About us
The East of England Radiotherapy Network (RTN) is one of eleven operational delivery networks (ODNs) across England. It comprises six radiotherapy departments within the Eastern region: Addenbrooke's, Colchester, Ipswich, Norfolk & Norwich, Peterborough and Southend. The East of England RTN has a Network Oversight Group (NOG) that meets regularly, with the aim to deliver the Radiotherapy Service Specification (see here and here).
East of England RTN began its work in October 2019, looking at how compliant each department is with the RT service specification. Local and network plans have been developed to achieve compliance with the Radiotherapy Service Specification. The RTN aims to deliver the radiotherapy service specification over the next three years.
The EofE RTN aims to:
- Improve access for patients: We aim to improve across the Network to modern, advanced, and innovative radiotherapy techniques.
- Support compliance with national waiting time standards: We aim to undertake activities to ensure support departments to comply with national waiting times standards for radiotherapy.
- Incorporate new and innovative technologies: We aim to plan and co-ordinate the incorporation of new and innovative technologies into local services – for example, ProKnow and AI solutions.
- Recruit and train the radiotherapy workforce: We aim to ensure a joined-up plan is in place to both make the most of the current workforce, through skills development and approaches that enable people to ‘work at top of their license’. We will also plan activities to recruit and train for the future.
- Reduce variation in equipment utilisation: We aim to take action to reduce variation in equipment utilisation, subject to workforce availability. This may be achieved by changing operating arrangements, clinical practice and, in some cases, equipment replacement.
- Ensure optimal access arrangements for patients: We aim to ensure optimal access arrangements for patients are in place across the Network. This applies to proposals relating to sub-specialisation, expansion or re-provision of a service, and equipment replacement, because such facilities will need to demonstrate effective equipment utilisation and financial viability. This will involve working with ICS’s to access system operational capital and undertaking capacity and demand activities locally across the Network.
- Reduce variation in quality: We aim to reduce variation in the quality of radiotherapy by adopting standardised best practice protocols. This will support the improvement of patient outcomes, including reducing mortality and morbidity from adverse side effects.
- Increase participation in clinical trials: We aim to increase participation in research and clinical trials, aiding faster development of new treatments and helping to drive the development of clinical services.
- Improve patient experience: We aim to ensure that patients will be managed by an experienced multi-professional tumour specific subspecialist team able to provide holistic care.
Meet the team
Hello - I am Ashley Shaw, Medical Director at Cambridge University Hospitals NHS FT since 2017. I joined CUH in 2004 as a Consultant Radiologist with an interest in cancer imaging and have worked closely with various clinical and research teams within cancer and around the hospital over the past 16 years.
In my current role, I have responsibility for a range of areas at CUH including medical education and training, clinical outcomes, research and audit, as well as continuing some clinical practice. In respect of the network for radiotherapy, I am keen to ensure that every patient across the East of England has access to the best, evidence-based treatment delivered as close to home as possible so that we can optimise clinical outcomes.
In order to do this we all will need to share experiences, look to learn from each other’s practice and put the patient at the heart of everything that we do.
My name is Alex Martin, SABR clinical lead for the EofE RTN. My role is to provide strong clinical leadership for the continued roll-out of SABR in the EofE RTN. This role supports an increase in the knowledge of clinicians, radiographers and physicists from across the EofE RTN to ensure excellent quality SABR treatment.
I currently chair the EofE RTN SABR clinical meeting which is held weekly on a Thursday. This regular platform will allow all centres to share experiences of SABR case selection, treatment planning and delivery, and post-treatment follow up. The weekly meetings started in April 2021 using Microsoft Teams as the virtual platform. It is not intended to replace the local SABR MDTs at each hospital, which remain a critical part of establishing an effective SABR service in centre. Rather it is to provide the opportunity for open discussion around the SABR cases that each centre are discussing and treating locally, with pooling of learning and experience. The meeting also includes regular presentations as a further opportunity for wider learning. A representative from one of the six centres presents on A SABR-related subject, for example a SABR case presentation, results of local audit or planning feedback.
My name is Dr Ajithkumar, Consultant Clinical Oncologist at Addenbrooke’s Hospital. In January 2022 I was appointed as Clinical Lead for the EofE RTN. This role provides professional and clinical leadership across the network, as part of a multi-disciplinary leadership team. I am involved in leading the strategic and operational development of coherent and effective network arrangements, and the delivery of a work programme that addresses national and local priorities.
My aspirations for this role include:
1. Building a patient centred, and network level competent work force:
- Building a sustainable workforce across the region with individual departments supporting each other to implement new services quickly and efficiently.
- Developing a culture of shared learning by remote peer review of Regions Of Interest (ROI’s) in complex SABR using ProKnow and subsequently providing individual centres a lead role in the consultation and consent of patients referred for SABR to specialist centres in the region. This will be done by promoting joint substantiative and honorary appointments.
2. Promoting network level strategic discussions on capacity-demand planning, job shares and joint appointments.
3. Being involved in the development and implementation of speciality score card and clinical outcome metrics.
4. Establishing an East Of England SABR clinical fellowship for senior clinical oncology trainees.
5. Establishing a network level rapid access palliative RT service to improve the experience of patient care.
Hello, I am Michelle Bates– Programme Manager for the East of England Radiotherapy Network. I have been in my role since October 2019, when the EofE RTN was officially launched.
Before my current role I worked as a Therapeutic Radiographer, having completed my training at the University of Liverpool and Clatterbridge Centre for Oncology. I’ve have worked in several departments across England and have also worked in Ireland and New Zealand. I think this has allowed me to develop a broad understanding of radiotherapy over the years and led me to my final clinical role of radiotherapy treatment superintendent at the Norfolk and Norwich University Hospital (NNUH).
In my role I am required to work alongside the established team to facilitate effective and timely delivery of the radiotherapy service specification across the East of England. By building relationships and facilitating collaboration between radiotherapy colleagues and stakeholders across the network, I believe we can deliver improvements that can build resilience, improve the quality of services, and enhance the experience of radiotherapy for our patients.
I aim to raise the profile of the EofE RTN amongst the many stakeholders involved in radiotherapy regionally and nationally, as well as patients. I would like to help increase recruitment into the radiotherapy workforce in our network, and to ensure all patients are able to access radiotherapy where it is an appropriate treatment option.
I qualified as a Therapeutic Radiographer in 1997. In 2004, I became one of the first On Treatment Review Radiographers, establishing this role and developing the radiotherapy review service. Since then, I have developed and established services for Macmillan Cancer Support and for a hospital charity. More recently, I managed projects for different Radiotherapy Networks.
In my role I am required to support Michelle delivering the service specification. I manage various projects to deliver the service specification and support our aims for the RTN. I enjoy using data to support service development, so that people outside of the radiotherapy world can see the impact of innovation and understand challenges that services experience. I am passionate about patient co-production, and keeping people who use our services central to service development.