of high-energy proton beam cancer therapy in the UK for NHS patients.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	173488
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>During the development of the business case for the Department for the NHS Proton Beam Therapy (PBT) centres, an assessment of the internationally accepted standard clinical indications that are likely to benefit from PBT was made, and the associated patient numbers, together with an assessment of the numbers and types of patients for whom further clinical trials and evaluative studies are justified. This will allow all appropriate paediatric and teenage and young adult patients with a paediatric spectrum of tumours to be accommodated. It is essential that a robust evidence base is established for specific situations in commoner adult cancers where there is currently little, if no evidence of superior outcomes, hence the research capacity built in to the programme. NHS England is commissioning two PBT Centres in England based on this assessment and after reaching full capacity they should be able to treat up to 1,500 patients per annum.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2018 16:49:58 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton