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Radiotherapy Specialist Practitioner Radiographer (XR06)

Leeds Teaching Hospitals NHS Trust
£35,392 to £42,618 a year
Closing date
4 May 2024

View more

Band 6
Contract Type
Full Time

Job Details

To work as part of a multi-disciplinary team providing specialist radiotherapy treatment & patient support, in line with Trust and departmental policies and procedures. Working as a specialist with proven skills and experience in using a variety of radiotherapy equipment and treatment techniques, organizing the unit activity and staff on a daily basis.

The post holder is responsible for performing with the highest standard of patient care and technical practice in their clinical area while treating patients.

Planned Interview Date - 22nd May 2024

Main duties of the job

The radiotherapy department delivers treatment care packages to approximately 6,500 patients with cancer per year. As experienced

professionals, specialist practitioners are expected to maintain the efficient, effective and safe flow of workload in their clinical area.

Specialist practitioners are usually required to rotate through all areas within the radiotherapy service (unless the service requirement is for a

static placement), and deputise for the relevant team leader as required.

The post-holder is expected to use their experience in supporting and training other qualified professionals, trainees and visitors.

Specialist practitioners may be required to make clinical judgments which fall outside of protocol. They will be required to use their experience, specialist knowledge & initiative in order to achieve the expected results.

The Trust reserves the right to require employees to work either temporarily or permanently at or from any other of the Trusts establishments at any time within professional codes of practice, referring to their team leader or appropriate advanced practitioners as appropriate.

The post holder is expected to use specialist knowledge to take action on technical and patient related issues on a daily basis in their allocated area (including amendments to treatments). They must be competent in a variety of situations, referring issues outside their scope of practice to their relevant advanced practitioners.

About us


Our values are part of what make us different from other trusts, so we see this as strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work.

Our five values are:






All our actions and endeavours will be guided and evaluated through these values.

Additionally the following are core values which relate specifically to this post:

Radiotherapy roles are additionally expected to contribute towards the NHS Cancer Plan. Successful performance requires a clear personal

commitment to the radiotherapy service, working across the department, Trust and Cancer Network as appropriate.

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Job description

Job responsibilities


Technical / Clinical

Responsible for maintaining the highest standards of technical practice and patient care while treating and supporting patients.

Responsible for the checking / calculation of doses and prescriptions in accordance with departmental procedures.

Responsible for the review / subsequent clinical decisions of radiotherapy images.

Develop highly specialised skills/knowledge in specific area of practice in order to further the develop the service and in order to train other staff.

Work as a specialist practitioner for the practical and associated aspects of radiotherapy practice in the clinical area. Ensure own clinical decisions (including non-standard / outside protocol) are underpinned and evaluated by theoretical knowledge and relevant practical experience.

Responsible for keeping up to date with technical practice and offering support, guidance and encouragement to others, to do the same.

Responsible for ensuring all equipment is used appropriately and safely, including administrative and management systems, monitoring equipment performance and reporting faults.

Ensure that departmental standards and procedures are followed on the unit, supporting implementation of procedure changes, and suggesting changes required to optimise the quality of radiotherapy practice/service.

Take an active role in audit, development and research as required, particularly in own area of specialism


Deputise for the team leader when appropriate (e.g Annual leave), managing the unit and staff to maintain efficiency whilst promoting best

practice. Assist the team leader in managing the workload of the unit, re-organising clinical workloads when machine breakdown occurs, and

ensuring that schedules run effectively and safely, prioritizing as appropriate.

Participate in the clinical training and assessment of junior staff, students (via SHU assessor training scheme), returners, assistants and any other learners on the unit.

Responsible for assisting with quality assurance procedures.

Responsible for ensuring that clinical and technical information, and all information relating to each treatment course undertaken on the unit, is accurately and fully recorded and reported.

Patient Care

Responsible for the care of the patient whilst undergoing treatment.

Assess and monitor patient care needs and organise care including both referral to other disciplines and support by other practitioners.

Responsible for developing specific care plans / pathways (with other disciplines) by providing specialist clinical advice.

Provide appropriate advice and information to patients and carers at all stages of radiotherapy, referring issues to senior staff as appropriate.


Representing the views of team members and peers at meetings and workgroups and reporting information back to the team, and seeking

feedback as appropriate.

Actively participate in and support activities in promoting and recruiting to the profession.

To work flexibly as required by the service / patient need

Carrying out additional duties as requested by the Head of Radiotherapy, management team or team leader, commensurate with the grade of the post.

Health and Safety/Risk Management

All staff are responsible for working with their colleagues to maintain and improve the quality of services provided to our patients and other service users. This includes complying at all times with the Leeds Teaching Hospitals NHS Trust Policies, including Health and Safety policies, in particular by following agreed safe working procedures, and reporting incidents using the Trust Incident Reporting system.

