Grahame Morris

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.