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On 27 November 2006, Channel 4's Dispatches series broadcast a programme called Britain's Postcode Lottery. In researching this programme they collected information about differences across the UK in availability of and resources for treating 16 different conditions, including heart disease, asthma, diabetes and cancer. They presented data for PCTs across England. Information on the findings can be accessed at www.channel4.com/news/dispatches/health/health_lottery, and findings that are relevant to the provision of brachytherapy are reproduced here.
Click on the map to select a region.
Please note that these data were collected before the reorganisation of the PCT structure in October 2006, and some of the PCTs represented have now merged.
The Causeway
Goring-By-Sea
Worthing
West Sussex
BN12 6BT
01903 708 400
www.nhs.uk/England/AuthoritiesTrusts/Pct/list.aspx
Is your PCT currently providing funding for low dose brachytherapy treatment for prostate cancer?
To obtain answers to all following questions about Prostate Cancer, please refer to Sussex Cancer Network, 36-38 Friars Walk, Lewes, East Sussex BN7 2PB
Is your PCT committed to providing funding for brachytherapy in line with NICE Guidance?
See above.
Has the PCT issued guidance to health professionals restricting access to brachytherapy for prostate cancer?
See above.
How many patients have applied for funding for brachytherapy for prostate cancer in the last financial year or latest available annual figures?
See above.
How many of these patients have received brachytherapy in the last financial year or latest available annual figures?
See above.
Have any patients been refused funding for brachytherapy for prostate cancer. If so, how many?
See above.
What was the average wait for radiotherapy in the PCT in the last financial year or latest available annual figures for prostate cancer?
See above.
What was the average wait from GP referral to treatment for prostate cancer in the last financial year or latest available annual figures?
See above.
Information taken from Channel 4 Dispatches 'Britain's Healthcare Lottery', broadcast November 2006, courtesy of Channel 4 www.channel4.com/news/dispatches/health/health_lottery
Templar House
Tannery Lane
Ashford
Kent
TN23 1PL
01233 618 330
www.nhs.uk/England/AuthoritiesTrusts/Pct/list.aspx
Is your PCT currently providing funding for low dose brachytherapy treatment for prostate cancer?
Yes. Funding is agreed under the PCT single patient treatment scheme where each case is considered on its clinical merit.
Is your PCT committed to providing funding for brachytherapy in line with NICE Guidance?
The service has been developed in the Kent and Medway area at Maidstone & Tunbridge Wells NHS Trust and the capacity is to increase over the next few years in line with NICE guidance.
Has the PCT issued guidance to health professionals restricting access to brachytherapy for prostate cancer?
No
How many patients have applied for funding for brachytherapy for prostate cancer in the last financial year or latest available annual figures?
One under the single patient treatment scheme (CCPCT figure)
How many of these patients have received brachytherapy in the last financial year or latest available annual figures?
One (CCPCT) figure
Have any patients been refused funding for brachytherapy for prostate cancer. If so, how many?
0
What was the average wait for radiotherapy in the PCT in the last financial year or latest available annual figures for prostate cancer?
The Kent and Medway Cancer Network is operating radiotherapy waits that meet the 31/62 day waiting times where appropriate and circa. 12 weeks for others.
What was the average wait from GP referral to treatment for prostate cancer in the last financial year or latest available annual figures?
At present the Kent and Medway Cancer Network is generally meeting the 2 week wait / 31 and 62 day target for prostate cancers.
Information taken from Channel 4 Dispatches 'Britain's Healthcare Lottery', broadcast November 2006, courtesy of Channel 4 www.channel4.com/news/dispatches/health/health_lottery
Bexhill Hospital
Holliers Hill
Bexhill-on-Sea
East Sussex
TN40 2DZ
01424 735 600
www.nhs.uk/England/AuthoritiesTrusts/Pct/list.aspx
Is your PCT currently providing funding for low dose brachytherapy treatment for prostate cancer?
The Sussex Cancer Network (SCN) has had an agreed policy to provide brachytherapy for suitable patients with early prostate cancer since 2004. This service is commissioned by the Sussex Specialist Commissioning Team on behalf this PCT, which ultimately
Is your PCT committed to providing funding for brachytherapy in line with NICE Guidance?
