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1086665

registered interest
date	11/03/2019
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 radiotherapy centres deliver stereotactic body radiation therapy.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	230710
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>There are 25 providers, two of which work in partnership, of stereotactic body radiation therapy, which is called Stereotactic Ablative Radiotherapy (SABR). Currently, SABR is routinely commissioned to treat early non-small cell lung cancer in patients that are not suitable for surgery.</p><p> </p><p>SABR is currently restricted to these 25 centres in England whilst evidence of clinical effectiveness emerges. This is regularly reviewed by NHS England’s national specialised commissioning team and was last reviewed during 2016/17. It is expected that access will be reviewed again over the course of 2019/20 and 2020/21. However, this will be dependent on the emergence of clinical evidence and the development of new NHS England clinical commissioning policy.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230712 question first answered 14/03/2019 16:51:32 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1086671

registered interest
date	11/03/2019
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, if his Department will make an estimate of the number of cancer centres that will be delivering stereotactic body radiation therapy services by (a) 2020 and (b) 2029.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	230713
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>In 2016/17, regional specialised commissioning teams undertook a review of local access to stereotactic ablative body radiotherapy (SABR) in the treatment of early non-small cell lung cancer for patients not suitable for surgery, in line with the current clinical commissioning policy, to ensure sufficient capacity. This review resulted in an increase from 17 SABR Centres in England to 25 and all centres underwent an external quality assurance process prior to commencing treatment delivery.</p><p> </p><p>NHS England is committed to expanding access to all forms of evidence based innovative radiotherapy. Such radiotherapy usually involves the highly targeted delivery of a higher radiation dose given in a smaller number of fractions. SABR is an example of this type of radiotherapy.</p><p> </p><p>To support this approach, NHS England has invested in both clinical trials, Commissioning through Evaluation and is also investing £130 million to modernise radiotherapy equipment. This means that new technologies able to deliver innovative treatments using image guidance at the time of treatment are gradually becoming widely available. NHS England is also investing in the establishment of 11 Radiotherapy Operational Delivery Networks which are expected to play an important role in driving the development of local radiotherapy services, including expanding access to innovative radiotherapy and clinical trial participation. At this stage, no estimate has been made of the numbers of radiotherapy centres that will be delivering SABR in either 2020 or 2029.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230711 question first answered 19/03/2019 16:35:33 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1084467

registered interest
date	08/03/2019
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 Linear Accelerator machines NHS England purchased as a result of the £130 million funding allocated to the Linear Accelerator programme in (a) 2016-17, (b) 2017-18 and (c) 2018-19; and how many machines it plans to purchase in (i) 2019-20 and (ii) 2020-21 as a result of that programme.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	230081
answer	answer is ministerial correction date of answer 13/03/2019 answer text <p>Since October 2016, the Radiotherapy Modernisation Programme has funded over 80 replacement or upgraded Linear Accelerators (LINACs) and additional networking capability. The breakdown of equipment funded is as follows:</p><p>- 2016/17 – 18 replacement LINACs and 12 upgrades;</p><p>- 2017/18 – 26 replacement LINACs; and</p><p>- 2018/19 – 25 replacement LINACs, one upgrade and seven treatment planning systems.</p><p> </p><p>Decisions on further funding in future years have not yet been taken and will depend partly on the outcome of the Spending Review later this year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/03/2019 14:11:35 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1081772

registered interest
date	04/03/2019
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 proportion of NHS England’s £130 million funding for the Linear Accelerator programme was spent in (a) 2016-17 (b) 2017-18 (c) 2018-19; what funding his Department plans to allocate to that programme in (i) 2019-20 and (ii) 2020 - 21; and if he will make a statement.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	228019
answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>Since October 2016, the Radiotherapy Modernisation Programme has funded over 80 replacement or upgraded Linear Accelerators (LINACs) and additional networking capability. The breakdown of spend is as follows:</p><p>- 2016/17 - £35.6 million</p><p>- 2017/18 - £45.8 million</p><p>- 2018/19 - £50.4 million</p><p> </p><p>The LINACs replacement and upgrade budget for 2018/19 was £45 million. The £50.4 million figure above includes a £468,000 ‘overspend’, covered by the cancer transformation fund, plus radiotherapy networking support, also from the cancer transformation fund. This is detailed in the following table:</p><p> </p><table><tbody><tr><td><p>The Christie NHS Foundation Trust</p></td><td><p>£956,000</p></td></tr><tr><td><p>Lancashire Teaching Hospitals NHS Foundation Trust</p></td><td><p>£632,000</p></td></tr><tr><td><p>South Tees Hospitals NHS Foundation Trust</p></td><td><p>£560,000</p></td></tr><tr><td><p>Cambridge University Hospitals NHS Foundation Trust</p></td><td><p>£1,372,000</p></td></tr><tr><td><p>East Suffolk and North Essex NHS Foundation Trust</p></td><td><p>£732,000</p></td></tr><tr><td><p>The Clatterbridge Cancer Centre NHS Foundation Trust</p></td><td><p>£600,000</p></td></tr><tr><td><p>Total</p></td><td><p>£4,852,000</p></td></tr></tbody></table><p> </p><p>Decisions on further funding in future years have not yet been taken and will depend partly on the outcome of the Spending Review later this year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/03/2019 16:16:59 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1081774

