Dr James Wilson

Regain Control of Your Stage 4 Cancer Treatment

Rapid access to proactive treatment for metastatic disease

Not all Stage 4 cancer is the same. When cancer spreads to just a few sites (1-5 areas), you may be an ideal candidate for SABR - ultra-precise radiotherapy that can eliminate cancer deposits in 1-5 sessions without the harsh side effects of chemotherapy. You can learn more about this treatment here.

The key difference: Dr James Wilson can start your personalised treatment plan within days, not weeks. This includes rapid access to all necessary scans, molecular profiling, and the most effective drug therapies for your specific cancer type.

Get your assessment within 48 hours

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You're in the Right Place If:

You have metastatic lung cancer, melanoma, or skin cancer and need comprehensive care

Dr James Wilson provides complete treatment including rapid molecular profiling, immunotherapy, targeted therapies, and radiotherapy. Whether you need treatment at home, at your local hospital, or at my London practices, we coordinate every aspect of your care without delays.

You have oligometastatic disease (cancer spread to 1-5 sites) of any type

When cancer spreads to just a few sites, SABR (stereotactic radiotherapy) can precisely eliminate these deposits with remarkable success rates. This applies to any cancer type - lung, breast, prostate, colorectal, melanoma, or others. [Learn more about SABR for oligometastatic disease here]

You're on cancer treatment and have oligoprogressive disease

If your cancer is mostly controlled but has started growing in one or two spots, SABR can target these areas while you continue your current systemic therapy. This keeps you on effective treatment longer and saves other options for later.

You may be looking for better options or faster access

You've been offered palliative care only

If you've been told there are no active treatment options, it's worth exploring whether SABR, advanced immunotherapy, or targeted therapies could offer a different path forward.

You're frustrated with NHS delays and want rapid access to treatment

Time matters with metastatic cancer. Dr Wilson can arrange all necessary scans, molecular profiling, and treatment within days - not months. And you won't lose your NHS care by seeking private treatment for specific aspects of your care.

Getting Clear Answers About Your Stage 4 Diagnosis

Being told your cancer has spread can feel overwhelming, but you don't have to navigate this alone.

The most important thing right now is getting clear answers about your treatment options and starting the right plan as quickly as possible. While it's natural to have questions about outcomes or search online for answers, what you need most is expert guidance tailored to your specific situation.

You have more options than you might think. When cancer spreads to just a few sites (called oligometastatic disease), advanced SABR treatment can precisely target and eliminate these deposits without the harsh side effects of traditional chemotherapy or major surgery.

Dr James Wilson specialises in creating personalised treatment plans that combine the latest drug therapies with pinpoint-accurate SABR radiotherapy. Rather than waiting in NHS queues while your cancer potentially progresses, you can get all necessary scans, biopsies, and molecular profiling completed within days, then start the most effective systemic treatments, including immunotherapy and targeted therapies, immediately.

Here's what makes the difference: No more delays waiting for investigations or test results. No more unanswered calls or ignored requests for a call back. You'll receive the right drug treatment for your specific cancer type without delay, while SABR offers a 70-100% success rate for eliminating visible cancer deposits in just 1-5 outpatient sessions. This integrated approach means you can regain control of your treatment timeline while maintaining your quality of life.

Your next step is simple: Get a clear, personalised assessment of whether this combined approach is right for your situation. You'll have answers within 48 hours, not weeks.

Book your consultation
Our Reviews

What people are saying

“5 metastatic nodules were found on my lungs. It was a big blow to me.

Dr Wilson took his time to explain available treatment options and suggested Stereotactic Radiotherapy. It is now a year after treatment and recent follow-up CT scan revealed that there are no new lesions, and the disease has been controlled. This clearly shows the significant benefit of Stereotactic Radiotherapy.

I feel generally better and healthier. My experience with this treatment has been very pleasant and I will encourage cancer patients to contact Dr. Wilson for guidance and support.”

Google review from a verified patient

Your Most Important Questions About Stage 4 Cancer

Is stage 4 cancer terminal?

