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49235
star this property registered interest false more like this
star this property date less than 2014-04-30more like thismore than 2014-04-30
star this property answering body
Department of Health more like this
star this property answering dept id 17 remove filter
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, when NHS England will publish a tariff for stereotactic ablative radiotherapy. more like this
star this property tabling member constituency Wells more like this
star this property tabling member printed
Tessa Munt remove filter
star this property uin 197266 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-05-08more like thismore than 2014-05-08
unstar this property answer text <p>I refer my hon. Friend to the reply I have her on 25 November, 2013, <em>Official Report</em>, column 160W.</p><p> </p><p>Monitor and NHS England published Methodology Discussion Paper on the 23 April 2014, which is available at:</p><p> </p><p>www.monitor.gov.uk/node/6272</p><p> </p><p>where the sector can provide feedback on the 2015/16 national tariff payment system. A copy has been placed in the Library.</p><p> </p><p>The sector will have further opportunities to comment and provide evidence during the summer of 2014 prior to the final tariff publication. Services which have been subject to local price setting will also be reviewed for the local pricing arrangements as part of the review for 2015-16 and 2016-17.</p> more like this
star this property answering member constituency Central Suffolk and North Ipswich more like this
star this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2014-05-08T12:00:00.00Zmore like thismore than 2014-05-08T12:00:00.00Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property attachment
1
star this property file name PQ197266 - Library Doc - Report.pdf more like this
star this property title 2015/16 National Tariff Payment System more like this
star this property tabling member
4089
unstar this property label Biography information for Tessa Munt more like this
57916
star this property registered interest false more like this
star this property date less than 2014-06-04more like thismore than 2014-06-04
star this property answering body
Department of Health more like this
star this property answering dept id 17 remove filter
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Radiotherapy more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, with reference to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, if he will require NHS England to publish the evidence on which it based its decision not to allow patients to be treated with the gamma knife at University College Hospital London. more like this
star this property tabling member constituency Wells more like this
star this property tabling member printed
Tessa Munt remove filter
star this property uin 198758 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer remove maximum value filtermore like thismore than 2014-06-09
unstar this property answer text <p>Section 3 of Monitor's substantive guidance on <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em> provides guidance to commissioners on publishing new contract opportunities for National Health Service health care services.</p><p> </p><p>On page 42 of the guidance, it states that &quot;a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&amp;E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course.&quot;</p><p> </p><p>In its role as commissioner, NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.</p><p> </p><p>University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.</p><p> </p><p>Until the capacity requirements are made clear as part of the review being undertaken, NHS England has said that it would be inappropriate to encourage new market entrants to provide this service as it cannot be clear what the potential consequential impacts on service quality, sustainability (financial and clinical) and potential unintended changes to patient pathways will be. Until the review is complete NHS England has said no substantive changes will be made to the current provision.</p><p> </p>
star this property answering member constituency Battersea more like this
star this property answering member printed Jane Ellison more like this
star this property question first answered
less than 2014-06-09T13:46:31.75more like thismore than 2014-06-09T13:46:31.75
star this property answering member
3918
star this property label Biography information for Jane Ellison more like this
star this property attachment
1
star this property file name Hansard extract 24032014 Radiotherapy.docx more like this
star this property title Hansard extract 24032014 Radiotherapy more like this
star this property tabling member
4089
unstar this property label Biography information for Tessa Munt more like this
57917
star this property registered interest false more like this
star this property date less than 2014-06-04more like thismore than 2014-06-04
star this property answering body
Department of Health more like this
star this property answering dept id 17 remove filter
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Radiotherapy more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, with reference to the Answer of 24 March 2014, Official Report, column 132W, on radiotherapy and with reference to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, which primary care trusts in the south west of England commissioned treatment with the gamma knife at University College Hospital London for patients before 1 April 2013. more like this
star this property tabling member constituency Wells more like this
star this property tabling member printed
Tessa Munt remove filter
