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759731

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Radiotherapy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the average waiting time was for cancer patients to receive radiotherapy treatment following their operations in each of the last 10 years.
	tabling member constituency	Midlothian
	tabling member printed	Danielle Rowley
	uin	10301
	answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>The information requested is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 12:40:58 answering member 4067 label Biography information for Steve Brine
	tabling member	4628 label Biography information for Danielle Rowley

792993

	registered interest
	date	21/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Radiotherapy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, in which ten areas of England do residents have the longest travel times to their nearest radiotherapy units.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	114778
	answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>This information is not held centrally.</p><p> </p><p>Public Health England advises that a postcode-level dataset that will enable the calculation of travel times to radiotherapy units is currently in development by the National Cancer Registry and Analysis Service. Results will be published in 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/11/2017 17:14:42 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

833793

	registered interest
	date	30/01/2018
	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 plans he has to widen access to proton radiotherapy for cancer patients in England.
	tabling member constituency	Hornchurch and Upminster
	tabling member printed	Julia Lopez
	uin	125551
	answer	answer is ministerial correction date of answer 07/02/2018 answer text <p>In April 2012, my Rt. hon. Friend the Secretary of State announced that £250 million will be invested to build proton beam therapy facilities at The Christie Hospital in Manchester and University College London Hospitals in London. Building work is well underway on both sites and service planning and development is on schedule to begin treating patients from August 2018 at The Christie and summer 2020 for University College London Hospitals.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2018 13:59:24 answering member 4067 label Biography information for Steve Brine
	tabling member	4647 label Biography information for Julia Lopez

910321

	registered interest
	date	23/05/2018
	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, whether he plans to spend a proportion of the £130 million allotted to modernise radiotherapy on new linac machines for newly commissioned satellite centres.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	147420
	answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The radiotherapy modernisation fund, launched in October 2016, committed £130 million of investment to develop and upgrade current linear accelerators aged 10 years or more. By the end of March 2018, the fund had enabled the replacement or upgrade of 56 machines. Future funding decisions, including on new satellite centres, will be made after the fund ends in October 2018.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 147421 question first answered 04/06/2018 13:41:50 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

910322

	registered interest
	date	23/05/2018
	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 further funding will be available for modernising radiotherapy after the closure of the current fund in October 2018.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	147421
	answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The radiotherapy modernisation fund, launched in October 2016, committed £130 million of investment to develop and upgrade current linear accelerators aged 10 years or more. By the end of March 2018, the fund had enabled the replacement or upgrade of 56 machines. Future funding decisions, including on new satellite centres, will be made after the fund ends in October 2018.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 147420 question first answered 04/06/2018 13:41:50 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

910325

	registered interest
	date	23/05/2018
	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, pursuant to the Answer of 29 November 2017 to Question 114778, when the postcode-level dataset which will enable the calculation of travel times to radiotherapy centres will be published.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	147424
	answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The National Cancer Registration and Analysis Service intend to publish reports on travel times for cancer patients in June 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/06/2018 13:54:19 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

915098

	registered interest
	date	01/06/2018
	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, whether he plans to allocate funding to more efficient forms of radiotherapy technology; and if he will make a statement.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	148714
	answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>Significant investments have been, and continue to be, made to improve both the efficiency of radiotherapy equipment and the range of more innovative radiotherapy treatments that are routinely available to patients:</p><p>- In October 2016, NHS England announced a £130 million fund to modernise radiotherapy across England, ensuring that older linear accelerators (LINACs - radiotherapy machines) are either upgraded or replaced. These upgraded/new machines will deliver both a wider range of innovative treatment techniques and are also significantly faster, enabling more patients to benefit from the latest technology regardless of where they live;</p><p>- NHS England has also committed £15 million over three years to evaluate the benefits of stereotactic ablative radiotherapy (SABR) in the treatment of a number of new clinical indications. SABR is an innovative radiotherapy technique that more precisely targets cancers with radiotherapy, reducing the damage to the surrounding tissues. A further £6 million was also committed by NHS England to support a number of Cancer Research UK sponsored SABR clinical trials. It is envisaged that the results of both the trials and the evaluation programme will enable more patients to routinely access SABR treatments;</p><p>- Following an investment of £23 million to improve access to Intensity Modulated Radiotherapy (IMRT), another more precise form of radiotherapy with fewer side effects, the National Health Service is now regularly exceeding access standards, meaning that more people are benefiting from this treatment. The percentage of radiotherapy patients who received IMRT increased from 10% (1,660) in April to June 2012 to 44% (8,865) in January to March 2017. The current access standard is 24%; and</p><p>- In 2012, the Government provided £250 million to build two proton beam therapy centres in England (at University College London Hospital and The Christie in Manchester), the first of which will become operational in autumn 2018.</p><p>No assessment has been made of the effect of national prices for radiotherapy treatment.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 148715 question first answered 06/06/2018 16:01:48 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

