Work has finally started on a new Macmillan chemotherapy unit in Herefordshire.
Contractors have completed preparation work and started building at the site at Hereford County Hospital.
Work on the Macmillan Renton Unit was delayed after unexpected difficulties caused by the diversion of a public sewer.
The new multi-million pound unit is expected to be completed by late next March, and open to patients in April.
The nearest cancer unit is in Cheltenham, Gloucestershire, 40 miles (63km) away from Hereford.
Steve Richards, regional director for Macmillan, said: "We can begin to see light at the end of the tunnel and we are now in a firm position to develop concrete plans for treating patients in 2011."