One of the key functions of the Radiotherapy Network is to reduce variation in quality by adopting standardised best practice protocols. Protocols are an agreed framework outlining the care that will be provided to patients in designated areas of practice. 

In addition, to the scheduled review of documents, it is possible for any radiotherapy stakeholder in the West Midlands to request a review at any time prior to the planned review, by completing a change request proforma where they believe this is warranted e.g. change in national commissioning policy or the outcomes of clinical trials.

However, a change request should follow also on from where clinicians have used three or more concessions.

A copy of the current change request can be found here:

The SOP can be found here:

We have agreed pre-treatment and on-treatment image guidance:

We have agreed an inter-provider ad hoc referral SOP for brachytherapy patients to be treated by other providers:

We have agreed an inter-provider ad hoc referral SOP for patients to take part in clinical trials at other providers: