The Scottish Referral Pathway for Consideration of Funding

2. Scottish Pathway for Access to Proton Therapy.CLINICAL ASSESSMENT Diagnosis (see list of approved conditions at Appendix 1) / assessment that Patient meets clinical criteria Discussion of case at specialist multi disciplinary Team (MDT) meeting and agree Proton Therapy is optimaltreatment Patient seen by Clinical Oncologist after MDT meeting to discuss treatment plan, including risks and benefits andagree to apply for approval to referREFER FOR REVIEW Clinical Oncologist to make referral by fax/ email using standard Proton Treatment Referral Form (appendix 2) Send to Scottish Non Standard Radiotherapy Advisors for review(at July 2010: Sara Erridge, SCAN / David Hurman, NoSCAN / Allan James, WoSCAN ) All IMAGES must be available on national PACS archiveSPECIALIST REVIEW The case will be REVIEWED by the Scottish Non Standard Radiotherapy Advisors (minimum of two – in the rareevent of only one being available they will co-opt a specialist from outwith the referring cancer centre) All correspondence will be electronic (NHS account only) unless a teleconference including the referring ClinicalOncologist is required A decision will be taken within 2 weeks (usually less than 1 week)Recommendedfor ApprovalDeclinedReferral Form with recommendation sent to UK ProtonPanel by the Scottish Non Standard Radiotherapy AdvisorsReferring Clinical Oncologist will be advised that case hasbeen sent to UK Proton Panel and should forward to UKPanel the additional information they require e.g. pathologyand surgical reports copies of imagesScottish Non Standard RadiotherapyAdvisor to contact referring ClinicalOncologist to explain why declinedReferring Clinical Oncologist to advise Programme Manager NSD and patient’s NHS Board ofresidence that a clinical referral has been passed to UK Proton Panel for consideration (list ofcontacts - see appendix 3) If need for Proton Treatment approved by UK Proton Panel funding will be provided ona national basis through NSCT (London ) NHS Board will need to identify funding for travel/subsistenceDECISION BYUK PROTON PANEL6