Stage 4 cancer is serious, but "terminal" implies the end of life. Dr Wilson sees many patients who are living with cancer. Modern treatments can often extend life significantly while maintaining good quality of life. The key to success is personalising your treatment plan and sequencing therapies strategically - using the right treatment at the right time to get the most from each option. Many of my patients live for years after diagnosis, and some achieve long-term disease control.

Read my complete guide: Stage 4 Cancer: Understanding Your Diagnosis and Treatment Options

Is stage 4 cancer curable?

For most solid tumours that have spread, complete cure may not be possible in the traditional sense. However, this doesn't mean effective treatments aren't available. The success comes from smart sequencing - for example, using SABR to treat oligoprogressive lesions allows you to stay on effective systemic therapy longer, saving other treatment options for later. Some patients with oligometastatic disease (1-5 sites) achieve complete elimination of visible cancer through this strategic approach.

Read my complete guide: Metastatic disease: Advanced Treatment and Care

How long can you live with stage 4 cancer?

This varies enormously by cancer type, treatment response, and individual factors. Statistics reflect populations, not individuals - we've seen many patients significantly outlive initial prognoses. Modern treatments have dramatically improved outcomes, particularly when therapies are sequenced intelligently to maximise benefit from each approach. What matters most is getting the right personalised treatment plan quickly.

Read my complete guide: Can You Beat Stage 4 Cancer? Expert Care in the UK

Book your consultation

Book Your Consultation Today

Get your personalised assessment within 48 hours

Dr James Wilson offers rapid access to advanced metastatic cancer treatment across the UK. As a leading clinical oncologist specialising in both targeted drug therapies and stereotactic radiotherapy (SABR), he provides comprehensive cancer care from his London practices and coordinates treatment nationwide.

Complete cancer care, wherever you are: Video consultations available immediately, with treatment options including immunotherapy and targeted therapies delivered in your own home, or coordinated at leading hospitals across the UK. For patients choosing London-based care, our concierge service handles all travel, accommodation, and logistics to make your treatment as straightforward as possible.

What to expect from your consultation:

  • Comprehensive review of your scans and medical history

  • Clear explanation of your treatment options, including SABR eligibility

  • Personalised treatment timeline with no delays

  • Direct access to molecular profiling and targeted therapies

  • Video consultations available for patients outside London

Fast-track your treatment: Complete the form or call directly. Most patients receive their consultation within 48 hours and can start treatment within days of their assessment.

Private medical insurance accepted. Self-funding options available.

Advanced Treatment Options for Metastatic Cancer

When cancer spreads, having access to advanced targeted treatments can deliver life-changing results.

As a leading UK clinical oncologist specialising in stereotactic radiotherapy (SABR), immunotherapy, and targeted drug therapies, I offer cutting-edge combination approaches that can precisely target and often eliminate cancer metastases with remarkable accuracy.

Stereotactic Radiotherapy (SABR) - Precision That Changes Everything

Stereotactic radiotherapy can treat any cancer type that has spread to a limited number of areas. Its exceptional precision targets metastatic tumours using advanced imaging technologies that ensure accurate targeting while protecting healthy tissues. By delivering high-dose radiation non-invasively, SABR effectively treats affected areas while minimising damage to surrounding tissue.

Oligometastatic Disease - When Limited Spread Opens New Possibilities

When cancer spreads from its original site to only 1-5 locations, this represents a middle ground between localised and extensively spread disease. In these cases, I treat the limited metastases using stereotactic radiotherapy and targeted drug therapies. Many patients experience highly positive outcomes, with some seeing their cancer completely disappear. Some people avoid the need for chemotherapy altogether.

Oligoprogressive Disease - Staying Ahead of Cancer's Next Move

When you're on systemic therapy and cancer progresses in just a few areas while the rest remains controlled, targeted stereotactic radiotherapy can treat these progressing lesions. This allows you to continue your current systemic therapy without switching to a different treatment plan.

Brain Metastases - Stereotactic Radiosurgery (SRS)

For brain metastases, I offer Stereotactic Radiosurgery using CyberKnife or modern linear accelerators. This non-invasive approach delivers precisely targeted radiation directly to affected brain areas, often in a single session, with proven effectiveness in tumour control.

