Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of prolonged or distant cancer treatment on the personal finances of (a) patients and (b) unpaid carers.

The Department recognises that a particular treatment may not be available at local hospitals, which would mean that travel to a specialist centre would be required, in order to receive the best possible care. The Department also knows that the cost of travel is an important issue for patients, including their unpaid carers.

NHS England and the integrated care boards are responsible for commissioning and ensuring the healthcare needs of local communities in England are met.

The Department has not made a formal assessment of the potential impact of the time taken to access specialist cancer treatments on patient outcomes and long-term National Health Service costs, the potential impact of prolonged or distant cancer treatment on the personal finances of patients and unpaid carers, and the potential impact of travel distance and associated costs on access to specialist cancer treatment. In addition, the Department has not made a formal estimate of the long-term cost to the NHS of delayed and disrupted access to specialist cancer treatment.

The NHS in England runs schemes to provide financial assistance for travel to a hospital, or other NHS premises, for specialist NHS treatment or diagnostics tests, when referred by a doctor or other primary healthcare professional. This includes the NHS Healthcare Travel Costs Scheme (HTCS), which provides financial assistance to patients who do not have a medical need for transport, but who require assistance with the costs of travelling to receive certain NHS services. Patients who do not qualify for the HTCS and who are on a low income may be able to claim the costs from the Department for Work and Pensions through Universal Credit or Personal Independence Payment.