915099

	registered interest
	date	01/06/2018
	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 effect of the internal market tariff on the effectiveness of the NHS delivery of radiotherapy.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	148715
	answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>Significant investments have been, and continue to be, made to improve both the efficiency of radiotherapy equipment and the range of more innovative radiotherapy treatments that are routinely available to patients:</p><p>- In October 2016, NHS England announced a £130 million fund to modernise radiotherapy across England, ensuring that older linear accelerators (LINACs - radiotherapy machines) are either upgraded or replaced. These upgraded/new machines will deliver both a wider range of innovative treatment techniques and are also significantly faster, enabling more patients to benefit from the latest technology regardless of where they live;</p><p>- NHS England has also committed £15 million over three years to evaluate the benefits of stereotactic ablative radiotherapy (SABR) in the treatment of a number of new clinical indications. SABR is an innovative radiotherapy technique that more precisely targets cancers with radiotherapy, reducing the damage to the surrounding tissues. A further £6 million was also committed by NHS England to support a number of Cancer Research UK sponsored SABR clinical trials. It is envisaged that the results of both the trials and the evaluation programme will enable more patients to routinely access SABR treatments;</p><p>- Following an investment of £23 million to improve access to Intensity Modulated Radiotherapy (IMRT), another more precise form of radiotherapy with fewer side effects, the National Health Service is now regularly exceeding access standards, meaning that more people are benefiting from this treatment. The percentage of radiotherapy patients who received IMRT increased from 10% (1,660) in April to June 2012 to 44% (8,865) in January to March 2017. The current access standard is 24%; and</p><p>- In 2012, the Government provided £250 million to build two proton beam therapy centres in England (at University College London Hospital and The Christie in Manchester), the first of which will become operational in autumn 2018.</p><p>No assessment has been made of the effect of national prices for radiotherapy treatment.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 148714 question first answered 06/06/2018 16:01:48 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

919198

	registered interest
	date	07/06/2018
	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 proportion of the £130 million allocated to modernise radiotherapy has been spent on new linac machines for newly commissioned satellite centres.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	151134
	answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>The purpose of the £130 million modernisation fund was to upgrade or replace existing, older radiotherapy equipment. None of this funding was therefore spent on new equipment for newly commissioned satellite centres. Future funding decisions, including on new satellite centres, will be made after the fund ends in October 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/06/2018 10:56:11 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

968146

	registered interest
	date	05/09/2018
	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 performance of Clinical Commissioning Groups to improve access to advanced radiotherapy.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	170800
	answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>Clinical commissioning groups are not responsible for ensuring access to advanced radiotherapy techniques, such as Intensity Modulated Radiotherapy (IMRT). The commissioning of all radiotherapy in England is the responsibility of NHS England’s Specialised Commissioning team. Access to IMRT is monitored against a national average access standard of 25%, performance against this standard is consistently around 45%. From April 2019, Radiotherapy Networks, working in close partnership with Specialised Commissioners and Cancer Alliances, will play a key role in increasing access to both advanced and innovative radiotherapy, as well as ensuring adherence to best practice treatment protocols.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 171340 question first answered 11/09/2018 14:23:08 answering member 4067 label Biography information for Steve Brine
	tabling member	3973 label Biography information for Grahame Morris

969083

	registered interest
	date	06/09/2018
	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 effect of levels of funding on the ability of the NHS to increase access to radiotherapy.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	171339
	answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>Since 2016, the Radiotherapy Modernisation programme has seen £130 million of new funding invested in improving radiotherapy equipment. As a result, the National Health Service has so far received 73 new or upgraded linear accelerators, enabling the delivery of advanced treatment techniques and faster treatment times. From April 2019, NHS England will be establishing 11 Radiotherapy Networks to build on this investment and lead the development of services at a local level. This will include ensuring that every patient benefits from best clinical practice and has access to innovative and advanced treatments and techniques.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2018 15:02:53 answering member 4067 label Biography information for Steve Brine
	tabling member	3973 label Biography information for Grahame Morris