star this property uin 198759 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer remove maximum value filtermore like thismore than 2014-06-09
unstar this property answer text <p>NHS England has advised that no primary care trusts in the south west of England commissioned gamma knife treatment for patients at University College Hospital London before 1 April 2013.</p> more like this
star this property answering member constituency Battersea more like this
star this property answering member printed Jane Ellison more like this
star this property question first answered
less than 2014-06-09T13:01:02.823831Zmore like thismore than 2014-06-09T13:01:02.823831Z
star this property answering member
3918
star this property label Biography information for Jane Ellison more like this
star this property tabling member
4089
unstar this property label Biography information for Tessa Munt more like this
57918
star this property registered interest false more like this
star this property date less than 2014-06-04more like thismore than 2014-06-04
star this property answering body
Department of Health more like this
star this property answering dept id 17 remove filter
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Radiotherapy more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, with reference to the Answer of 24 March 2014, Official Report, column 132W, on radiotherapy, and with reference to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, for what reasons NHS England is not funding patients to be treated with the gamma knife at University College Hospital London. more like this
star this property tabling member constituency Wells more like this
star this property tabling member printed
Tessa Munt remove filter
star this property uin 198760 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer remove maximum value filtermore like thismore than 2014-06-09
unstar this property answer text <p>Section 3 of Monitor's substantive guidance on <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em> provides guidance to commissioners on publishing new contract opportunities for National Health Service health care services.</p><p> </p><p>On page 42 of the guidance, it states that &quot;a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&amp;E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course.&quot;</p><p> </p><p>In its role as commissioner, NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.</p><p> </p><p>University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.</p><p> </p><p>Until the capacity requirements are made clear as part of the review being undertaken, NHS England has said that it would be inappropriate to encourage new market entrants to provide this service as it cannot be clear what the potential consequential impacts on service quality, sustainability (financial and clinical) and potential unintended changes to patient pathways will be. Until the review is complete NHS England has said no substantive changes will be made to the current provision.</p><p> </p>
star this property answering member constituency Battersea more like this
star this property answering member printed Jane Ellison more like this
star this property question first answered
less than 2014-06-09T13:46:31.657more like thismore than 2014-06-09T13:46:31.657
star this property answering member
3918
star this property label Biography information for Jane Ellison more like this
star this property attachment
1
star this property file name Hansard extract 24032014 Radiotherapy.docx more like this
star this property title Hansard extract 24032014 Radiotherapy more like this
star this property tabling member
4089
unstar this property label Biography information for Tessa Munt more like this
48954
star this property registered interest false more like this
star this property date less than 2014-04-29more like thismore than 2014-04-29
star this property answering body
Department of Health more like this
star this property answering dept id 17 remove filter
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, pursuant to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, if NHS England will publish the details of all contracts it has signed with providers of radiosurgery services in England. more like this
star this property tabling member constituency Wells more like this
star this property tabling member printed
Tessa Munt remove filter
star this property uin 197025 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-05-07more like thismore than 2014-05-07
unstar this property answer text <p>Section 3 of Monitor's substantive guidance on <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em> provides guidance to commissioners on publishing new contract opportunities for NHS health care services.</p><p> </p><p>On page 42 of the guidance, it states that &quot;a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&amp;E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course.”</p><p> </p><p>NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.</p><p> </p><p>University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.</p><p><strong> </strong></p><p>NHS England inherited the range of stereotactic surgery providers currently in place, of which University College Hospital London was not one. NHS England is currently undertaking a review of stereotactic radiosurgery provision and will consult widely with stakeholders and providers prior to making changes to service provision.</p><p> </p><p>Finally, NHS England will publish information relating to its contracted spend in due course, in line with Regulation 9 of <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em>.</p>
star this property answering member constituency Battersea more like this
star this property answering member printed Jane Ellison more like this