Symptom Control That Works

My top priority is addressing your symptoms. Pain affects appetite, mobility, sleep, and quality of life - hindering effective treatment. The radiotherapy I provide can rapidly alleviate symptoms like pain, distressing cough, or visible swellings, helping you return to normal activities with minimal side effects.

Advanced Drug Therapies Tailored to You

Your treatment plan may include immunotherapy, chemotherapy, or targeted therapies based on your cancer's genetic profile. I examine the genetic factors driving your metastatic cancer to implement therapies that prevent growth, progression, and spread of cancer cells, ensuring the best possible results based on latest clinical evidence.

If you've only been offered palliative care elsewhere and haven't discussed CyberKnife, MR-linac, clinical trials, stereotactic radiotherapy, or combination approaches - we should definitely talk.

Targeted treatments for metastatic cancer

  • Targeted Therapy

    Stereotactic Radiotherapy

    Stereotactic radiotherapy (SABR) is a precise, high-dose radiation therapy for early-stage lung cancer. It’s highly effective, and my personal cure rate is 90%.

    Learn more ↗
  • Targeted Therapy

    Chemotherapy and Immunotherapy

    Chemotherapy kills rapidly dividing cancerous cells, and immunotherapy boosts the immune system’s ability to recognise and attack cancer cells.

    Learn more ↗
View all treatments

Your Stage 4 cancer treatment plan - what you can expect from us

Step 1

Fast Initial Consultation

Step 2

Test Results & Review

Step 3

Personalised Treatment Plan

Step 4

Targeted Cancer Treatment

Step 5

Follow-Up Care and Support

Treatment Wherever You Are

You don't need to live in London to access world-class metastatic cancer care.

Many of my patients live across the UK and internationally. I've designed my practice to provide seamless, coordinated treatment regardless of where you're based - combining the convenience of local care with access to London's most advanced technologies when needed.

Your personalised care pathway

Initial consultation - video or in-person We'll start with a video consultation within 48 hours, or you're welcome to meet me in person at my London practices. We'll review your scans, discuss your diagnosis, and explore treatment options tailored to your situation.

Scans and tests - arranged locally or in London I work with imaging facilities near you, or you can have scans in London if that's more convenient. My specialist multidisciplinary team reviews all imaging to ensure we're working from the most accurate information. If you need molecular profiling or other specialized tests, I'll arrange these quickly wherever makes most sense for you.

Systemic therapies - delivered where it suits you Immunotherapy, targeted therapies, and other drug treatments can often be delivered in your own home, at a hospital near you, or at my London practices. We'll discuss the best approach for your specific treatment and circumstances during our consultation.

SABR treatment - London's most advanced radiotherapy For stereotactic radiotherapy, you'll come to London where I work with hospitals equipped with the most advanced technology available - including MR-Linac and CyberKnife systems. Treatment is typically completed in 1-5 sessions over 1-2 weeks.

Full concierge support for London visits If you're travelling to London for treatment, comprehensive concierge services are available through the hospitals. This includes accommodation arrangements, airport transfers, interpreter services if needed, and coordination of all appointments. Nothing is too much trouble - the goal is to make your treatment as straightforward as possible so you can focus on your wellbeing.

Ongoing monitoring - flexible and coordinated Follow-up care combines video consultations with in-person appointments as needed. I work closely with your NHS team or local oncologist to ensure seamless coordination - for example, you might receive SABR privately while continuing systemic therapy through the NHS. Your care plan is tailored to your schedule and clinical needs, with time-sensitive decisions made promptly.

Time is of the essence with metastatic cancer. Wherever you're based, I ensure investigations, decisions, and treatment happen quickly - without the delays that can allow cancer to progress.

