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78009
star this property registered interest false more like this
star this property date less than 2014-07-15more like thismore than 2014-07-15
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 remove filter
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, for what reason none of the £42 million his Department has made available for increasing the use of radiotherapy is to be spent on treating cancer patients with Stereotactic Ablative Radiotherapy this year. 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 205834 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 2014-07-22more like thismore than 2014-07-22
unstar this property answer text <p>In July 2011, the National Radiotherapy Implementation Group concluded that current evidence supports treatment withstereotactic ablative radiotherapy (SABR) for only a small number of patients. The evidence supports its use in the treatment of early stage lung cancers for patients who are unsuitable for surgery (approximately 1,000 per annum).</p><p> </p><p>NHS England recognises the positive clinical impact that its national policy on SABR for the treatment of early non-small cell lung cancer has had. It is currently examining the potential use of SABR in patients with oligometastatic disease – where a cancer is in the early stages of spreading.</p><p> </p><p>NHS England is also currently undertaking a review of stereotactic radiosurgery (SRS) and SABR 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. Following the review it is planned that a final decision will be taken by the Specialised Commissioning Oversight Group in October 2014.</p><p> </p><p>Later this year, the Radiotherapy Clinical Reference Group will review its current policy position on SABR to assess whether there is new evidence to recommend its use on other conditions. It is important to ensure that treatments commissioned are supported by robust evidence of their benefit to patients.</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 2014-07-22T13:47:28.2778263Zmore like thismore than 2014-07-22T13:47:28.2778263Z
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
78013
star this property registered interest false more like this
star this property date less than 2014-07-15more like thismore than 2014-07-15
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 remove filter
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 individual funding requests per indication were received by NHS England for radiotherapy treatment in the last financial year; and how many requests, per indication, were refused by NHS 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 205953 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 2014-07-21more like thismore than 2014-07-21
unstar this property answer text <p>Since April 2013, radiotherapy treatment has been planned and paid for nationally by NHS England.</p><p> </p><p>NHS England has informed us that information on the number of individual funding requests made to NHS England is not currently available. NHS England is improving its data collection mechanisms and aims to improve availability of such information in the future.</p><p><br><br></p><p> </p> more like this
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property question first answered
less than 2014-07-21T16:41:28.9999832Zmore like thismore than 2014-07-21T16:41:28.9999832Z
star this property answering member
1439
star this property label Biography information for Norman Lamb more like this
star this property tabling member
4089
unstar this property label Biography information for Tessa Munt more like this
79378
star this property registered interest false more like this
star this property date less than 2014-07-22more like thismore than 2014-07-22
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 remove filter
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 21 July 2014, Official Report, column 1007W, on radiotherapy, when data relating to individual funding requests per indication for radiotherapy treatment made to NHS England and the number of such requests refused will be available from NHS 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 206964 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 2014-09-04more like thismore than 2014-09-04
unstar this property answer text <p> </p><p>NHS England has advised us that it is aiming to complete its work on improving data collection for individual funding requests later this year. This will include information on requests received for radiotherapy treatments.</p><p> </p> more like this
star this property answering member constituency Mid Norfolk more like this
star this property answering member printed George Freeman more like this
star this property question first answered
less than 2014-09-04T13:29:56.5469293Zmore like thismore than 2014-09-04T13:29:56.5469293Z
star this property answering member
4020
star this property label Biography information for George Freeman more like this
star this property tabling member
4089
unstar this property label Biography information for Tessa Munt more like this
90319
star this property registered interest false more like this
star this property date less than 2014-09-02more like thismore than 2014-09-02
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 remove filter
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 people in what age group have been funded for proton beam therapy in each of the last five years; and in what location each person was so treated. 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 207871 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 2014-09-05more like thismore than 2014-09-05
