(2Â weeks, 6Â days ago)
Commons ChamberWith the exception of Front-Bench speeches, there will be an immediate three-minute time limit.
I am speaking today in support of new clauses 113 and 114, which stand in the name of the hon. Member for Westmorland and Lonsdale (Tim Farron) and to which I have added my name.
I say at the outset that I am in full support of this Government’s ambitions on cancer. I welcome the recent investment in radiotherapy equipment, and I sincerely want the national cancer plan, which was published in February, to succeed. But I speak as someone who worked in the health service, who is a cancer survivor and who has taken a particular interest in this issue, not least as vice chairman of the all-party parliamentary group on radiotherapy. It is in that capacity, and as a supporter of what the Government are trying to achieve, that I respectfully ask Ministers to accept one or both of these new clauses.
By way of brief explanation, new clause 113 requires the Secretary of State to publish and maintain a national framework of agreed metrics for radiotherapy, requires integrated care boards to report annually against those targets and requires a report to this House once a year. New clause 114 asks very straightforwardly for a single review of access to radiotherapy and radiotherapy waiting times to be laid before Parliament within six months.
The hon. Gentleman hits the nail on the head—that is perfectly put. I believe there is cross-party consensus that this is the way forward. Over the last 16 years that I have been a Member, along with the hon. Gentleman, I have presented the case to a whole succession of Ministers from various parties, all of whom seemed to be in agreement. We definitely have an opportunity to restore what was once a world-class cancer service and get us back to where the international benchmarks say that we should be.
As I am sure Members are aware, responsibility for commissioning radiotherapies was devolved to the integrated care boards. I can understand the logic of moving commissioning closer to local populations. The hon. Member for Westmorland and Lonsdale, who tabled the new clause, and I do not seek to undo that. However, we wish to stress to the House that radiotherapy is not an ordinary local service, and it should not be considered as one. It is delivered from a very limited number of highly specialised centres dependent on capital equipment with long replacement cycles. It relies on a small, highly skilled workforce of about 6,000 people, all of whom take years to train, all the while relying on physical infrastructure that cannot be commissioned at short notice.
Patients routinely cross integrated care board boundaries to reach these specialist centres. Many boards, entirely understandably, do not have dedicated radiotherapy expertise in house. In August 2023, 70% of integrated care boards had no named person responsible for ensuring sufficient radiotherapy treatment capacity at all. I am willing to work with Ministers to seek a resolution with the solutions that we propose.
(5Â years, 4Â months ago)
Commons Chamber