Our Reviews

What Patients Say About Their Treatment

"We cannot recommend Dr. Wilson highly enough! It was very easy to get an appointment with him, we were seen quickly. Dr. Wilson was familiar with my complex history and had read all previous clinic letters/scan results. He gave us the opportunity and time to ask any questions, responding with a refreshing optimistic, positive manner whilst being honest about risks and outcomes. Dr. Wilson is clearly a highly professional, extremely competent, kind and compassionate Oncologist, with considerable expertise especially in the field of SBRT/SABR. We couldn't feel more comfortable and reassured under his care."

Google review from a verified patient

Working With Your NHS Team To Get The Best Outcome For You

"But if I go private, can I still have NHS treatment?"

This is the question I hear most often - and what surprises me is the reason behind it. It's not just about practicalities. Many patients feel a sense of loyalty. They worry about offending their NHS team or losing their place in the system.

If you're a UK resident, you're entitled to NHS treatment regardless of whether you've received some care privately.

Why patients hesitate

The fears I hear are real:

  • "Will I offend my NHS oncologist?"

  • "Will I lose my place if I go private for one part of my care?"

  • "Can I ever go back to the NHS?"

These concerns are understandable but largely unfounded. Good private practice complements the NHS rather than competing with it.

How coordination actually works

I regularly coordinate with NHS colleagues. We talk. We share information. We ensure your care is seamless, not duplicated.

Sometimes private treatment means accessing therapies that aren't widely commissioned on the NHS - like stereotactic radiotherapy for oligoprogressive disease. This isn't about "jumping ship." It's about using all available options and making them work together.

You can move between NHS and private care as needed. Many of my patients receive systemic therapies through the NHS while having SABR privately, or vice versa. The key is coordination, and that's something we prioritise for every patient.

The speed advantage matters

Here's a practical example: Before starting SABR for oligometastatic disease, you need a PET scan to confirm there are only limited metastatic sites. On the NHS, getting that PET scan scheduled, then reviewed and reported, then starting treatment planning can take weeks.

In private practice, this all typically happens within a week.

Why does speed matter? Because metastatic cancer is active. While you're waiting, cancer can grow at existing sites or spread to new ones. The window of opportunity for treatments like SABR can close if delays allow the disease to progress.

This isn't criticism of the NHS - it's simply a reality of resource constraints versus the urgency metastatic cancer demands.

Your NHS team understands

NHS doctors are aware that some treatments are more readily available privately. They understand that patients sometimes need to move quickly. In my experience, most NHS oncologists appreciate when their patients can access complementary private care - it often makes their job easier because you return with better disease control.

Going private for specific treatments doesn't mean you're ungrateful for NHS care or that you've abandoned your NHS team. It means you're taking control where you can, when timing matters most.

A coordinated approach to your care

My approach is collaborative:

  • I review your NHS treatment history and coordinate with your NHS oncologist

  • If you're having systemic therapy through the NHS, I ensure SABR timing complements this

  • I provide reports to your NHS team so everyone is working from the same information

  • You maintain your NHS relationships while accessing treatments that might not be available there

Your wellbeing comes first. Using private care for specific aspects of treatment - particularly time-sensitive interventions like SABR for oligometastatic disease - can actually enhance your overall cancer care rather than complicate it.

If you're hesitating because you feel conflicted about loyalty to the NHS, we understand that completely. But don't let that prevent you from exploring options that could significantly impact your outcome. Let's have a conversation.

Guides

Frequently asked questions

  • If my cancer has spread, what stage of cancer do I have?

    If your cancer has moved to another part of your body, this means you have Stage 4 cancer.

  • Am I going to die? Will this cancer kill me?

    When we meet, we’ll talk about the aim of the treatment I recommend. In the past, for most (but not all) types of cancer, having Stage 4 disease meant that the cancer could not be cured. With modern drug treatments and stereotactic radiotherapy, a significant proportion of patients are achieving long-term disease control.

  • Is there any point in having treatment if you can’t guarantee me a cure?

    Cancer treatment needs to be personalised to your personal situation, your priorities and current symptoms. I often need to undo a lot of preconceptions about cancer treatment when I meet people for the first time. They remember parents or grandparents who experienced horrible side effects from ineffective treatments. Things have changed considerably! With the best drug treatments, it may be possible to control your cancer for many years.