star this property grouped question UIN
197023 more like this
197024 more like this
star this property question first answered
less than 2014-05-07T12:00:00.00Zmore like thismore than 2014-05-07T12:00:00.00Z
star this property answering member
3918
star this property label Biography information for Jane Ellison more like this
star this property tabling member
4089
unstar this property label Biography information for Tessa Munt more like this
48955
star this property registered interest false more like this
star this property date less than 2014-04-29more like thismore than 2014-04-29
star this property answering body
Department of Health more like this
star this property answering dept id 17 remove filter
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, pursuant to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, if he will require NHS England to publish the names of all referring consultants, patients groups, charities and any other service providers it consulted prior to making its decision not to allow patients to be treated with the Gamma Knife at University College London Hospital. more like this
star this property tabling member constituency Wells more like this
star this property tabling member printed
Tessa Munt remove filter
star this property uin 197024 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-05-07more like thismore than 2014-05-07
unstar this property answer text <p>Section 3 of Monitor's substantive guidance on <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em> provides guidance to commissioners on publishing new contract opportunities for NHS health care services.</p><p> </p><p>On page 42 of the guidance, it states that &quot;a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&amp;E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course.”</p><p> </p><p>NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.</p><p> </p><p>University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.</p><p><strong> </strong></p><p>NHS England inherited the range of stereotactic surgery providers currently in place, of which University College Hospital London was not one. NHS England is currently undertaking a review of stereotactic radiosurgery provision and will consult widely with stakeholders and providers prior to making changes to service provision.</p><p> </p><p>Finally, NHS England will publish information relating to its contracted spend in due course, in line with Regulation 9 of <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em>.</p>
star this property answering member constituency Battersea more like this
star this property answering member printed Jane Ellison more like this
star this property grouped question UIN
197023 more like this
197025 more like this
star this property question first answered
less than 2014-05-07T12:00:00.00Zmore like thismore than 2014-05-07T12:00:00.00Z
star this property answering member
3918
star this property label Biography information for Jane Ellison more like this
star this property tabling member
4089
unstar this property label Biography information for Tessa Munt more like this
48956
star this property registered interest false more like this
star this property date less than 2014-04-29more like thismore than 2014-04-29
star this property answering body
Department of Health more like this
star this property answering dept id 17 remove filter
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, pursuant to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, if he will require NHS England to publish the objective evidence on which it based its decision not to allow patients to be treated with the Gamma Knife at University College London Hospital. more like this
star this property tabling member constituency Wells more like this
star this property tabling member printed
Tessa Munt remove filter
star this property uin 197023 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-05-07more like thismore than 2014-05-07
unstar this property answer text <p>Section 3 of Monitor's substantive guidance on <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em> provides guidance to commissioners on publishing new contract opportunities for NHS health care services.</p><p> </p><p>On page 42 of the guidance, it states that &quot;a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&amp;E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course.”</p><p> </p><p>NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.</p><p> </p><p>University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.</p><p><strong> </strong></p><p>NHS England inherited the range of stereotactic surgery providers currently in place, of which University College Hospital London was not one. NHS England is currently undertaking a review of stereotactic radiosurgery provision and will consult widely with stakeholders and providers prior to making changes to service provision.</p><p> </p><p>Finally, NHS England will publish information relating to its contracted spend in due course, in line with Regulation 9 of <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em>.</p>
star this property answering member constituency Battersea more like this
star this property answering member printed Jane Ellison more like this
star this property grouped question UIN
197024 more like this
197025 more like this
star this property question first answered
less than 2014-05-07T12:00:00.00Zmore like thismore than 2014-05-07T12:00:00.00Z
star this property answering member
3918
star this property label Biography information for Jane Ellison more like this
star this property tabling member
4089
unstar this property label Biography information for Tessa Munt more like this
49238
star this property registered interest false more like this