registered interest
date	04/03/2019
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 proportion of cancer patients should have received radiotherapy as part of their cancer treatment in 2018.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	228020
answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>This information is not recorded.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/03/2019 16:26:59 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1081861

registered interest
date	04/03/2019
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, whether the new Radiotherapy Operational Delivery Networks announced by NHS England will be funded through the £20.5bn of extra funding announced in 2018.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	228048
answer	answer is ministerial correction date of answer 07/03/2019 answer text <p>NHS England has committed to providing each of the 11 Radiotherapy Operational Delivery Networks with additional resources to support continued delivery of the radiotherapy modernisation programme. This will include resources provided from the £20.5 billion revenue investment into the National Health Service, in particular to support improved use of digital networking, peer review and quality assurance.</p><p> </p><p>The NHS Long Term Plan also sets out a commitment to review the national tariff to ensure that appropriate incentives are in place to encourage providers to deliver modern techniques, including hypofractionation, and to upgrade and replace equipment. This work will commence during 2019/20.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/03/2019 16:24:39 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

1055317

registered interest
date	05/02/2019
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 support he plans to provide to enable the new radiotherapy operational delivery networks to work collaboratively across multiple centres.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	217112
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>NHS England has now published two new service specifications relating to the provision of radiotherapy services for adults which will take effect from 1 April 2019, as follows:</p><p>- External beam radiotherapy services delivered as part of a radiotherapy network (adults); and</p><p>- Operational delivery networks (ODN) for external beam radiotherapy services (adults).</p><p>The specifications describe a number of requirements including:</p><p>- Each ODN will be hosted by a single radiotherapy provider within the ODN;</p><p>- Each ODN establishes a Network Oversight Group to facilitate the ongoing development of the Network;</p><p>- The Network Oversight Group must be chaired by a provider Chief Executive Officer or Executive Director;</p><p>- The Chair must be from a different provider to that of the ODN host; and</p><p>- The Chair must be able to represent the wider cancer system, to enable consensus to be reached across organisational boundaries on the network plan and oversee the delivery of the work programme.</p><p> </p><p>In addition, NHS England, via the National Cancer Programme of Care, will establish an Implementation Oversight Group to provide support to radiotherapy networks as they form. The group will comprise specialised commissioners, Network Chairs and the ODN hosts together to share learning and drive improvement. It will also provide a conduit for progress reporting and issue escalation through to both the Specialised Commissioning Oversight Group and the National Cancer Board.</p><p> </p><p>NHS England is working with NHS Digital and a small number of National Health Service providers to develop and test approaches to information governance and data sharing implications when using cloud-based technology solutions. They are also exploring options to upgrade radiotherapy planning system software to support information technology connectivity. They intend to disseminate the learning from these early test sites.</p><p> </p><p>NHS England is committed to ensuring the success of the ODNs and therefore intends to provide additional resources over and above the normal funding of radiotherapy services to support their establishment. The resources will be held by the ODN host provider who will be responsible for the programme management function, including the establishment and maintenance of a Network Oversight Group and any clinical subgroups needed to agree and implement change.</p><p> </p><p>NHS England also intends to provide addition investment in each year of the Long Term Plan to support information technology connectivity across Networks including the use of digital solutions. NHS England intends to test a number of approaches to explore the information governance and technical requirements required in the last few months of this year. This will include testing a number of models that we think will be relevant in different geographies across the country (e.g. rural, providers not on same system etc.) Specific funding will be confirmed in due course once NHS England has worked through these issues with three test sites across England.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 217113 217130 question first answered 08/02/2019 12:25:37 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