unstar this property answer text <p> </p><p>The information is provided in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Children</p></td><td><p>Adults</p></td><td><p>Total</p></td><td><p>Location</p></td></tr><tr><td><p>2009-10</p></td><td><p>8</p></td><td><p>12</p></td><td><p>20</p></td><td><p>France, USA and Switzerland</p></td></tr><tr><td><p>2010-11</p></td><td><p>30</p></td><td><p>20</p></td><td><p>50</p></td><td><p>USA (38 patients) and Switzerland (12)</p></td></tr><tr><td><p>2011-12</p></td><td><p>66</p></td><td><p>13</p></td><td><p>79</p></td><td><p>USA (majority of patients) and Switzerland</p></td></tr><tr><td><p>2012-13</p></td><td><p>83</p></td><td><p>16</p></td><td><p>99</p></td><td><p>USA (majority of patients) and Switzerland</p></td></tr><tr><td><p>2013-14</p></td><td><p>103*</p></td><td><p>21*</p></td><td><p>124*</p></td><td><p>All USA</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>*Figure includes treatments given and treatments due to be given following approval.</p><p> </p><p> </p><p> </p><p>It is not possible to provide a more detailed analysis of age group by location of treatment because it might be possible to identify individual patients from the data.</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 2014-09-05T13:12:09.20763Zmore like thismore than 2014-09-05T13:12:09.20763Z
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
100196
star this property registered interest false more like this
star this property date less than 2014-10-21more like thismore than 2014-10-21
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 remove filter
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, whether the signature authorising Individual Funding Requests made to NHS England for Gamma Knife treatment by University College Hospital London, Queen Square, is that of a senior clinician employed by 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 211310 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 2014-10-27more like thismore than 2014-10-27
unstar this property answer text <p>We are advised by NHS England that the clinician who authorises Individual Funding Requests for Gamma Knife treatment to be undertaken at the Queens Square Radiology Centre Ltd (QSRC) is a surgeon at the National Hospital for Neurosurgery and Neurology (NHNN), part of University College London Hospitals NHS Foundation Trust (UCLH).</p><p> </p><p> </p><p> </p><p>Gamma Knife treatment is not undertaken by UCLH but by the private company QSRC, which is based at NHNN but has no formal relationship with UCLH.</p><p> </p><p><strong> </strong></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 question first answered
less than 2014-10-27T16:54:23.3483501Zmore like thismore than 2014-10-27T16:54:23.3483501Z
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
61873
star this property registered interest false more like this
star this property date less than 2014-06-13more like thismore than 2014-06-13
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 remove filter
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 9 June 2014, Official Report, column 61W, on radiotherapy, what reports he has received of the reasons NHS England has paid for gamma knife treatment at University College Hospital London for a patient referred there from Plymouth Derriford Hospital by James Palmer, NHS England's Clinical Director of Specialised Commissioning. 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 200731 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 2014-06-23more like thismore than 2014-06-23
unstar this property answer text <p>For reasons of patient confidentiality, it is not possible to comment explicitly on either case referred to. However, any primary care trust authorisations made for the gamma knife prior to 1 April 2013 were honoured by NHS England and the invoice associated with the agreed work was paid. University College London Hospitals (UCLH) were required to forward any referrals made after 1 April 2013 to NHS England, along the prescribed pathway, in accordance with the contract between the two. No invoices for work carried out by Queen's Square Radiotherapy Centre at its own risk on behalf of UCLH have been paid by NHS England for referrals after 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 grouped question UIN 200728 more like this
star this property question first answered
less than 2014-06-23T15:44:40.0908772Zmore like thismore than 2014-06-23T15:44:40.0908772Z
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
61875
star this property registered interest false more like this
star this property date less than 2014-06-13more like thismore than 2014-06-13
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 remove filter
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, what reports he has received on the reasons NHS England has paid for Gamma Knife treatment at University College Hospital London (UCHL) for a patient with an acoustic neuroma referred to UCHL from Bournemouth and Poole 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 200728 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 2014-06-23more like thismore than 2014-06-23
unstar this property answer text <p>For reasons of patient confidentiality, it is not possible to comment explicitly on either case referred to. However, any primary care trust authorisations made for the gamma knife prior to 1 April 2013 were honoured by NHS England and the invoice associated with the agreed work was paid. University College London Hospitals (UCLH) were required to forward any referrals made after 1 April 2013 to NHS England, along the prescribed pathway, in accordance with the contract between the two. No invoices for work carried out by Queen's Square Radiotherapy Centre at its own risk on behalf of UCLH have been paid by NHS England for referrals after 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 grouped question UIN 200731 more like this
star this property question first answered
less than 2014-06-23T15:44:40.325249Zmore like thismore than 2014-06-23T15:44:40.325249Z
