<p>NHS England has not funded any patients to have high-energy proton beam therapy in England and Wales in the last five years.</p><p> </p><p>Over the past five years, 895 National Health Service patients have been treated overseas with high-energy proton beam therapy at a total cost of just over £91 million. These figures include patients from England, Scotland and Northern Ireland but exclude patients from Wales. NHS England does not routinely split financial information between treatment and travel/subsistence costs. Further detail is provided in the following table.</p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td><td><p>Total</p></td></tr><tr><td><p>Number of patients approved for referral</p></td><td><p>119</p></td><td><p>144</p></td><td><p>213</p></td><td><p>203</p></td><td><p>216</p></td><td><p>895</p></td></tr><tr><td><p>Total cost</p></td><td><p>£9.13 million</p></td><td><p>£12.63 million</p></td><td><p>£20.81 million</p></td><td><p>£24.51 million</p></td><td><p>£24.19 million</p></td><td><p>£91.27 million</p></td></tr></tbody></table><p><strong> </strong></p><p><strong> </strong></p>