1055318

registered interest
date	05/02/2019
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 plans he has to ensure that the new radiotherapy operational delivery networks have an adequate level of IT infrastructure to work collaboratively.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	217113
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>NHS England has now published two new service specifications relating to the provision of radiotherapy services for adults which will take effect from 1 April 2019, as follows:</p><p>- External beam radiotherapy services delivered as part of a radiotherapy network (adults); and</p><p>- Operational delivery networks (ODN) for external beam radiotherapy services (adults).</p><p>The specifications describe a number of requirements including:</p><p>- Each ODN will be hosted by a single radiotherapy provider within the ODN;</p><p>- Each ODN establishes a Network Oversight Group to facilitate the ongoing development of the Network;</p><p>- The Network Oversight Group must be chaired by a provider Chief Executive Officer or Executive Director;</p><p>- The Chair must be from a different provider to that of the ODN host; and</p><p>- The Chair must be able to represent the wider cancer system, to enable consensus to be reached across organisational boundaries on the network plan and oversee the delivery of the work programme.</p><p> </p><p>In addition, NHS England, via the National Cancer Programme of Care, will establish an Implementation Oversight Group to provide support to radiotherapy networks as they form. The group will comprise specialised commissioners, Network Chairs and the ODN hosts together to share learning and drive improvement. It will also provide a conduit for progress reporting and issue escalation through to both the Specialised Commissioning Oversight Group and the National Cancer Board.</p><p> </p><p>NHS England is working with NHS Digital and a small number of National Health Service providers to develop and test approaches to information governance and data sharing implications when using cloud-based technology solutions. They are also exploring options to upgrade radiotherapy planning system software to support information technology connectivity. They intend to disseminate the learning from these early test sites.</p><p> </p><p>NHS England is committed to ensuring the success of the ODNs and therefore intends to provide additional resources over and above the normal funding of radiotherapy services to support their establishment. The resources will be held by the ODN host provider who will be responsible for the programme management function, including the establishment and maintenance of a Network Oversight Group and any clinical subgroups needed to agree and implement change.</p><p> </p><p>NHS England also intends to provide addition investment in each year of the Long Term Plan to support information technology connectivity across Networks including the use of digital solutions. NHS England intends to test a number of approaches to explore the information governance and technical requirements required in the last few months of this year. This will include testing a number of models that we think will be relevant in different geographies across the country (e.g. rural, providers not on same system etc.) Specific funding will be confirmed in due course once NHS England has worked through these issues with three test sites across England.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 217112 217130 question first answered 08/02/2019 12:25:37 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

1055341

registered interest
date	05/02/2019
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, whether funding for the new radiotherapy operational delivery networks will be allocated from the £20.5 billion of additional funding announced by the Government in 2018.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	217130
answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>NHS England has now published two new service specifications relating to the provision of radiotherapy services for adults which will take effect from 1 April 2019, as follows:</p><p>- External beam radiotherapy services delivered as part of a radiotherapy network (adults); and</p><p>- Operational delivery networks (ODN) for external beam radiotherapy services (adults).</p><p>The specifications describe a number of requirements including:</p><p>- Each ODN will be hosted by a single radiotherapy provider within the ODN;</p><p>- Each ODN establishes a Network Oversight Group to facilitate the ongoing development of the Network;</p><p>- The Network Oversight Group must be chaired by a provider Chief Executive Officer or Executive Director;</p><p>- The Chair must be from a different provider to that of the ODN host; and</p><p>- The Chair must be able to represent the wider cancer system, to enable consensus to be reached across organisational boundaries on the network plan and oversee the delivery of the work programme.</p><p> </p><p>In addition, NHS England, via the National Cancer Programme of Care, will establish an Implementation Oversight Group to provide support to radiotherapy networks as they form. The group will comprise specialised commissioners, Network Chairs and the ODN hosts together to share learning and drive improvement. It will also provide a conduit for progress reporting and issue escalation through to both the Specialised Commissioning Oversight Group and the National Cancer Board.</p><p> </p><p>NHS England is working with NHS Digital and a small number of National Health Service providers to develop and test approaches to information governance and data sharing implications when using cloud-based technology solutions. They are also exploring options to upgrade radiotherapy planning system software to support information technology connectivity. They intend to disseminate the learning from these early test sites.</p><p> </p><p>NHS England is committed to ensuring the success of the ODNs and therefore intends to provide additional resources over and above the normal funding of radiotherapy services to support their establishment. The resources will be held by the ODN host provider who will be responsible for the programme management function, including the establishment and maintenance of a Network Oversight Group and any clinical subgroups needed to agree and implement change.</p><p> </p><p>NHS England also intends to provide addition investment in each year of the Long Term Plan to support information technology connectivity across Networks including the use of digital solutions. NHS England intends to test a number of approaches to explore the information governance and technical requirements required in the last few months of this year. This will include testing a number of models that we think will be relevant in different geographies across the country (e.g. rural, providers not on same system etc.) Specific funding will be confirmed in due course once NHS England has worked through these issues with three test sites across England.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 217112 217113 question first answered 08/02/2019 12:25:37 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

997317

registered interest
date	29/10/2018
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, when more detail and timescales are planned to be published on NHS England's proposed networked model for radiotherapy services; and if his Department will take steps to ensure that high quality radiotherapy is available closer to people’s homes.
tabling member constituency	East Kilbride, Strathaven and Lesmahagow
tabling member printed	Dr Lisa Cameron
uin	185035
answer	answer is ministerial correction date of answer 06/11/2018 answer text <p>Final service specifications setting out the detailed function and requirements of Radiotherapy Networks and Radiotherapy providers will be published shortly. The establishment of Radiotherapy Networks is designed to improve access to high quality, innovative and advanced radiotherapy, as close to home as possible.</p><p> </p><p>Alongside the publication of the service specifications, NHS England will also publish a report setting out stakeholders’ feedback during public consultation and NHS England’s response.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/11/2018 15:33:22 answering member 4067 label Biography information for Steve Brine
tabling member	4412 label Biography information for Dr Lisa Cameron