Improving equity of access to cancer clinical trials in Scotland

This report summarises the findings and recommendations of an Equity of Access Short Life Working Group. This is provided as a compilation of work package reports.


Appendix 2: Baseline clinical trials staffing data

Ayrshire & Arran, WosCRN

Number of Staff

  • Oncologists are visiting clinicians from Beatson
  • 2.42wte band 6 nurses
  • 0.1wte 8A Pharmacist for CEPA (Regional Chemotherapy Electronic Prescribing and Administration Service) and
  • 1.2wte band 5 pharmacists

Funding Source

  • 60k from cancer research network- R&D fund the rest

Vacancies/Gaps

  • Not able to cover RN annual leave.
  • Gaps- band 5 and band 6 nurse gap but no resource
  • no resource for data manager

Forth Valley, WosCRN

Number of Staff

  • 5 oncology sessions- breast, haematology, Urology, Lung and Colorectal
    2 wte research nurses

Funding Source

  • some funding from WosCRN, CSO allocation

Vacancies/Gaps

  • 1 wte band 7

Greater Glasgow and Clyde, WOsCRN

Number of Staff

  • 36 research PAs- oncology consultants
  • 2 PA Pathologists
  • 3 research fellows
  • 0.4 wte Macmillan funded late effect post
  • 22.7wte nurses
  • 3wte HCSW/sample handlers
  • 31.2wte data managers and admin support
  • 1.6 wte clinical trial radiographers
  • 2.3wte oncology research pharmacists
  • 2PAs Beatson Clinical Research Facilities Director

Funding Source

  • data manager posts rely on commercial income
  • clinical trial radiographers are charity funded -£106884
  • R&D fund oncology PAs,50% of research fellows, part of radiographer and radiotherapist posts, band 7 nurse for ATIMPS, oncology research pharmacists and the 2 PAs for Beatson CRF Director

Vacancies

  • 1.8wte clinical oncologist vacancies and 1wte medical oncologist vacancy. Plan for further 1.wte medical oncologist post late 2022
  • Beatson CRF Quality Manager

Lanarkshire, WosCRN

Number of Staff

  • No research-specific funded Oncology sessions - Oncologists are visiting clinicians from NHS GG&C (Beatson). Service scope – including service levels and services provided - fall under a Service Level Agreement.
  • Solid tumours:2.50 WTE Band 6 RN,
  • Haematological cancer:1.6 WTE Band 6 RN

Funding Source

  • 45% of nurse post funding is from WosCRN, rest R&D

Vacancies/Gaps

  • No Research Nurse gaps for Cancer Clinical Trials at the present level of recruitment / activity.
  • Gap identifed that would require funding- band 5 clinical trials aseptic pharmacy technician 0.5wte £21645 and band 7 clinical trials aseptic pharmacist 0.5 wte £31775

Grampian, NOSCRN

Number of Staff

  • 2 NRS fellowships for breast cancer surgeons and 1 NRS fellowship for GP in cancer - as well as 8.9 sessions for oncologists and 3.7 sessions for haematologists
  • 11.2wte nurses, 1.2 wte HCSW
  • 7.8 wte data managers

Funding Source

  • Funding from NOSCRN support 3.63wte nurses.
  • Other posts are funded by R&D and endowments.
  • PA sessions for clinicians are a mixture of funding sources including grant, commercial, NHS, academic and research

Vacancies/Gaps

  • Consultant vacancies in oncology

Highland, NOSCRN

Number of Staff

  • No information on number of oncology sessions
  • 4.29wte nurses
  • 3.8wte data managers

Funding Source

  • Funding from NOSCRN supports
  • 0.8wte nurse and 2.2wte data managers.
  • Other posts are funded by R&D

Vacancies/Gaps

  • Consultant vacancies in oncology

Tayside, NOSCRN

Number of Staff

  • NRS researcher support for 9 consultants comprising 18 PAs- 2 Oncologists, 2 Radiologists, 3 Surgeons, 1 Pathologist and 1 Haematologist
  • 4.4 FTE nurses
  • 2.7 FTE data managers

Funding Source

  • Consultant PAs funded through R&D, and academic grants
  • Research Nurses: 1.6FTE SCRN, 1.8 R&D 1.0 endowments/Trial income/academic grants/commercial trial income
  • Data Mangers: 0.99 FTE SCRN 0.9 FTE R&D, 0.81 FTE endowments/Trial income/ grants

Vacancies/Gaps

  • 5.0FTE Oncology consultant vacancies

Borders, SECRN

Number of Staff

  • Oncologists are visiting clinicians from Lothian-2 clinical oncologist sessions -breast and lung
  • 1.2 wte nursing (0.4 wte supports other areas as well)
  • 0.4wte data manager and 0.4wte admin (admin supports other areas)

Funding Source

  • 20k from SECRN and CSO allocation total cost of nurse posts for 2022/23 is £83209

Vacancies/Gap

  • Band 6 1wte research pharmacy post remains unfilled - currently funding band 5 resource to cover
  • Lung oncologist is not research active in NHS Borders
  • Haematology vacancies- difficulty recruiting to not able to cover RN annual leave

Dumfies & Galloway, SECRN

Number of Staff

  • No information on number of oncology sessions
  • 0.6wtenurse,
  • 1wte data manager
  • 1 wte admin support

Funding Source

  • Nurse funded by SECRN

Vacancies/Gaps

  • No R&D manager
  • No current breast oncologist cover

Fife, SECRN

Number of Staff

  • No information on number of oncology sessions
  • 3.4 wte nurse and support staff
  • 0.5wte pharmacist and 0.6wte pharmacy technicians

Funding Source

  • 0.8wte haematology and oncology research nurse funding from SECRN, R&D funds remaining 2.6wte
  • R&D fund pharmacy posts

Vacancies/Gaps

  • pharmacist post vacant for long period- due to be filled in March 2022 0.5 wte but supports all research

Lothian, SECRN

Number of Staff

  • 2 NRS fellowships for cancer, plus haematologist and urological surgeon whose research programmes focus on cancer. 8 oncologists with ring-fenced research time (most are ex-NRS fellows)
  • 23.2 wte nurses
  • 19.0wte data managers
  • 1.0wte EDGE manager
  • 6.0wte Tissue consenter/processors
  • 1.0wte Pharmacy technician

Funding Source

  • Funding from SECRN, CRUK, ECMC, commercial and non-commercial income and R&D, drugs saving reinvested by service into trials pharmacy support

Vacancies/Gaps

  • 3.0wte nurse vacancies + supporting SACT Standard of care service due to vacancies there
  • 2.0wte data manager vacancies, consultant vacancies in Oncology and Haematology

Contact

Email: cancerpolicyteam@gov.scot

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