969086

	registered interest
	date	06/09/2018
	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 NHS England monitors clinical commissionng groups' cancer treatment performance in respect of access to advanced radiotherapy; and what steps NHS England takes to address instances of poor performance.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	171340
	answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>Clinical commissioning groups are not responsible for ensuring access to advanced radiotherapy techniques, such as Intensity Modulated Radiotherapy (IMRT). The commissioning of all radiotherapy in England is the responsibility of NHS England’s Specialised Commissioning team. Access to IMRT is monitored against a national average access standard of 25%, performance against this standard is consistently around 45%. From April 2019, Radiotherapy Networks, working in close partnership with Specialised Commissioners and Cancer Alliances, will play a key role in increasing access to both advanced and innovative radiotherapy, as well as ensuring adherence to best practice treatment protocols.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 170800 question first answered 11/09/2018 14:23:08 answering member 4067 label Biography information for Steve Brine
	tabling member	3973 label Biography information for Grahame Morris

969472

	registered interest
	date	07/09/2018
	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, pursuant to the Answer of 4 January 2018 to Question 147424 on Radiotherapy, when the postcode-level dataset which will enable the calculation of travel times to radiotherapy centres will be published.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	171667
	answer	answer is ministerial correction date of answer 12/09/2018 answer text <p>In June 2018, The National Cancer Registration and Analysis Service (NCRAS) published three reports relating to patient travel times and cancer, in response to the Independent Cancer Taskforce recommendation 27.</p><p> </p><p>The reports are available at the following link:</p><p> </p><p><a href="http://www.ncin.org.uk/cancer_type_and_topic_specific_work/topic_specific_work/travel_times" target="_blank">http://www.ncin.org.uk/cancer_type_and_topic_specific_work/topic_specific_work/travel_times</a></p><p> </p><p>The reports cover the following topics:</p><p>- Travel Times and Methodology summarises NCRAS’ investigations of several possible ways of calculating travel times;</p><p>- Travel Times and Cancer Survival is an overview of survival for the four most common cancers, relative to travel time to the nearest hospital with a relevant multidisciplinary team; and</p><p>- Travel Times and Cancer Treatment is a report on treatment with radiotherapy for localised prostate cancer, relative to travel time to a radiotherapy centre.</p><p> </p><p>Postcode-level data is potentially disclosive and is therefore not made routinely available. Such data may be made available to researchers who apply through Public Health England’s Office for Data Release, with a specific health-care related research question and appropriate research ethics permissions.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/09/2018 16:38:09 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

969473

	registered interest
	date	07/09/2018
	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, when he plans to publish the Government response to the consultation on allocating funds to radiotherapy services which closed on 24 January 2018.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	171668
	answer	answer is ministerial correction date of answer 12/09/2018 answer text <p>Following the consultation – ‘Modernising radiotherapy services in England’ – NHS England plan to publish a consultation report which outlines the feedback themes, alongside publication of the final radiotherapy service specification. The publication is currently expected to take place in autumn 2018.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 171669 question first answered 12/09/2018 16:39:21 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

969477

	registered interest
	date	07/09/2018
	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, pursuant to the oral contribution of the Parliamentary Under Secretary of State for Health and Social Care of 10 January 2018, Official Report, column 146WH, when he plans to (a) publish the findings of the consultation on making radiotherapy services more accessible and (b) assess data on travel times for such therapy.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	171669
	answer	answer is ministerial correction date of answer 12/09/2018 answer text <p>Following the consultation – ‘Modernising radiotherapy services in England’ – NHS England plan to publish a consultation report which outlines the feedback themes, alongside publication of the final radiotherapy service specification. The publication is currently expected to take place in autumn 2018.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 171668 question first answered 12/09/2018 16:39:21 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

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

994085

	registered interest
	date	24/10/2018
	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, with reference to paragraph 7 of the report, Next Steps on the Five Year Forward View, published by NHS England in March 2017, how many state of the art new and upgraded linear accelerators are available to NHS patients in England; and how many have been introduced since the publication of that report.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	183398
	answer	answer is ministerial correction date of answer 01/11/2018 answer text <p>In October 2016, NHS England announced a £130 million fund to modernise radiotherapy across England. This is ensuring that older linear accelerators (LINACs - radiotherapy machines) being used by hospitals across the country are being upgraded or replaced, giving cancer patients access to the latest leading-edge technology regardless of where they live. Since October 2016, NHS England has approved funding to replace or upgrade 78 machines across England, with 48 of those since publication of Next Steps on the Five Year Forward View (NSFYFV). We will meet the commitment in NSFYFV shortly, completing the modernisation programme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 01/11/2018 16:36:10 answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

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

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

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