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1688592

registered interest
date	08/02/2024
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 steps she plans to take to (a) help ensure equality of access to radiotherapy, (b) recruit more staff, (c) acquire more equipment and (d) otherwise increase radiotherapy capacity.
tabling member constituency	Coventry North West
tabling member printed	Taiwo Owatemi
uin	13832
answer	answer is ministerial correction date of answer 19/02/2024 answer text <p>The Government and NHS England are already taking steps to ensure that cancer patients can receive high quality radiotherapy treatment across England. This includes supporting advances in radiotherapy using cutting-edge imaging and technology to help target radiation doses at cancer cells more precisely.</p><p>Despite the impact of the pandemic and recent industrial action, 340,530 people received their first cancer treatment in the 12 months to November 2023, a record high. Between 2016 and 2021, the Government invested £162 million to replace or upgrade around 100 radiotherapy treatment machines. This is in addition to funds invested by National Health Service trusts from their capital budgets or donations. However, responsibility for investing in radiotherapy machines has sat with integrated care boards since April 2022, with guidance advising systems to replace the majority of radiotherapy equipment at 10 years of age.</p><p>NHS England is supporting the growth of the cancer workforce, including radiotherapy, through the NHS Long-Term Workforce Plan to ensure that we have staff to meet the projected growth in demand for cancer treatment. In October 2023 there were over 34,900 full-time equivalent staff in the cancer workforce, an increase of over 12,400, or 55.3%, since October 2010.</p><p>NHS England is expanding diagnostic capacity for cancer, including through the roll-out of our new community diagnostic centres (CDCs). These have delivered over six million tests since July 2021, including vital cancer checks. CDCs will deliver up to 17 million tests by March 2025, with capacity for nine million more a year once all are fully operational.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 19/02/2024 09:35:35 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4779 label Biography information for Taiwo Owatemi

1672051

registered interest
date	21/11/2023
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	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when the revised service specification for molecular radiotherapy is expected to be implemented by NHS England.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL478
answer	answer is ministerial correction date of answer 05/12/2023 answer text <p>The current published Brachytherapy and Molecular Radiotherapy Service Specification is expected to be replaced from April 2024 with standalone service specifications covering Brachytherapy and Molecular Radiotherapy.</p> answering member printed Lord Markham question first answered 05/12/2023 17:56:59 answering member 4948 label Biography information for Lord Markham
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1672052

registered interest
date	21/11/2023
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	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans (1) they have made, and (2) are already in progress, to expand molecular radiotherapy service capacity.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL479
answer	answer is ministerial correction date of answer 05/12/2023 answer text <p>NHS England commissions treatments that have either been approved via the National Institute for Health and Care Excellence technology appraisal process or NHS England’s clinical commissioning development process. Service provision will normally be reviewed at the point that new treatments are approved through either of these two routes.</p><p>Where additional capacity is required to meet demand, this will be put in place. Developers of new medicines can apply to the Early Access to Medicines Scheme, Project Orbis or The Innovative Licensing and Access Pathway to accelerate the time to market for new products.</p><p>In relation to molecular radiotherapy, linked to the implementation of the new service specification, NHS England will be undertaking an assessment of service readiness to implement new technologies.</p> answering member printed Lord Markham question first answered 05/12/2023 17:58:45 answering member 4948 label Biography information for Lord Markham
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1672053

registered interest
date	21/11/2023
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	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of regional inequalities in access to molecular radiotherapy services; and what plans they have to reduce inequalities in access to those services.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL480
answer	answer is ministerial correction date of answer 05/12/2023 answer text <p>Based on information provided by National Health Service trusts, there are 38 providers of this service in England, spread across each of the seven NHS regions.</p><p>As part of the implementation process of the new standalone service specification for <ins class="ministerial">molecular radiotherapy</ins><del class="ministerial">magnetic resonance therapy</del> (MRT), which is expected from April 2024, work will be undertaken to confirm the nature and type of MRT services being provided by trusts and allow for access considerations to be taken into account.</p> answering member printed Lord Markham question first answered 05/12/2023 17:59:17 question first ministerially corrected 19/12/2023 13:27:07 answering member 4948 label Biography information for Lord Markham previous answer version 5569 answering member printed Lord Markham answering member 4948 label Biography information for Lord Markham
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1659168

registered interest
date	07/09/2023
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 create the nine statutory joint committees on radiotherapy; and what the process will be for creating those committees.
tabling member constituency	Liverpool, Walton
tabling member printed	Dan Carden
uin	198462
answer	answer is ministerial correction date of answer 13/09/2023 answer text <p>NHS England published a roadmap in May 2022 setting the direction of travel for greater integration of specialised services with integrated care board (ICB) commissioned services, in order to better join up patient pathways. A copy of the roadmap is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf</a></p><p>An analysis of the entire specialised services portfolio was undertaken to determine which services are both suitable and ready for greater ICB leadership. Following an assessment of ICB system readiness at the end of 2022, which was signed off by the NHS England Board in February 2023, nine statutory joint committees between NHS England and multi-ICB collaborations were established on 1 April 2023 taking on joint responsibility for commissioning decisions on 59 specialised services. A list of these services (which includes radiotherapy services) is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-annex-a-final-spa-lists.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-annex-a-final-spa-lists.pdf</a></p><p>To ensure appropriate oversight and assurance of specialised services under the nine statutory joint committees in 2023/24, NHS England produced guidance for its regional teams and integrated care boards which was released in February 2023. The guidance sets out four key areas that NHS England's regional specialised commissioning teams, working with and through the joint committees, should be regularly overseeing and monitoring in relation to their specialised provision (including providers of radiotherapy services). These four areas are: timeliness of provision; quality of provision; use of resources/value for money; and equity and health inequalities.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 198463 question first answered 13/09/2023 15:52:53 answering member 4423 label Biography information for Will Quince
tabling member	4651 label Biography information for Dan Carden