There is no obligation for PCTs to fund interventional procedures guidance, as there is for technology appraisals. IP guidance is permission to use a technique in the NHS rather than a requirement to do so. However we do support brachytherapy as an opti
Has the PCT issued guidance to health professionals restricting access to brachytherapy for prostate cancer?
The SCN guideline, which is currently being revised, indicates that suitable patients have organ-confined disease, Gleason 6 [3+3] and PSA<10. Access is not restricted for such suitable patients.
How many patients have applied for funding for brachytherapy for prostate cancer in the last financial year or latest available annual figures?
Patients do not apply for funding. The number of funding applications received by the PCT from providing hospitals was 1.
How many of these patients have received brachytherapy in the last financial year or latest available annual figures?
All cases in previous question were approved. Some took place in the current year.
Have any patients been refused funding for brachytherapy for prostate cancer. If so, how many?
None
What was the average wait for radiotherapy in the PCT in the last financial year or latest available annual figures for prostate cancer?
The wait varies according to clinical priority, all patients are generally seen within 12 weeks.
What was the average wait from GP referral to treatment for prostate cancer in the last financial year or latest available annual figures?
94 days
Information taken from Channel 4 Dispatches 'Britain's Healthcare Lottery', broadcast November 2006, courtesy of Channel 4 www.channel4.com/news/dispatches/health/health_lottery
Winchfield Lodge
Old Pottbridge Road
Winchfield
Hook
Hampshire
RG27 8BT
01252 849 000
www.nhs.uk/England/AuthoritiesTrusts/Pct/list.aspx
Is your PCT currently providing funding for low dose brachytherapy treatment for prostate cancer?
Yes. Funding is provided in line with the Hampshire & Isle of Wight Primary Care Trust Alliance Clinical Priorities Advisory Forum Policy No 5 - Low-dose brachytherapy for localised prostate cancer.
Is your PCT committed to providing funding for brachytherapy in line with NICE Guidance?
Funding is provided in line with the Hampshire & Isle of Wight Primary Care Trust Alliance Clinical Priorities Advisory Forum Policy No 5 - Low-dose brachytherapy for localised prostate cancer.
Has the PCT issued guidance to health professionals restricting access to brachytherapy for prostate cancer?
Not applicable
How many patients have applied for funding for brachytherapy for prostate cancer in the last financial year or latest available annual figures?
Less than 10
How many of these patients have received brachytherapy in the last financial year or latest available annual figures?
Less than 10
Have any patients been refused funding for brachytherapy for prostate cancer. If so, how many?
Less than 10
What was the average wait for radiotherapy in the PCT in the last financial year or latest available annual figures for prostate cancer?
The Acute Trusts where patients are referred to may have this information.
What was the average wait from GP referral to treatment for prostate cancer in the last financial year or latest available annual figures?
To our knowledge, this data is not collated to this level, nor held by either Primary Care Trust.
Information taken from Channel 4 Dispatches 'Britain's Healthcare Lottery', broadcast November 2006, courtesy of Channel 4 www.channel4.com/news/dispatches/health/health_lottery
52 Turing Drive
Bracknell
Berkshire
RG12 7FR
01344 422 722
www.nhs.uk/England/AuthoritiesTrusts/Pct/list.aspx
Is your PCT currently providing funding for low dose brachytherapy treatment for prostate cancer?
Yes
Is your PCT committed to providing funding for brachytherapy in line with NICE Guidance?
Yes
Has the PCT issued guidance to health professionals restricting access to brachytherapy for prostate cancer?
Policy Statement attached. The Thames Valley Priorities Committees and Thames Valley Cancer Network recommend that Prostate brachytherapy should only be considered for patients with organ confined disease, with a Gleason score less than 7, who might other
How many patients have applied for funding for brachytherapy for prostate cancer in the last financial year or latest available annual figures?
3
How many of these patients have received brachytherapy in the last financial year or latest available annual figures?
3
Have any patients been refused funding for brachytherapy for prostate cancer. If so, how many?
0
What was the average wait for radiotherapy in the PCT in the last financial year or latest available annual figures for prostate cancer?
Information not available within timescale
What was the average wait from GP referral to treatment for prostate cancer in the last financial year or latest available annual figures?
