Radiotherapy is a treatment used to destroy cancer cells, using radiation delivered by a machine called a linear accelerator. The most common types of radiotherapy use high energy x-ray beams, such as photons, but other particles can be used for example protons or electrons.
Therapeutic radiographers play a vital role in the delivery of radiotherapy services and they are the only health professionals qualified to plan and deliver radiotherapy. Therapeutic radiographers are responsible for the planning and delivery of accurate radiotherapy treatments using a wide range of technical equipment. The accuracy of these is critical to treat the tumour and destroy the diseased tissue, while minimising the amount of exposure to surrounding healthy tissue.
Therapeutic radiographers are extensively involved at all stages of the patients' radiotherapy journey. The first stage is pre-diagnosis, which is giving health promotion advice and raising awareness of cancer. Then patient consent is taken by working with patients to enable them to make informed decisions about their treatment options.
Following consent the pre-treatment preparation and planning takes place, which is the use of sophisticated equipment to scan patients and plan treatments. In addition, the preparation of any required devices takes place to ensure the accurate delivery of treatment. The treatment is then performed through the use of a range of radiotherapy equipment to deliver external beam radiotherapy and brachytherapy (internal radiotherapy treatments).
Whilst a patient is undergoing treatment there are regular assessments. Many radiographers qualify to prescribe drugs for patients to counteract the side effects of treatment. They are also responsible for the psychosocial wellbeing of their patients whilst they are attending for treatments. Finally, the patient follow up takes place, including the management and care after treatment has finished.
A growing number of radiographers undertake tumour site specific roles or specialist treatment roles (at both advanced and consultant level practice), where they are responsible for their own patient load from treatment referral, through treatment to post treatment follow up.
They are part of the multi-disciplinary approach to patient management by attending and participating in MDT meetings. These staff provide continuity of care for their patients across their cancer journey, with improved levels of care for their patients as well as efficiency benefits for the service.
Therapeutic radiographers are also involved in clinical research at all levels. This ranges from recruitment to trials through to radiographer led research studies to evaluate the newer technologies and techniques as part of providing evidence based practice.
Radiotherapy service managers are professional qualified managers responsible for the strategic delivery and planning of the service along with the day to day operational management of radiotherapy services. Their professional training and expertise is critical to the provision of safe and efficient radiotherapy services.