Additionally for radiotherapy

Complying with statutory Ionizing Radiations (Medical Exposures) Regulations IR(ME)R and Local Rules (Ionising Radiations Regulations -

IRR) and departmental radiotherapy incident reporting procedures,.

Responsible for prompt reporting of radiation incidents, equipment, patient and safety related incidents in accordance with departmental / Trust procedures. Also identifying and reporting any areas of perceived risk.

Infection Control

The jobholder must comply at all times with the Leeds Teaching Hospitals NHS Trust Infection Control policies, in particular by practising Universal Infection Control Precautions. Hand hygiene must be performed before and after contact with patients and their environment.

Equality and Diversity

The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc.

Patient and Public Involvement

The Trust has a statutory duty to involve patients and public in evaluating and planning services. All staff have a responsibility to listen to the views of patients and to contribute to service improvements based on patient feedback.

Training and Personal Development Continuous Professional Development

The jobholder must take responsibility in agreement with his/her line manager for his/her own personal development by ensuring that

Continuous Professional Development remains a priority. The jobholder will undertake all mandatory training required for the role.

Respect for Patient Confidentiality

The jobholder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.


An ability to provide and receive complex and sensitive information to / from cancer patients in an empathetic, reassuring and professional


Assess potential communication barriers and demonstrate where necessary persuasive, motivational and negotiating skills, referring to

senior staff where appropriate.

To recognize the potential for conflict in relationships and seek to minimize this, and contribute to effective communication and team working.

To promote and maintain effective communication and relationships with immediate colleagues, the multi-disciplinary team, patients and visitors.



This post requires dexterity and highly developed co-ordination and sensory skills in order to speedily and accurately manipulate equipment

with a high degree of precision, as well as finely manipulating the patients body to align the relevant anatomy with the radiation beam to accuracy within 1 mm.

They should also be able to accurately apply permanent patient skin marks (tattoo) with needles and ink.

This is a physically demanding post with constant manoeuvring of patients and equipment, which can often be heavy and / or awkward.

The postholder will need to exert intense physical effort by reaching over and twisting heavy patients at height (approx 5 feet from the ground) for short periods of time (5 minutes), several times a day (15-20), every day.

The postholder will also need to lift accessory equipment (some weighing 6-10Kg) and position these at head / shoulder height onto other

equipment. There are postural constraints involved in this due to limitations in work design.

These risks have been assessed by the Trust Back Care Lead and physio.

Postholder works in pairs so lifting of accessories is recommended as a two person lift.


A high level of concentration is required when treating each patient constantly in order to undergo patient assessment and maintain a high level of patient care 10-30 mins per patient, up to 50 patients per day.

Ability to view patient set-ups in both 2D and 3D. Excellent psychomotor and spatial awareness to accurately position patients (to within 1mm).

When not treating patients, periods of prolonged concentration (1-2 hrs) are required when viewing images, calculating prescriptions and checking datasets for accuracy


To recognize and appropriately act upon the emotional and psychological needs of patients, colleagues, team and ones self due to the frequent exposure to distressing and emotional circumstances, e.g. continually working with patients with cancer.

Dealing empathetically with cancer patients, families and carers with challenging behaviour, caused by either the physical and/or emotional

effects of diagnosis or the disease, impacts on the emotional effort required for this post.

Dealing with the large age range of patients and carers / dependents of varying physical states including anaesthetized and unconscious.

To act in an influencing role in areas that may cause significant significant conflict due to changes in traditional working practice.


Working in an environment where radiation is used continuously.

Approximately 95% of time will be spent in clinical areas, therefore the postholder will require a professional approach to occasional exposure to highly unpleasant working conditions (uncontained body fluids, smells) and have knowledge of how to deal with these appropriately. Postholder will need to lead by example in effectively dealing with any exposure to verbal aggression and threatening behaviour (usually due to patient distress), and be able to support other junior staff to develop strategies regarding the correct de-escalation processes.

The remainder of the role is split between staff support and development, teaching, departmental meetings and functions.

Person Specification



  • Significant post graduate experience with evidence of acquired specialist knowledge.
  • Organisational skills/decision making
  • Proven skills / experience with a variety of R/T equipment and specialist techniques
  • Awareness of current trends in R/T
  • Basic IT skills
  • Proven team working/people skills


  • Recent experience at senior radiographer level
  • Experience of similar radiotherapy equipment
  • Awareness of wider cancer issues
  • Evidence of personal development, course based team/people management

Other criteria


  • Able to fulfil Occupational Health requirements for the post (with reasonable adjustments if necessary), including clearance on blood borne viruses in compliance with Trust Policy



  • BSc in Therapy Radiography or equivalent
  • Current State Registration (HCPC)

Skills & behaviours


  • Good interpersonal and communication skills at all levels
  • Standard keyboard skills

Employer details

Employer name

Leeds Teaching Hospitals

Any attachments will be accessible after you click to apply.



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