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The Bath Cancer Unit
at The Royal United Hospital


   

Royal United Hospital
Combe Park

Bath BA1 3NG
01225 428331

Click this link for the web site   www.ruh-bath.swest.nhs.uk


History, Structure & Aims


The departments of Radiotherapy and Oncology have existed for almost 50 years at the Royal United Hospital and has in that time provided Radiotherapy throughout that period and medical Oncology in excess of 20 years. 

The Bath Cancer Unit as it is now known is structured in four parts and is situated in the northern area of the Royal United Hospital

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Thanks to the Bath Cancer Appeal of 1978, cancer patients from the Bath catchment area (formerly the Bath Health District) now have their own centre for receiving treatment. 

All of it's four departments have been extensively re-furbished and extended by using funds raised by the appeal and by its successor in 1985, the Bath Cancer Unit Support Group. 

The first phase was completed in 1987 and consisted of the purchase and installation of a Linear Accelerator (used to administer Radiotherapy), together with a suite and consulting rooms.

In the early 1990's these facilities were added to by the refurbishment and extension of the In-patient ward, complete with bed head televisions. 

The reception/waiting area was also modernised with further improvements such as an In-house Pharmacy being provided for our patients plus the provision of a comfortable, relaxing day patient ward with 6 treatment areas, known as the Chemotherapy Suite. 

The Cytology (Cervical) Laboratory moved into refurbished premises in May of 1998.

On August 9th. 2000 an additional state of the art Linear Accelerator came on line in the Radiotherapy Dept. 

Housed in it's own purpose built complex, complete with ancillary suites and consulting rooms the Siemens Primus Linear Accelerator was the first of its type to be installed in the UK.
The purchase of all of this was made possible from funds donated by BCUSG from the local community and commerce.

Over the past ten years the Bath Cancer Unit has developed the technique of stem cell transplants, for patients requiring high doses of chemotherapy for Leukaemia, Lymphoma and some solid tumours. 

For more than ten years we have used a Clinical Trials nurse to assist the doctors in entering patients into the various clinical trails. The use of clinical trials to investigate the value of new treatments is the prime tool for progress in cancer treatment and this very important aspect of our work will be expanded in the near future. 

It is worth noting that since the reforms recommended by the review of Cancer Services, instituted by Professor Calman, the then Medical Officer for Health. Bath has been fully integrated with the Avon, Somerset and Wiltshire Cancer Service based at Bristol and involving Weston Super Mare, Taunton, Yeovil and the Frenchay, Southmead and Bristol Royal Infirmary hospitals. 

The Avon, Somerset and Wiltshire Cancer Services (ASWCS) which was established in 1997 has started inspecting cancer services at the constituent hospitals, Bath has been accredited in Breast, Lung and Colon cancers and also Palliative care, receiving excellent recommendations in the process. Gynaecological cancer is currently being accredited

The Unit is staffed by a team of caring professionals that range from medical staff, such as clinic nurses, chemotherapy nurses, radiographers, a phlebotomist and the administrative staff plus personnel from medical physics, dieticians, dental hygienist, domestic assistants and porters. 

We are all here to help and will be pleased to assist you in any way. Patients attending the Unit will see one of the following Consultants (Drs. Gilby, Rees, Newman, or Singer) or one of their assistants. If you are attending the Unit, either as a patient or relative, you find attached to the Unit are Social Workers who can discuss personal and practical matters with you. 

Please do not hesitate to ask any member of the Unit Staff, who will arrange for you to see the appropriate Social worker, should you feel that you have a problem

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Cancer Information Centre

New  Bath Cancer
Information and Support Centre


This Centre which provides support to cancer patients and their families and friends was opened in the November 2005. 

The facilities were made available by the Hospital Trust but the costs of re-furbishment were met by The Bath Cancer Unit Support Group and the considerable on-going costs of the management and staffing has been underwritten by Macmillan Cancer Relief - click link to go to their web site.


  • Located in the North Corridor to the left of the entry door from Orange Car Park.