star this property date less than 2014-04-30more like thismore than 2014-04-30
star this property answering body
Department of Health more like this
star this property answering dept id 17 remove filter
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, how many patients have been sent to hospitals in London for stereotactic radiosurgery treatment from (a) Oxfordshire, (b) Berkshire, (c) Buckinghamshire and (d) Wiltshire in each of the last three financial years. more like this
star this property tabling member constituency Wells more like this
star this property tabling member printed
Tessa Munt remove filter
star this property uin 197271 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-05-08more like thismore than 2014-05-08
unstar this property answer text <p>The requested information is not collected centrally.</p><p> </p><p>We understand Mr James Palmer, Clinical Director of Specialised Services at NHS England will be writing to my hon. Friend to offer a meeting in order that he can address concerns about the provision of stereotactic radiosurgery treatment.</p><p> </p> more like this
star this property answering member constituency Battersea more like this
star this property answering member printed Jane Ellison more like this
star this property grouped question UIN 197263 more like this
star this property question first answered
less than 2014-05-08T12:00:00.00Zmore like thismore than 2014-05-08T12:00:00.00Z
star this property answering member
3918
star this property label Biography information for Jane Ellison more like this
star this property tabling member
4089
unstar this property label Biography information for Tessa Munt more like this
49237
star this property registered interest false more like this
star this property date less than 2014-04-30more like thismore than 2014-04-30
star this property answering body
Department of Health more like this
star this property answering dept id 17 remove filter
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, if he will take steps to encourage NHS England to respond to the Oxford Radiosurgery Centre's request that NHS patients in Oxfordshire and surrounding counties who require radiosurgery be treated there. more like this
star this property tabling member constituency Wells more like this
star this property tabling member printed
Tessa Munt remove filter
star this property uin 197268 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-05-08more like thismore than 2014-05-08
unstar this property answer text <p>The business case for the gamma-knife centre at Oxford was originally agreed with the primary care trust (PCT) prior to April 2013, with an assumption that the PCT would stop sending patients to other centres elsewhere, and start sending them to the new centre once it was completed.</p><p> </p><p>As of April 2013, commissioning of these services transferred to the specialist commissioning team in NHS England.</p><p> </p><p>NHS England is currently undertaking a review of stereotactic radiosurgery (SRS) (e.g. Gamma Knife) and stereotactic ablative radiotherapy (SABR, e.g. Cyber-knife) for intracranial conditions to establish what the national demand is in line with its national clinical commissioning policies on SRS and SABR, and what the national capacity requirements are for this specialised treatment.</p><p> </p><p>Until the capacity requirements are clear, NHS England has said that it would be inappropriate to encourage new market entrants to provide this service as it cannot be clear what the potential consequential impacts on service quality, sustainability (financial and clinical) and potential unintended changes to patient pathways will be. Until the review is complete NHS England has said no substantive changes will be made to the current provision.</p><p> </p><p>As part of the transition of this service to NHS England, it developed, consulted upon and published a series of national clinical commissioning policies for intracranial SRS and SRT treatment.</p><p> </p><p>A report setting out the emerging findings of this review has been shared with clinical reference groups to seek their views and help NHS England develop a final draft. Once the views of stakeholders have been gathered, this will then go to Specialised Commissioning Oversight Group (SCOG) to agree a preferred option. Once the SCOG has a preferred option, NHS England will consult with patients and professionals and take account of those views when taking a final decision. If it is concluded there are to be significant changes in the provision of services, there will be a full public consultation before any changes are made.</p><p> </p><p>NHS England is expecting that the draft report will be ready for consideration at SCOG in June and then it would commence a public consultation on the draft report and preferred option during July to September. The report and recommendations will then be finalised after taking account of the views expressed during the consultation stage and a final decision taken by SCOG in September 2014.</p><p> </p><p>NHS England inherited the range of gamma knife providers currently in place, of which University College London Hospitals (UCLH) was not one. NHS England is currently undertaking a review of stereotactic radiosurgery provision and will consult widely with stakeholders and providers prior to making changes to service provision. There are two long established providers of gamma knife surgery commissioned by NHS England located in central London to whom patients from all six London specialist neurosurgical centres have been referred for gamma knife treatment for a number of years, including patients from UCLH.</p><p> </p><p>Finally, there was no contract in place with UCLH to provide gamma knife surgery for any PCT prior to 1 April 2013. Any activity that may have been undertaken there would have been done on an ad-hoc, non-contracted basis and NHS England does not hold this information.</p>