PCT complies with national cancer waiting times
Information taken from Channel 4 Dispatches 'Britain's Healthcare Lottery', broadcast November 2006, courtesy of Channel 4 www.channel4.com/news/dispatches/health/health_lottery
6th Floor, Vantage Point
New England Road
Brighton
East Sussex
BN1 4GW
01273 295 490
www.nhs.uk/England/AuthoritiesTrusts/Pct/list.aspx
Is your PCT currently providing funding for low dose brachytherapy treatment for prostate cancer?
Yes, against Sussex Cancer Network criteria
Is your PCT committed to providing funding for brachytherapy in line with NICE Guidance?
See above
Has the PCT issued guidance to health professionals restricting access to brachytherapy for prostate cancer?
No - all guidance issued by the Sussex Cancer Network
How many patients have applied for funding for brachytherapy for prostate cancer in the last financial year or latest available annual figures?
Information held by Brighton & Sussex University Hospitals NHS Trust (BSUHT)
How many of these patients have received brachytherapy in the last financial year or latest available annual figures?
See above
Have any patients been refused funding for brachytherapy for prostate cancer. If so, how many?
1 through exceptions panel
What was the average wait for radiotherapy in the PCT in the last financial year or latest available annual figures for prostate cancer?
We do not hold information on average waiting times - only whether targets are met, and at present targets are being met
What was the average wait from GP referral to treatment for prostate cancer in the last financial year or latest available annual figures?
As above
Information taken from Channel 4 Dispatches 'Britain's Healthcare Lottery', broadcast November 2006, courtesy of Channel 4 www.channel4.com/news/dispatches/health/health_lottery
Unit 118, John Wilson Business Park
Reeves Way
Chestfield
Whitstable
Kent
CT5 3QY
01227 795 050
www.nhs.uk/England/AuthoritiesTrusts/Pct/list.aspx
Is your PCT currently providing funding for low dose brachytherapy treatment for prostate cancer?
Yes. Funding is agreed under the PCT single patient treatment scheme where each case is considered on its clinical merit.
Is your PCT committed to providing funding for brachytherapy in line with NICE Guidance?
The service has been developed in the Kent and Medway area at Maidstone & Tunbridge Wells NHS Trust and the capacity is to increase over the next few years in line with NICE guidance.
Has the PCT issued guidance to health professionals restricting access to brachytherapy for prostate cancer?
No
How many patients have applied for funding for brachytherapy for prostate cancer in the last financial year or latest available annual figures?
One under the single patient treatment scheme (CCPCT figure)
How many of these patients have received brachytherapy in the last financial year or latest available annual figures?
One
Have any patients been refused funding for brachytherapy for prostate cancer. If so, how many?
0
What was the average wait for radiotherapy in the PCT in the last financial year or latest available annual figures for prostate cancer?
The Kent and Medway Cancer network is operating radiotherapy waits that meet the 31/62 day waiting times where appropriate and circa 12 weeks for others.
What was the average wait from GP referral to treatment for prostate cancer in the last financial year or latest available annual figures?
At present the Kent and Medway Cancer network is generally meeting the 2 week wait/31 and 62 day target for prostate cancers.
Information taken from Channel 4 Dispatches 'Britain's Healthcare Lottery', broadcast November 2006, courtesy of Channel 4 www.channel4.com/news/dispatches/health/health_lottery
Indigo House
Banbury Business Park
Aynho Road
Adderbury
Oxfordshire
OX17 3NS
01295 814 100
www.nhs.uk/England/AuthoritiesTrusts/Pct/list.aspx
Is your PCT currently providing funding for low dose brachytherapy treatment for prostate cancer?
Yes
Is your PCT committed to providing funding for brachytherapy in line with NICE Guidance?
Yes
Has the PCT issued guidance to health professionals restricting access to brachytherapy for prostate cancer?
No
How many patients have applied for funding for brachytherapy for prostate cancer in the last financial year or latest available annual figures?
Unknown
How many of these patients have received brachytherapy in the last financial year or latest available annual figures?
Unknown
Have any patients been refused funding for brachytherapy for prostate cancer. If so, how many?
None
What was the average wait for radiotherapy in the PCT in the last financial year or latest available annual figures for prostate cancer?
PCT does not hold this figure
What was the average wait from GP referral to treatment for prostate cancer in the last financial year or latest available annual figures?