  • Times of Opening are Monday to Friday 10.00 am to 4.00 pm

  • Telephone numbers are 01225 824049 and 01225 825403

Please drop in to the Centre which is adjacent to The William Budd Ward in RUH North or call on the numbers above.

See more information on this web site by clicking here. 

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Opening of the New Additional Linac Suite

On Wednesday 18th September 2002, the Mayor of Bath, Councilor Lorraine Morgan-Brinkworth officially opened the additional Linear Accelerator Suite here at the Royal United Hospital. 

The additional new Siemens "Linac", which is Government funded, is very similar to the Linac purchased by the Support Group in August of 2000. This similarity has many distinct advantages, with the two machines running in tandem it obviously means a greater through flow of patients, patients can be treated in a timely manner because if one machine is running behind for some reason, having the additional machine cuts down on delays. 

The swapping of patients to either Accelerator is made possible by having the Lantis system which records all the patients treatments and allows the radiographers to select the patient to be treated and where. The additional Linac also means that when a treatment is taking longer, either because it is more complex or the patient needs more time, more standard treatments can be continued , without delays to other patients. It also means of course that we can continue to treat patients in the event of a machine breaking down or having routine maintenance performed.

The evening also saw the unveiling of the latest acquisition to the Oncology department, namely another back lit mural. This is wall mounted, unlike our previous back lit murals which are recessed into the walls of the Linac Room. The new Mural depicts a view of the Lake Champion region of upstate New York and the area is in fact called Sabbath Day Point. A truly beautiful scene which can be seen in situ in the treatment room for skin lesions.

With the success of and obvious appreciation of the other illuminated murals it seemed very appropriate to improve the treatment room aesthetically and this latest purchase by the support group has certainly done that with every comment being very favourable, both from patients and staff

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From our Consultant Physicist…

The Royal United Hospital Trust was offered funding from the NHS Capital Investment Programme to procure two new items of radiotherapy equipment. In July of 2002, the Trust obtained the support of the Primary Care Trusts to fund the revenue consequences that would ensue. Consequently, following evaluations of the available equipment we have recently ordered two new items:

The first is a 3D Treatment Planning System - "Oncentra" supplied by MDS Nordion. 

This system will be the first to be installed in Europe and will allow us to do 3D radiation distribution calculations for patient treatments on the RUH site for the first time. Previously we have relied on our colleagues at Bristol Oncology Centre to prepare these calculations for us. 

The new system is compatible with the system at the Bristol Oncology Centre and will allow us to transfer data between the two sites. The first workstation due to be delivered in October 2002 will allow us to start the commissioning process as soon as possible. This equipment will replace the 2D Multidata Treatment Planning System. 

The Multidata System was funded by the Bath Cancer Unit Support Group at the beginning of 1990, and is still giving good service.

The second item to be funded is a Radiotherapy Simulator

This is used to simulate and verify the patient position and location of the planned treatment volume for the dose plan produced by the 3D treatment planning system. The simulator will be an "Accuity" manufactured by Varian at Crawley. This equipment is also a new model with state of the art technology.

Both items, the 3D Treatment planning system and the simulator will be networked to our Lantis Record and Verification system and the two linear accelerators. This will allow electronic transfer of the dose plan from the 3D treatment planning system to the simulator. Once the dose plan has been confirmed on the simulator and approved by the clinician, it will then be transferred electronically to the linear accelerators.

Some patients will still need to travel to Bristol Oncology Centre for CT and/or MRI investigations or for a visit to the "Mould Room" for treatment positioning aids to be formed. However, the images from the CT and MRI will also be transferable electronically between the BOC and the RUH for our clinicians to view. 

In the future, 3D treatment planning and simulation previously only available at Bristol Oncology Centre for our patients will also be available at the Royal United Hospital. The extra facilities of 3D treatment planning and simulation for the Avon, Somerset and Wiltshire Cancer Network will allow a faster throughput for patients for both centres.

