The Thornbury Gamma Knife centre has secured a contract with NHS England for the provision of a specialist stereotactic radiosurgery service enabling continuation of direct NHS referrals to the centre.  In excess of 1200 patients have been treated at Thornbury which has established a reputation for providing a superior patient experience and guaranteeing rapid access. We are committed to ensuring that referral to treatment times for NHS patients do not exceed five weeks for benign or functional indications and less than 2 weeks for all malignant tumours. These timescales allow us to assess all cases in a muti disciplinary meeting considering all alternatives, and counsel patients in an outpatient consultation