Unknown
Information taken from Channel 4 Dispatches 'Britain's Healthcare Lottery', broadcast November 2006, courtesy of Channel 4 www.channel4.com/news/dispatches/health/health_lottery
2-3 Lacemaker Court
London Wall
Amersham
Buckinghamshire
HP7 0HS
01494 606 606
www.nhs.uk/England/AuthoritiesTrusts/Pct/list.aspx
Is your PCT currently providing funding for low dose brachytherapy treatment for prostate cancer?
Yes, funding provided on a case-by-case basis, based on clinical need
Is your PCT committed to providing funding for brachytherapy in line with NICE Guidance?
Yes
Has the PCT issued guidance to health professionals restricting access to brachytherapy for prostate cancer?
No
How many patients have applied for funding for brachytherapy for prostate cancer in the last financial year or latest available annual figures?
None
How many of these patients have received brachytherapy in the last financial year or latest available annual figures?
N/A
Have any patients been refused funding for brachytherapy for prostate cancer. If so, how many?
N/A
What was the average wait for radiotherapy in the PCT in the last financial year or latest available annual figures for prostate cancer?
The PCT does not hold this information. You will have to apply to the Freedom of Information Officers at the following provider organisations: Royal Berkshire NHS Foundation Trust, Royal Berkshire Hospital, London Road, Reading RG1 5AN foi@royalberkshire.
What was the average wait from GP referral to treatment for prostate cancer in the last financial year or latest available annual figures?
Our PCT complies with the 31 and 62 day Department of Health cancer wait standards. Average wait information is available from our provider organisations: The Hillingdon Hospital Trust (contact details as above) Oxford Radcliffe Hospitals NHS Trust (conta
Information taken from Channel 4 Dispatches 'Britain's Healthcare Lottery', broadcast November 2006, courtesy of Channel 4 www.channel4.com/news/dispatches/health/health_lottery
Station Way
Crawley
West Sussex
RH10 1JA
01293 572 100
www.nhs.uk/England/AuthoritiesTrusts/Pct/list.aspx
Is your PCT currently providing funding for low dose brachytherapy treatment for prostate cancer?
To obtain answers to all following questions about Prostate Cancer, please refer to Sussex Cancer Network, 36-38 Friars Walk, Lewes, East Sussex BN7 2PB
Is your PCT committed to providing funding for brachytherapy in line with NICE Guidance?
See above
Has the PCT issued guidance to health professionals restricting access to brachytherapy for prostate cancer?
See above
How many patients have applied for funding for brachytherapy for prostate cancer in the last financial year or latest available annual figures?
See above
How many of these patients have received brachytherapy in the last financial year or latest available annual figures?
See above
Have any patients been refused funding for brachytherapy for prostate cancer. If so, how many?
See above
What was the average wait for radiotherapy in the PCT in the last financial year or latest available annual figures for prostate cancer?
See above
What was the average wait from GP referral to treatment for prostate cancer in the last financial year or latest available annual figures?
See above
Information taken from Channel 4 Dispatches 'Britain's Healthcare Lottery', broadcast November 2006, courtesy of Channel 4 www.channel4.com/news/dispatches/health/health_lottery
Top Floor, Livingstone Hospital
East Hill
Dartford
Kent
DA1 1SA
01322 622 222
www.nhs.uk/England/AuthoritiesTrusts/Pct/list.aspx
Is your PCT currently providing funding for low dose brachytherapy treatment for prostate cancer?
Yes
Is your PCT committed to providing funding for brachytherapy in line with NICE Guidance?
Yes
Has the PCT issued guidance to health professionals restricting access to brachytherapy for prostate cancer?
No
How many patients have applied for funding for brachytherapy for prostate cancer in the last financial year or latest available annual figures?
2
How many of these patients have received brachytherapy in the last financial year or latest available annual figures?
2
Have any patients been refused funding for brachytherapy for prostate cancer. If so, how many?
0
What was the average wait for radiotherapy in the PCT in the last financial year or latest available annual figures for prostate cancer?
No information supplied by the PCT
What was the average wait from GP referral to treatment for prostate cancer in the last financial year or latest available annual figures?
39 patients with an average wait of 69 days
Information taken from Channel 4 Dispatches 'Britain's Healthcare Lottery', broadcast November 2006, courtesy of Channel 4