The new equipment will be installed close to the radiotherapy department in a new "Planning Suite" in accommodation that was the "old radiotherapy department" up until 1987. For some members of staff it will be like "going home"! The new planning suite is due to be up and running late 2003. We are all very excited about this new development and the enhanced services we will be able to offer our patients.

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Radio Therapy Department
Tel ~ 01225 824853

We were formed as part of the Directorates plans of the then Bath Area Health Authority. The first phase was completed in 1987 when the Bath Cancer Appeal Mark 1 raised £1.million for the purchase and installation of a Linear Accelerator (used to administer Radiotherapy) together with a suite and consulting rooms. 

In April of 1999, the actor Timothy West, "cut the first turf" for the new "bunker" that would house an additional Linear Accelerator which would lighten the load of this elderly machine. This acquisition, a state of the art Siemens Primus Linear Accelerator, the very first of its type in the U.K., came on line in August 2000, less than 18 months from when that first turf was cut.

This comes with its own purpose built treatment area, where careful thought has been given to the arrangement of space and in deciding the standards of security, privacy and comfort for patients as well as staff. 

The purchase of this machine was made possible by the Unit Support Group providing yet another £1.million, of which in May of 1998 almost £72,000 was handed over to the RUH. for the purchase of a Portpro Electronic Imaging System, including peripherals, to be used in the Unit's radiation treatment area. 

The system which is mobile, is a radiation detector, which uses part of the radiation beam that has passed through a patient, to provide an image of the part of the body that is being treated. 

The Portpro operates on a PC computer, which is easily positioned and the computerised image acquired enables improved treatment monitoring with the minimum of disruption and our radiographers are delighted with this latest piece of equipment. 

It means that if any correction of the radiation beam is required during a patients treatment, then adjustments can be made quickly and accurately, with a hard copy being made to keep in the patient's records. 

The Portpro, which was used with both old and new Linacs, was purchased earlier so as to enable our radiographers to familiarise themselves with its use, prior to the old Linac being replaced. 

In September 2002, the original Linac of the 80's was replaced, thanks to the National Opportunities Fund and together with its "sister" Linac of 2000, is working in tandem, servicing the requirements of the Bath Cancer Unit patients.

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Helpful Books

English patients about to undergo Radiotherapy could well find this recently released book in the U.K., entitled" The Best News About Radiation Therapy: How to Cope and Survive" extremely useful and informative. 

The book is aimed principally at the American market and health system but English patients will find that it covers all the basic information very well. Written in a very easy and informal style, the author, an American Carol L Kornmehl ( a certified radiation oncologist) has managed to draw attention to the important features, with many of the illustrations showing equipment and accessories that are in routine use here in the U.K. 

In addition to this wealth of information, the use of case studies we found is very interesting and helpful. 

To obtain further information and copies of the book please go to:-
www.RTSupportDoc.com - it is also possible to obtain via www.Amazon.com

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Backlit Panels

In May of 2002 at the AGM of the Support Group and after the Presentation of £1000+ Certificates, the Support Group Committee unveiled the latest acquisition which has been acquired for the Cancer Unit.

The purchase, which is a series of Backlit Photographic Transparent Panels, set into the wall on the approach to the radiotherapy department also includes a panel set in the ceiling immediately above the Linac Machine Couch. All the panels consist of woodland scenes, chosen by the Radiotherapy staff and fully endorsed by the Support Group trustees, who had no qualms in sanctioning this expenditure.

These transparencies of which there are many different categories such as waterfalls, springtime etc was the idea of a American by the name of Fischer. The idea came to him, from a comment made by his father who had suffered a heart attack and was in the ICU of his local hospital. His father, who had spent long hours on his back in intensive care, could tell his son exactly how many holes and indentation's there were in the ceiling of the Unit and from that chance remark - Backlit Photographic Transparencies was born.

