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Executive Summary

Following publication in 2012 of the National Radiotherapy Implementation Group (NRIG) report, IGRT: Guidance for Implementation and Use, 1 the National Cancer Action Team (NCAT) funded an Image Guided Radiotherapy (IGRT) clinical support programme. Its purpose was to expedite the implementation and uptake of IGRT technology and techniques throughout England, thus enabling the future implementation of 4D adaptive radiotherapy (4D-ART).

The programme was delivered by a multi-professional team (MPT) of clinical experts. The MPT comprised two 0.6 whole time equivalent (WTE) radiographer IGRT Leads, whose role was to provide on-site support for centres in reviewing current practices and developing protocols and work instructions. Physics support was provided by three English radiotherapy centres as an outreach service via e-mail or telephone. Specialist oncologist support was directed as appropriate by the co-chair of the NRIG IGRT sub-group.  All centres received a tailored report with recommendations for continued implementation of IGRT.

This final report describes the process, methods and outcomes of the NCAT IGRT clinical support programme. It demonstrates progress made and highlights the significant challenges that remain. Recommendations have been formulated for radiotherapy service providers, NHS England Specialised Commissioning, education providers, professional bodies and equipment manufacturers.

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