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Access to Radiotherapy

12 January 2022

Lead MP

Grahame Morris
Easington
Lab

Responding Minister

Maria Caulfield

Tags

NHSTaxationEmploymentScience & Technology
Word Count: 12128
Other Contributors: 7

At a Glance

Grahame Morris raised concerns about access to radiotherapy in Westminster Hall. A government minister responded.

Key Requests to Government:

The government should urgently address these disparities by increasing investment in radiotherapy services across the country. I ask for a commitment to open new centres or expand existing ones, especially in underserved regions like the North East. Morris urges the Minister to investigate and act urgently on bureaucratic obstacles that hinder effective treatment for patients. He asks the Minister to publish radiotherapy datasets by next month to reveal the extent of the backlog, estimated at between 50,000 and 60,000 cases. Morris also requests a meeting with radiotherapy commissioners, the Secretary of State, and representatives from the radiotherapy community to address these critical issues.

How the Debate Unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said:

Lead Contributor

Easington
Opened the debate
I am concerned about the disparity in access to radiotherapy services across different regions of England, particularly the North East. It is unacceptable that some patients have to travel hundreds of miles for treatment while others have local options. There are significant waiting times and a lack of capacity in many areas, which puts lives at risk. Morris is concerned about the under-investment in radiotherapy services and its impact on patient access, particularly in less affluent and rural areas. He highlights that only one in four people will receive radiotherapy at some point in their lifetime, yet it remains a 'Cinderella' service with chronic under-funding compared to other treatments. Morris points out that 3.5 million people in England do not have a radiotherapy centre within the recommended 45 minutes of their home. He also mentions workforce issues, with nearly 80% of professionals considering leaving due to excessive workload and travel distances.

Government Response

Maria Caulfield
Government Response
It is a pleasure to serve under your chairmanship, Mr Davies. I declare an interest as a cancer nurse at the Royal Marsden Hospital in London. I congratulate the hon. Member for Easington on securing this debate and raising radiotherapy's importance. During the pandemic, cancer remained a priority; however, patients were reluctant to come forward with symptoms during the first lockdown, leading to a backlog of over 10,000 daily referrals since then. While there are pressures on treatments like surgery and chemotherapy, the greatest pressure is in diagnostics. I caution Members about interpreting radiotherapy access data as it can be misleading due to its nature as an adjuvant treatment. Radiotherapy requires clinical decisions based on patient conditions and cannot always replace surgery or chemotherapy. Cancer alliances map out local services, and satellite units may not always be feasible given the specialist equipment and staff required. Elective recovery programmes have committed £2 billion this year and £8 billion over three years to tackle backlogs. There are significant improvements in radiotherapy techniques, such as stereotactic ablative body radiotherapy and proton beam therapy. The NHS is investing in state-of-the-art technology like ProKnow for virtual collaboration among clinicians. Health Education England prioritises training for cancer specialists and radiographers to enhance the workforce's skills. While staff numbers have grown by 3,342 full-time equivalents between 2016-17 and 2019-20, addressing skill mix is crucial. I am committed to investing in radiotherapy equipment, staff training, and innovation to ensure it remains a fundamental part of cancer treatment.
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About Westminster Hall Debates

Westminster Hall debates are a chance for MPs to raise important issues affecting their constituents and get a response from a government minister. Unlike Prime Minister's Questions, these debates are more in-depth and collaborative. The MP who secured the debate speaks first, other MPs can contribute, and a minister responds with the government's position.