Our ceiling panel in fact depicts a canopy of trees and when looking up, one is looking through the branches to the sky beyond. All who have viewed this latest acquisition have expressed nothing but pleasure and have commented how the panels add warmth and ambience to the department. We, the trustees and the radiation oncology staff and physicians, all agree that the calming, stress relieving effect that the panels induce, will benefit not only our patients but also our staff !!.

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Reception & Waiting Area
Tel ~ 01225 825097

A stylish, relaxing and modern area to greet patients. National daily newspapers are provided (courtesy of the Support Group) with also a comprehensive range of magazines. 

Useful, informative booklets on various cancers are also on display, providing a wealth of information to anyone seeking additional help. 

Refreshments, dispensed by volunteers, are also provided (optional charge, which goes to Support Group funds,) on certain days of the week, with a vending machine at other times.

In mid 2004, with a new colour scheme, fresh paint, new curtains, carpet and a user friendly (for wheelchair patients) reception desk and with a weekly change of a fresh flower display, the ambience of the waiting area has been enhanced.

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Pharmacy


Situated just off the main waiting area you will find our in-house Pharmacy which is proving to be such a boon, not just to our in-patients but also for those receiving day treatment. Waiting for medicines to be dispensed can be time consuming and frustrating for patients, but by having this facility, in-house, these problems have been eased.

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Oncology Department
Tel ~01225 824852

The department consists of a 22 bed In-patient unit (William Budd Ward), Outpatient consultation rooms, Chemotherapy Suite and Reception/Waiting area and Pharmacy.

William Budd - A 19th century West Country man

William Budd was born in North Tiverton, Devon and lived from 1811 - 1880. He studied medicine in London, Paris and Edinburgh, qualifying as a Physician Epidemiologist and practising his medicine in Bristol from 1841.

He was an early advocate that patients with infectious diseases, such as TB, Typhoid etc., should be isolated from the general public, because of the transmissible germs. 

Medical progress, such as vaccinations, immunisation etc. has lessened the need for isolation wards, because of these programs. However for some therapies, i.e. bone-marrow treatment and blood platelet transfusion it is still essential to keep the patient away from the public. 

Naming our ward after him honours the man and his work.

William Budd Ward (In-Patients)
Tel ~ 01225 825093

The original William Budd ward was erased for other improvements and merged with the then Ward 7, but retaining its own name.

In 1998, 5 rooms were added to this facility, complete with filtered air for patients with bone marrow suppression and at risk of infection. It is due for replacement, firstly because it is a developing area of the Cancer Directorate of Bath and secondly because it currently occupies sub-standard accommodation especially when compared with the high levels provided in the rest of the Unit.

The new building will be a custom built ward, complete with modern treatment facilities as well as being relaxing, restful and environmentally efficient and pleasing. It will be not only a comfort to the patients but responsive to medical staffing needs, such as being linked with walkways to the Reception/Waiting area and Radiotherapy Department. The Unit Support Group has been assisting in this planning and refurbishment.

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William Budd New Day Care Centre



This facility, as predicted, actually welcomed its first patient in June of 2003 and has already made a vast improvement not only in the number of patients being treated but also in theirs and the nursing staff's environment. 

The appeal for this wonderful addition to the unit's resources continues apace and to learn more of the facts, the wonderful additions that has brought this about and how you can help, Please follow the link

The Bath Cancer Unit Support Group are proud to have funded the £310,00 cost for the construction and installation of this wonderful New Day Care Facility on the William Budd Ward.

A prefabricated structure was used for the new building which was for a number of reasons:-

For speed of construction, with the added bonus that with the reconstructing of the RUH (North) in the future, because of the buildings mobility, it can be used for other future Cancer projects at the RUH or other PCT hospitals in our catchment area

It also meant an early commissioning of the building, which of course meant, the earliest use for patients.

Day Care Activity has increased threefold since 1998 and it is constantly changing as new and improved treatments are implemented. With the result that the existing facility had outgrown its current capacity, with Nursing Staff having limited control over daily attendance, because of the unpredictable workload dictated by patient requirements. 

