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Radiotherapy

Volume 479: debated on Monday 1 September 2008

To ask the Secretary of State for Health how many fractions were delivered by radiotherapy centres in each year since 1997-98; how many fractions of radiotherapy he estimates are required to be delivered by the NHS in order to meet the 31-day treatment standard, as referred to in paragraph 4.24 of his Department’s Cancer Reform Strategy; what the expected increase in the number of fractions is against which progress towards the aim of meeting the 31-day treatment standard in radiotherapy services by December 2010 will be measured; and if he will make a statement. (220954)

The number of fractions delivered by radiotherapy centre since 1998 has been placed in the Library.

The National Radiotherapy Advisory Group recommended that the national health service delivers 40,000 fractions per million of population by 2010, rising to 54,000 by 2016. It is estimated that if the NHS meets these recommendations for increasing capacity they will be able to meet the 31 day treatment standard.

The National Cancer Action Team is producing guidance to support the NHS to identify gaps in fractionation and future service requirements.

Number of radiotherapy fractions delivered using megavoltage radiotherapy equipment 1998-99—2006-07

NHS trust/radiotherapy centre

1998-99

1999-2000

2000-01

2001-02

2002-03

2003-04

2004-05

2005-06

2006-07

Barking, Havering and Redbridge Hospitals NHST

13,709

16,403

12,421

17,494

18,889

18,832

19,106

17,500

Barts and The London NHST

24,571

24,578

26,416

23,048

25,013

24,633

22,156

21,458

Brighton and Sussex University Hospitals NHST

22,456

22,903

23,806

22,669

14,623

9,056

2,304

32,468

Cambridge University Hospitals NHSFT

18,473

30,203

33,147

33,766

41,252

46,117

44,459

49,496

49,588

Christie Hospital NHSFT

63,336

65,465

61,127

70,658

73,208

67,628

72,493

69,627

72,484

Clatterbridge Centre for Oncology NHSFT

75,920

76,325

74,727

72,333

76,142

79,680

81,572

76,751

78,419

Derby Hospitals NHSFT

20,254

19,016

15,283

23,051

22,753

East and North Hertfordshire NHST

35,989

37,998

37,604

33,316

33,142

36,450

44,319

46,758

46,778

East Kent Hospitals NHST

17,388

16,491

17,498

18,243

15,175

Essex Rivers Healthcare NHST

9,092

9,087

15,233

21,501

20,378

19,761

20,133

22,084

21,423

Gloucestershire Hospitals NHSFT

18,980

18,797

32,634

36,341

35,278

34,141

34,724

40,325

39,349

Guy's and St Thomas' NHSFT

29,680

24,526

20,020

41,207

42,338

38,099

40,363

43,254

Hammersmith Hospitals NHST

28,707

37,872

35,192

32,105

29,371

32,258

Hull and East Yorkshire Hospitals NHST

19,897

24,477

27,140

27,227

Ipswich Hospital NHST

11,808

13,325

14,033

14,327

16,102

16,282

15,477

13,504

13,634

Lancashire Teaching Hospitals NHSFT

20,725

23,816

28,172

29,753

28,095

29,464

31,076

38,749

40,880

Leeds Teaching Hospitals NHST, The

53,747

57,347

58,345

53,457

40,578

50,436

57,486

60,419

Maidstone and Tunbridge Wells NHST

23,582

26,494

25,789

26,095

26,782

27,273

30,145

33,157

34,869

Newcastle upon Tyne Hospitals NHSFT, The

51,358

47,756

47,292

48,003

51,901

50,725

52,072

53,542

53,870

Norfolk and Norwich University Hospital NHST

18,949

18,704

20,718

17,285

10,163

20,814

21,110

22,875

23,627

North Cumbria Acute Hospitals NHST

2,327

8,434

9,092

North Middlesex University Hospital NHST

25,083

24,595

18,301

19,000

21,973

22,940

20,726

19,877

17,671

Northampton General Hospital NHST

20,124

22,317

22,367

22,831

Nottingham University Hospitals NHST

30,549

32,072

33,729

31,724

36,207

35,422

38,600

38,590

39,482

Oxford Radcliffe Hospitals NHST

30,136

31,644

31,341

29,105

30,058

33,609

35,860

36,424

Plymouth Hospitals NHST

22,061

25,027

23,626

22,160

17,022

18,022

19,132

17,177

Poole Hospital NHST

24,242

26,843

28,918

29,252

30,589

29,937

27,778

30,618

30,137

Portsmouth Hospitals NHST