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
78005
star this property registered interest false more like this
star this property date less than 2014-07-15more like thismore than 2014-07-15
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 remove filter
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 request NHS England to authorise the use of Gamma Knife for NHS patients 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 206028 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 2014-07-21more like thismore than 2014-07-21
unstar this property answer text <p>NHS England is an independent arm’s length body and since 1 April 2013, it has been responsible for commissioning all radiotherapy services, including stereotactic radiosurgery. Gamma Knife treatment has been available to all patients who meet clinical criteria, without the need for individual funding requests, under NHS England’s national clinical commissioning policies for specialised 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 National Health Service 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>All patients need to be treated in accordance with the prescribed clinical pathways and in line with contractual agreements with providers.</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 grouped question UIN 205954 more like this
star this property question first answered
less than 2014-07-21T16:30:36.1320635Zmore like thismore than 2014-07-21T16:30:36.1320635Z
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
78016
star this property registered interest false more like this
star this property date less than 2014-07-15more like thismore than 2014-07-15
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 remove filter
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, for what reasons NHS England is instructing hospitals with patients presenting as clinically urgent to treat such patients with innovative radiotherapy at the hospital's financial risk while it decides whether to fund the patient; and how hospitals which have followed that instruction receive reimbursement for that expenditure if NHS England subsequently refuses to fund the treatment. 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 205954 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 2014-07-21more like thismore than 2014-07-21
unstar this property answer text <p>NHS England is an independent arm’s length body and since 1 April 2013, it has been responsible for commissioning all radiotherapy services, including stereotactic radiosurgery. Gamma Knife treatment has been available to all patients who meet clinical criteria, without the need for individual funding requests, under NHS England’s national clinical commissioning policies for specialised 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 National Health Service 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>All patients need to be treated in accordance with the prescribed clinical pathways and in line with contractual agreements with providers.</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 grouped question UIN 206028 more like this
star this property question first answered
less than 2014-07-21T16:30:36.3565974Zmore like thismore than 2014-07-21T16:30:36.3565974Z
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
79389
star this property registered interest false more like this
star this property date less than 2014-07-22more like thismore than 2014-07-22
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 remove filter
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 investigate the reasons why NHS England is instructing hospitals with patients presenting as clinically urgent to treat such patients with innovative radiotherapy at the hospital's financial risk while it decides whether to fund the patient; and if he will issue guidelines on how hospitals which have followed that instruction will receive reimbursement for such expenditure if NHS England subsequently refuses to fund the treatment. 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 206974 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 2014-09-05more like thismore than 2014-09-05
unstar this property answer text <p> </p><p>University College Hospitals London (UCHL) did not apply to be a contracted provider of gamma knife services for NHS England. For this reason it has not been formally assessed against the service specification. The gamma knife referred to is owned and operated by Queen’s Square Radiotherapy Centre (QSRC) Ltd, a private company wholly owned by Medical Equipment Solutions Limited, in premises owned by UCLH under a commercial agreement with UCLH.</p><p> </p><p> </p><p> </p><p>As the National Health Service was going through a major transition in 2013-14 it was decided at that time that there should be no new market entrants for stereotactic radiotherapy services. Therefore only existing commissioned providers were asked to identify the services that they considered themselves to be providing, and UCLH did not express an interest in respect to gamma knife treatment. QSRC Ltd is not an existing NHS England commissioned provider and therefore was not assessed against the service specification.</p><p> </p><p> </p><p>All patients need to be treated in accordance with the prescribed clinical pathways and in line with contractual agreements with providers. If providers treat outside the required contractual agreements then they do so at their own financial risk, and this is why NHS England instructs hospitals to this effect where no contractual arrangement is in place.</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 206965 more like this
star this property question first answered
less than 2014-09-05T13:32:07.7570988Zmore like thismore than 2014-09-05T13:32:07.7570988Z
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