    Modern radiotherapy has minimal side effects and can control, or even eradicate, the spots where the cancer has spread. Treatment to control your symptoms will make you feel better and allow you to do more – it may even open doors to other treatments that you may not have been able to access when you were feeling poorly.

  • What are the side effects of stereotactic radiotherapy?

    It’s important to note that while side effects can occur with SABR, they are typically mild and temporary, with most patients experiencing minimal disruption to their daily activities. The frequency and severity of side effects can vary depending on factors such as the size and location of the tumour, the dose of radiation delivered, and your personal health issues. Common mild to moderate side effects, such as fatigue, are generally well-tolerated and manageable with supportive care measures. Before you start treatment, I’ll give you a number that gives you access to support and care 24/7 if you were to be concerned about your symptoms.

  • Will my hair fall out?

    The side effects of radiotherapy are limited to the area of the body that is being treated. If you are not receiving radiotherapy to the head or your brain, you will not lose the hair on your head. There may be some hair thinning or small areas of hair loss if you are having stereotactic radiosurgery for brain metastases.

  • What if I don’t live in London?

    Depending on the treatment you need, it’s possible that the hospital will provide hotel accommodation for you. Alternatively, I work in partnership with some (very nice!) hotels that offer a discounted rate while you are having treatment under my care. I’d remain close contact with your doctors closer to home. I can arrange scans local to you and we can meet by video consultation if you’d prefer.

  • Do I need to avoid people/my grandchildren while I’m having radiotherapy? Does radiotherapy make me radioactive?

    It’s a common misconception that radiotherapy makes you radioactive or a risk to others. Just like having an X-ray, radiation is only present while the radiotherapy machine is on – you don’t carry it out of the room with you.

  • Does radiotherapy for metastatic cancer hurt?

    Radiotherapy itself is painless. You don’t see or feel anything while you are receiving the treatment. If you are having radiotherapy specifically for pain, a proportion of patients will experience a pain flair. Before you start treatment, I’ll ensure that you have pain killers that you might need. This pain flair is temporary.

    Importantly, you’ll be able to access me at any time and I can see you as often as is needed to address any symptoms.

  • Will I need chemotherapy?

    A combined approach is the best for metastatic cancer. Drug treatments can get around all of the body via the bloodstream, so can treat the cancer deposits that we can see as well as microscopic cancer cells that we can’t see on scans. Consolidating the response to drug treatments such as immunotherapy, chemotherapy or targeted therapies leads to the best outcome.

  • What is radiotherapy?

    Radiotherapy is a treatment that uses high-energy X-rays, to target and destroy cancer cells in your body. It’s a common and effective way to treat cancer, either on its own or alongside other treatments like surgery or medication. Radiotherapy works by damaging the DNA inside the cancer cells, which stops them from growing and spreading. The treatment is carefully planned to focus on the cancer while avoiding as much of the healthy tissue as possible. Radiotherapy is usually painless, and while it may cause some side effects, these are often temporary and manageable. I will work closely with you to make sure the treatment is as effective and comfortable as possible.

  • Will the radiotherapy damage other organs?

    My commitment to you it to offer you the best quality of radiotherapy that is available. I will balance the need to start treatment as quickly as possible, with the time required to produce a first-class radiotherapy treatment plan that minimises the dose to your normal tissues while still targeting the cancer.

  • How long will each radiotherapy session last?

    The length of each treatment session depends on the complexity of the radiotherapy treatment plan and the type of radiotherapy machine. The most straightforward treatments can be given in less than 10 minutes. Stereotactic radiotherapy using CyberKnife or the MR-Linac can take considerably longer, but we can let you know more precisely how long each treatment will take before you attend.

  • Will I have to stay in hospital overnight?

    These treatments are generally given with you staying in your own home and traveling in to hospital for the radiotherapy.

  • Will I need somebody to come with me, or can I come by myself?

    I’d expect you to be able to travel into the hospital by yourself for treatment if your current symptoms allow you to travel independently at the time we meet in clinic. Towards the end of treatment, you may feel more tired, so may want somebody to come with you, but this is different for everybody. You are always welcome to bring a friend or family member to any of your appointments.

