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Appendix 4 - National IGRT Lead - IGRT review visit report

National IGRT Lead - IGRT review visit report

1. Centre information                 

Name of centre

Name of NHS Trust

 

 

Head of Radiotherapy

Head of Medical Physics

 

 

 

 

IGRT lead responsible for review

Date when request for support received

Choose an item.

Click here to enter a date.

Date visit commenced

Number of days for visit

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Choose an item.

                 

2. Support request details

List the areas of support requested by the centre

 

 

3. IGRT multi-professional team

At the start of the visit, was there an IGRT MPT in place?

Choose an item.

 

Comments about the MPT

 

 

4. Protocol review

Protocol contents

Yes

No

Are individual roles and responsibilities clearly defined between the multi-professional groups?

Equipment used (imaging modality)

Immobilisation

Pre-treatment imaging

On treatment verification imaging modality

Justification of imaging frequency

Justification of any non-planned concomitant exposure

Tolerances & action levels (details of correction strategies)

Data collection methods and analysis of data

Local planning margin assessment strategy

Risk assessment for IGRT process

 

Summary of findings from protocol review

 

 

 

5. Training

Have members of the MPT attended accredited IGRT educational courses or do they possess suitable experience to enable them to lead development of the service?

Yes, but not all

Do the physicists have specific IGRT training and competency assessments?

Yes

Do the radiographers have specific IGRT training and competency assessments?

Yes

Is there evidence that an IGRT training programme has been established?

Yes, needs development

 

Where it exists, outline the IGRT training programme currently employed within the centre

 

 

6. Physics support

Did the centre request support from the IGRT physics support team?

Choose an item.

Did the IGRT lead refer the centre to the physics support team?

Choose an item.

 

Summary of the physics support provided to the centre (feedback to be provided by the IGRT physics support team)

 

 

7. Overall findings

Environment

 

Therapeutic Radiographers

 

Radiotherapy Physics

 

Protocols

 

Training

 

 

8. Recommendations

Action plan provided during headline feedback must be include as an appendix to this report

 

 

9. Report approval

Report completed by:

Choose an item.

Date:

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Download IGRT review visit report as a PDF

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