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NHS Robot Surgery: A Postcode Lottery?
20 Apr
Summary
- Robot surgery access varies significantly across England.
- Some hospitals rely on local donations for surgical robots.
- A national strategy is needed for equitable robot access.

Patients in England are experiencing a postcode lottery when it comes to accessing robot-assisted surgery through the NHS. A recent investigation by the Royal College of Surgeons reveals a stark contrast in the availability of this advanced technology across different regions. For instance, London trusts possess 28 robotic systems, while the South West has only six.
The lack of a standard funding model compels local health bosses to make independent decisions on acquiring expensive robotic equipment, which costs between £500,000 and £1.5 million. This has led to varied procurement methods, including capital funding, leasing, and even local fundraising efforts.
Despite the government identifying robotics as a key focus in its 10-Year Health Plan, aiming for widespread adoption, the reality on the ground shows a gap between national ambition and frontline execution. Experts emphasize the need for a coordinated national strategy to ensure equitable patient access, rather than relying on localized or charitable funding.
The Royal College of Surgeons is calling for a national public directory of robotic systems, a consistent funding model with centralized capital support, and funding for training. They also suggest industry improvements in affordability and flexible financial options to ensure all patients benefit from robotic surgery's advantages.