2019 Report details for project: National Proton Beam Therapy (PBT) Service Development Programme

Project name: National Proton Beam Therapy (PBT) Service Development Programme - there are 6 reports for this project: 2014, 2015, 2016, 2017, 2018, 2019
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Organisation: DHSC (D12) - see all reports for this organisation
Report year: 2019 (data is from Sept 2018)
Category: Transformation - see all reports for this category
Description: The intention of the NHS England (NHSE) led National PBT Service Development (NPBT) Programme is to build and deliver a national service which utilises proton beam technology for the treatment of patients who have been clinically identified to benefit from this treatment, as from 2018. This will enable the NHS to: a. provide the best treatment options for patients; b. improve patient treatment outcomes; c. provide the best possible care for patients at a lower cost and improve the patient experience; d. have a presence in common with other developed nations in the provision of leading edge cancer care treatment services using proton beam therapy. To this end, the NPBT Programme aims to ensure the effective, timely and cost-effective delivery of proton beam therapy services at two sites: The Christie Hospital Foundation Trust (TCFT) and the University College Hospital London (UCLH) in England. A critical aspect of this is the smooth transition of the Proton Overseas Programme (POP) into the national service. The programme does have a steel component, but is in an advanced state of construction.
DCA (RAG): Amber
DCA text: The programme remains on track against revised plans and budgets. The delivery confidence assessment remains as Amber, as assessed and agreed by the National Proton Beam Therapy Programme Board on 5th February 2018. This was also confirmed at subsequent board meetings on 16th April 2018, 11th June 2018 and is in line with the IPA recommendation in October 2017. Following the IPA gateway 4 review from 30th April 2018- 4th May 2018 at The Christie NHS Foundation Trust (TCFT) and Health Check at University College London Hospitals (UCLH) (4th June 2018- 6th June 2018), TCFT has been reviewed as Amber/Green and UCLH has been reviewed as Amber. Action Plans based on IPA recommendations have been developed and are being implemented. TCFT remains on track to treat the first patient in Autumn 2018. TCFT continues to share lessons with UCLH, including lessons related to the complexity of the technical commissioning of the cyclotron. UCLH continues to track to the revised first patient treatment date targeted for 2020 and level two of the centre is now visible on the ground floor level.
Start date: 2012-01-01
End date: 2018-05-30
Schedule text: Plans to treat the first patient in the Autumn of 2018 at The Christie NHS Foundation Trust continued to progress. The Christie service readiness was progressing well, as confirmed by the IPA gateway 4 review (30th April 2018- 4th May 2018). UCLH was also tracking to its revised plan. Plans to move the Programme end date to December 2020 were underway, and approval with the Department was in hand.
Baseline: £54.90m
Forecast: £74.51m
Variance: 36.00%
Variance text: In year, as forecast, the capital programme is £24m over the original plan as the capital schemes near completion. Due to revised plans in prior years the programme showed a cumulative underspend up to 17/18. On revenue costs there is an underspend of £4.5m ahead of The Christie’s upcoming go live.
Whole Life Cost: £1,247.24m
WLCost text: The public capital is to build and equip 2 Proton Beam Therapy (PBT) centres integrated into existing hospital cancer services. The capital budget is still on target compared to the original business case. Revenue budgets continue to be managed within business case tolerances. The Christie has commenced reporting under open book accounting and NHS England has updated its financial model to include accommodation costs and additional IT costs to support the Outcomes solution in programme reports.
Sourcefile: None

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Acknowledgement: GMPP data has been re-used under the Open Government Licence.