1659193

registered interest
date	07/09/2023
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 his Department's timescales are for the creation of the nine statutory joint radiotherapy committees; what steps his Department is taking to create those committees; and if he will make a statement.
tabling member constituency	Warrington North
tabling member printed	Charlotte Nichols
uin	198463
answer	answer is ministerial correction date of answer 13/09/2023 answer text <p>NHS England published a roadmap in May 2022 setting the direction of travel for greater integration of specialised services with integrated care board (ICB) commissioned services, in order to better join up patient pathways. A copy of the roadmap is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf</a></p><p>An analysis of the entire specialised services portfolio was undertaken to determine which services are both suitable and ready for greater ICB leadership. Following an assessment of ICB system readiness at the end of 2022, which was signed off by the NHS England Board in February 2023, nine statutory joint committees between NHS England and multi-ICB collaborations were established on 1 April 2023 taking on joint responsibility for commissioning decisions on 59 specialised services. A list of these services (which includes radiotherapy services) is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-annex-a-final-spa-lists.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-annex-a-final-spa-lists.pdf</a></p><p>To ensure appropriate oversight and assurance of specialised services under the nine statutory joint committees in 2023/24, NHS England produced guidance for its regional teams and integrated care boards which was released in February 2023. The guidance sets out four key areas that NHS England's regional specialised commissioning teams, working with and through the joint committees, should be regularly overseeing and monitoring in relation to their specialised provision (including providers of radiotherapy services). These four areas are: timeliness of provision; quality of provision; use of resources/value for money; and equity and health inequalities.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 198462 question first answered 13/09/2023 15:52:53 answering member 4423 label Biography information for Will Quince
tabling member	4799 label Biography information for Charlotte Nichols

1658836

registered interest
date	06/09/2023
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 steps he is taking to ensure that reporting mechanisms are in place to inform the (a) public and (b) parliament how the nine statutory joint radiotherapy committees are improving access to modern radiotherapy.
tabling member constituency	North Antrim
tabling member printed	Ian Paisley
uin	198099
answer	answer is ministerial correction date of answer 12/09/2023 answer text <p>The nine statutory joint committees between NHS England and multi-integrated care board (ICB) collaborations established on 1 April 2023 are working to improve access to specialised services by bringing together regional specialised commissioning expertise and integrated care systems (ICSs). These committees have joint responsibility for commissioning decisions on 59 specialised services, including radiotherapy. A list of these services is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-annex-a-final-spa-lists.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-annex-a-final-spa-lists.pdf</a></p><p>Reporting mechanisms are in place as part of ICS governance, with ICB leaders publishing an annual report to their population stating what their health and healthcare services are delivering for their population and communities.</p><p>To ensure appropriate oversight and assurance of specialised services under the nine statutory joint committees in 2023/24, NHS England produced guidance for its regional teams and ICBs. The guidance sets out four key areas that NHS England's regional specialised commissioning teams, working with and through the joint committees, should be regularly overseeing and monitoring in relation to their specialised provision (including providers of radiotherapy services): timeliness of provision; quality of provision; use of resources and value for money; and equity and health inequalities.</p> answering member constituency Colchester answering member printed Will Quince question first answered 12/09/2023 16:04:07 answering member 4423 label Biography information for Will Quince
tabling member	4129 label Biography information for Ian Paisley

1658373

registered interest
date	05/09/2023
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 devolve any aspect of radiotherapy commissioning to integrated care boards in (a) Crawley constituency and (b) England; and if he will make a statement.
tabling member constituency	Crawley
tabling member printed	Henry Smith
uin	197767
answer	answer is ministerial correction date of answer 12/09/2023 answer text <p>NHS England’s National Moderation Panel will determine how many integrated care boards (ICBs) will take on responsibility for specialised commissioning in October 2023. Following this moderation process, recommendations will be taken to the NHS England Board for final decisions in December 2023, before new arrangements go live from April 2024.</p><p>This process will consider the delegation of radiotherapy commissioning for ICBs across England including across the Crawley constituency.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 12/09/2023 13:49:15 answering member 4527 label Biography information for Helen Whately
tabling member	3960 label Biography information for Henry Smith

1651564

registered interest
date	10/07/2023
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 trusts provide molecular radiotherapy services.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	193181
answer	answer is ministerial correction date of answer 13/07/2023 answer text <p>There are 38 National Health Service trusts commissioned to deliver the services set out within the national Molecular Radiotherapy and Brachytherapy Service Specification in England. However, given the spectrum of treatments available under this service specification, there is some variation in what each provider offers.</p> answering member constituency Colchester answering member printed Will Quince question first answered 13/07/2023 09:32:56 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1649002

registered interest
date	29/06/2023
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	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government which body is currently in charge of the commissioning of radiotherapy services in England; and whether they have any plans to change this over the next two years.
tabling member printed	Baroness Cox
uin	HL8911
answer	answer is ministerial correction date of answer 05/07/2023 answer text <p>NHS England is the accountable commissioner for radiotherapy services, and as such is responsible for setting evidence-based national service standards for radiotherapy, including service specifications and clinical commissioning policies. There are no plans for this to change in the future.</p> answering member printed Lord Markham question first answered 05/07/2023 14:01:45 answering member 4948 label Biography information for Lord Markham
tabling member	3364 label Biography information for Baroness Cox