star this property answering member constituency Battersea more like this
star this property answering member printed Jane Ellison more like this
star this property grouped question UIN
197267 more like this
197298 more like this
197299 more like this
star this property question first answered
less than 2014-05-08T12:00:00.00Zmore like thismore than 2014-05-08T12:00:00.00Z
star this property answering member
3918
star this property label Biography information for Jane Ellison more like this
star this property tabling member
4089
unstar this property label Biography information for Tessa Munt more like this
49240
star this property registered interest false more like this
star this property date less than 2014-04-30more like thismore than 2014-04-30
star this property answering body
Department of Health more like this
star this property answering dept id 17 remove filter
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, pursuant to the Answer of 24 March 2014, Official Report, column 132W, on radiotherapy and with reference to section three of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, which primary care trusts in the south west of England commissioned treatment with the Gamma Knife at University College London Hospital for patients before 1 April 2013. more like this
star this property tabling member constituency Wells more like this
star this property tabling member printed
Tessa Munt remove filter
star this property uin 197298 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-05-08more like thismore than 2014-05-08
unstar this property answer text <p>The business case for the gamma-knife centre at Oxford was originally agreed with the primary care trust (PCT) prior to April 2013, with an assumption that the PCT would stop sending patients to other centres elsewhere, and start sending them to the new centre once it was completed.</p><p> </p><p>As of April 2013, commissioning of these services transferred to the specialist commissioning team in NHS England.</p><p> </p><p>NHS England is currently undertaking a review of stereotactic radiosurgery (SRS) (e.g. Gamma Knife) and stereotactic ablative radiotherapy (SABR, e.g. Cyber-knife) for intracranial conditions to establish what the national demand is in line with its national clinical commissioning policies on SRS and SABR, and what the national capacity requirements are for this specialised treatment.</p><p> </p><p>Until the capacity requirements are clear, NHS England has said that it would be inappropriate to encourage new market entrants to provide this service as it cannot be clear what the potential consequential impacts on service quality, sustainability (financial and clinical) and potential unintended changes to patient pathways will be. Until the review is complete NHS England has said no substantive changes will be made to the current provision.</p><p> </p><p>As part of the transition of this service to NHS England, it developed, consulted upon and published a series of national clinical commissioning policies for intracranial SRS and SRT treatment.</p><p> </p><p>A report setting out the emerging findings of this review has been shared with clinical reference groups to seek their views and help NHS England develop a final draft. Once the views of stakeholders have been gathered, this will then go to Specialised Commissioning Oversight Group (SCOG) to agree a preferred option. Once the SCOG has a preferred option, NHS England will consult with patients and professionals and take account of those views when taking a final decision. If it is concluded there are to be significant changes in the provision of services, there will be a full public consultation before any changes are made.</p><p> </p><p>NHS England is expecting that the draft report will be ready for consideration at SCOG in June and then it would commence a public consultation on the draft report and preferred option during July to September. The report and recommendations will then be finalised after taking account of the views expressed during the consultation stage and a final decision taken by SCOG in September 2014.</p><p> </p><p>NHS England inherited the range of gamma knife providers currently in place, of which University College London Hospitals (UCLH) was not one. NHS England is currently undertaking a review of stereotactic radiosurgery provision and will consult widely with stakeholders and providers prior to making changes to service provision. There are two long established providers of gamma knife surgery commissioned by NHS England located in central London to whom patients from all six London specialist neurosurgical centres have been referred for gamma knife treatment for a number of years, including patients from UCLH.</p><p> </p><p>Finally, there was no contract in place with UCLH to provide gamma knife surgery for any PCT prior to 1 April 2013. Any activity that may have been undertaken there would have been done on an ad-hoc, non-contracted basis and NHS England does not hold this information.</p>
star this property answering member constituency Battersea more like this
star this property answering member printed Jane Ellison more like this
star this property grouped question UIN
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less than 2014-05-08T12:00:00.00Zmore like thismore than 2014-05-08T12:00:00.00Z
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star this property label Biography information for Jane Ellison more like this
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unstar this property label Biography information for Tessa Munt more like this