Inevitably delay in accepting a patient, due to lack of space, often resulted in an emergency admission. 

Patients requiring to lie down during treatment were either admitted as an in-patient or sat upright for long periods until such time as a trolley became available.

We are doubly pleased to say that the first patients received their treatment, as predicted, in early June of 2003. 

Already there has been very appreciative comments and feedback, not only from patients, but also their relatives and the nursing staff. 

The comfort and ambience have improved immensely from the original Day Care Provision of just 6 upright chairs and 2 trolleys in a very cramped room with little privacy and no space for accompanying relatives/friends - to a purpose built facility of 5 upright chairs, 4 trolleys, 6 reclining couches and a Consulting room, again with a trolley. 

Add to this the increase in space, which brings an increase in privacy for patients and their relatives/friends, the entire environment has been transformed. This accommodation and facility is expected to fulfill the growing requirement for Day Care at the RUH Oncology until the year 2008.

We at the Bath Cancer Unit and its Support Group are most grateful to all our donors and supporters for their generous gifts, which has made this exciting addition to our resources happen in such a short time scale - a project completed on time - to budget and most importantly, achieving patients expectations.

Thank you all for your support, long may it continue.

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Chemotherapy Suite (Day Patients)
Tel ~ 01225 824852

Used by our day patients. An extremely pleasant ward with 6 comfortable treatment areas, where relatives/carers can be in situ with the day patient while she/he undergo their treatment. Here we can also carry out many other procedures, such as blood transfusions and small minor operative tests, without having to admit the patient into the hospital.

Refreshments, such as hot drinks etc. are available, as well as Walkmans with story tapes etc., TV and Videos as well as piped music, add to the ambience of this facility.

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Cytology Laboratory 
Tel ~ 01225 824721

In April of 1998, the Support Group President, Pamela Lady Harlech, opened our new laboratory. We are absolutely delighted with our new home, which is spacious and modern. It contains a preparation room for staining and processing; the screeners, have two spacious, well light and very importantly, quiet rooms, where they can work without any distractions or interruptions. They can also consult with senior laboratory Technicians, who all have their own small offices, without fear of disturbing other screeners. 

The Clerical Officer also has a separate office, which enables screening staff to work undisturbed and free from the constant flow of telephone calls etc. We also have, situated in its own room, a computerised cytology training program (a cytofocus machine) where cytoscreener trainees reap the benefit of uninhibited use of the interactive parts of the programme.

Cervical Carcinoma is one of the few cancers that can be prevented, if detected by screening in the pre-invasive stages. It is vital that laboratories have a suitable environment to provide this service and we are most grateful to the Bath Cancer Unit Support Group for its donation of £20,000 that has enabled us to upgrade the facilities of the Cytology Laboratory.

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Donations by Post

By post: enclosing your cheque made payable to Bath Cancer Unit Support Group,

John Carter
17 Clan House
Sydney Road
Bath
BA2 6NS

Donations can also be made using our print out form which will add the value of 28pence for every £1 for Giftaid .
Please click here for print out form.

Donations On-Line

On-Line: please visit our page on the The Charities Aid Foundation web site.

Please click this link and follow the simple instructions.

You will be invited to donate either by post or using a credit or debit card. 

Using this method you can donate anonymously or not in which instance your donation will be acknowledged electronically or by our Chairman if you submit your postal address.

The Charities Aid Foundation are a charity providing On-Line fund-raising support to many charities.

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History, Structure
Aims

William Budd New Day Care Centre

William Budd Ward (In-Patients)

New Additional Linac Suite

From our Consultant Physicist…

Radiotherapy Department

Helpful Books

Backlit Panels

Reception Area
A stylish, relaxing and modern area to greet patients

In-house Pharmacy
A boon to our patients

Oncology Department

Who was William
Budd?

Our in-patients ward is named after him

Chemotherapy Suite
Used by our day patients

Cytology Lab
Opened in 1998

Make a Donation by Post
Print Out & Send Form

Make a Donation Online