11,436

8,281

21,206

25,268

26,226

Royal Berkshire NHSFT

15,409

15,332

16,976

15,379

20,149

Royal Cornwall Hospitals NHST

8,778

8,547

8,727

7,279

14,523

19,100

19,144

17,264

18,456

Royal Devon and Exeter NHSFT

18,529

19,387

19,547

18,857

17,468

18,955

18,419

18,118

19,082

Royal Free Hampstead NHST

12,788

11,949

12,066

11,325

12,358

11,832

11,714

10,164

Royal Marsden NHSFT, The

31,515

30,898

31,259

31,834

38,837

54,184

64,636

66,282

68,294

Royal Surrey County Hospital NHST

32,951

34,242

40,684

35,572

39,020

7,520

38,371

38,549

42,550

Royal United Hospital Bath NHST

10,917

11,438

12,018

12,624

14,808

17,184

15,584

18,577

16,513

Royal Wolverhampton Hospitals NHST, The

17,575

19,010

20,117

20,823

20,620

22,844

23,926

Sheffield Teaching Hospitals NHSFT

35,624

36,873

39,458

44,612

38,034

47,491

47,684

44,955

50,838

Shrewsbury and Telford Hospital NHST, The

10,199

10,887

10,552

11,239

11,185

12,593

12,933

13,785

15,401

South Devon Healthcare NHSFT

8,249

9,289

8,917

8,652

9,112

11,626

15,773

10,055

10,033

South Tees Hospitals NHST

28,026

28,620

26,589

28,500

28,171

Southampton University Hospitals NHST

32,767

32,996

32,345

40,294

42,394

39,046

Southend University Hospital NHSFT

14,257

15,147

16,256

17,678

18,477

17,982

17,112

16,664

19,115

United Bristol Healthcare NHST

39,014

41,788

42,591

40,687

42,746

43,480

41,774

43,861

41,736

United Lincolnshire Hospitals NHST

22,041

21,045

22,789

19,885

22,798

21,858

24,244

26,348

26,742

University College London NHSFT

24,779

20,906

20,189

19,610

21,296

23,316

University Hospital Birmingham NHSFT

39,377

36,432

47,089

51,023

49,101

University Hospital of North Staffordshire NHST

8,261

8,243

8,781

9,325

20,459

22,698

19,942

24,628

23,567

University Hospitals Coventry and Warwickshire NHST

26,428

28,066

29,066

28,105

28,633

32,898

32,257

34,104

University Hospitals of Leicester NHST

19,817

22,162

24,624

25,950

27,146

27,875

28,276

31,012

28,690

Note:

Data taken from the radiotherapy equipment survey 2002, 2005, 2007 produced by National Cancer Analysis Team.

To ask the Secretary of State for Health what progress has been made in developing a long-term workforce strategy for radiotherapy services, as referred to in paragraph 4.31 of his Department’s Cancer Reform Strategy; and when he expects the strategy to be published. (220955)

As set out in the Cancer Reform Strategy, it is for strategic health authorities (SHAs) to work with cancer networks, NHS trusts and postgraduate deaneries to develop a local long term radiotherapy work force strategy including an urgent review of work force supply, demand and skills mix to identify the investment needed in both staff numbers and types of training commissions. To help SHAs the national Cancer Action Team will shortly be providing guidance on developing a local response to the National Radiotherapy Advisory Group report.

To ask the Secretary of State for Health what support he is giving to strategic health authorities to enable them to (a) commission radiotherapy services and (b) build radiotherapy capacity. (220992)

In line with the recommendations of the National Radiotherapy Advisory Group's (NRAG) Report entitled ‘Radiotherapy: Developing a World Class Service for England’, the Cancer Reform Strategy (CRS) has recommended that local primary care trusts with their cancer networks may want to review their local radiotherapy service to ensure that recommended levels of fractionisation and linear accelerator productivity are achieved and that they have sufficient capacity to meet the extended 31-day waiting standard for all radiotherapy in 2010.

The NRAG Implementation Group has been set up to provide support to local clinical teams and commissioners as they review and develop their radiotherapy services. In addition, the National Cancer Action Team is also producing guidance by the end of the summer 2008 to support commissioners.