  • Why didn't my NHS oncologist mention SABR?

    SABR is increasingly used throughout the UK, but it's not available at every cancer centre. There should be SABR-trained specialists at every multidisciplinary team meeting who can recommend it, but sometimes it does get missed as an option.

    SABR for oligoprogressive disease specifically is not currently commissioned by the NHS, so it's not widely available. Some centres get around this by using loopholes in commissioning statements, but there's significant variability across the country. If it wasn't offered to you, that doesn't mean you're not suitable - you may want to consider other options outside the NHS pathway.

  • What if SABR doesn't work?

    SABR has a very high likelihood of controlling the lesions that are treated. What's then absolutely essential is close monitoring with scans. If any new lesions develop, you need prompt treatment with stereotactic radiotherapy or other local treatments such as radiofrequency ablation or surgery to those sites.

    Done well, SABR leads to very high chances of local control of each metastatic deposit. The key is staying vigilant and treating new sites quickly if they appear. SABR doesn't close doors - you can still have other treatments afterwards if needed.

  • I don't want to burden my family financially

    I've not met a patient yet whose family don't want what's best for them. Your loved ones want you to use available funds to get the best treatment and to keep you with them and feeling well for longer.

    Treatment might not be as expensive as you think, and I'll always give you a detailed quote before embarking on any treatment. It's worth finding out if you're suitable for a certain treatment and then working out how much it costs, rather than presuming it's too expensive.

    The hospitals I work with also have various payment plans which can spread the cost of treatment.

  • How quickly can I start treatment compared to the NHS?

    While SABR might be available on the NHS, it can take a long time to find out if you're suitable. For example, you need a PET scan before assessing your eligibility for oligometastatic treatment, and then from deciding to start SABR to the treatment actually beginning, there could be significant delays.

    This is usually all achievable within a week in the private sector. This matters because if your cancer is growing and active in certain sites, you want treatment that eradicates those sites as quickly as possible to stop it continuing to grow or potentially spreading further.

  • Can I have SABR for oligoprogressive disease on the NHS?

    SABR for oligoprogressive disease is not currently commissioned by the NHS. This means it's generally not available through standard NHS pathways, though some centres may offer it in specific circumstances.

    If you're on systemic therapy and have limited sites of progression, this is exactly when SABR can be most valuable - allowing you to stay on your current effective treatment longer rather than switching to a new systemic therapy. This is one area where private treatment can offer options that aren't readily accessible through the NHS.

  • Can I switch between NHS and private treatment?

    Absolutely. You can definitely move in and out of NHS and private treatment. In fact, I've written about this specific topic - many of my patients receive some treatments through the NHS while having SABR or other therapies privately.

    You won't lose your NHS care by seeking private treatment for specific aspects of your care. I work closely with NHS colleagues to ensure seamless coordination.

Schedule Your Metastatic Cancer Treatment Consultation

Get your personalised treatment assessment within 48 hours

Whether you're seeking comprehensive care for metastatic lung cancer, melanoma, or skin cancer, or exploring SABR for oligometastatic disease, I'm here to help you understand your options and start treatment quickly.

What to expect from your consultation:

  • A full hour dedicated to understanding your situation and answering all your questions

  • I'll review your medical history and scans before we meet

  • We'll discuss your specific diagnosis and all available treatment options in detail

  • You'll receive a clear, personalised treatment plan with no delays

  • Family members and friends are welcome to join (whether video or in-person)

  • Most patients start treatment within days of their consultation

Choose how you'd like to meet:

  • Video consultation - available within 48 hours, wherever you're based in the UK or internationally

  • In-person consultation - at my London practices

What to prepare: If you have recent scans, pathology reports, or clinic letters, please have these ready to share. If you don't have everything, don't worry - I can arrange any additional tests you need quickly.

Private medical insurance accepted. Self-funding options and payment plans available.

Questions before booking? Call 020 7993 6716 or email info@drjameswilson.co.uk - we will respond the same day.

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