Therapeutic radiographer at The Royal Marsden NHS Foundation Trust

The job at The Royal Marsden NHS Foundation Trust

Therapeutic radiographers plan and deliver radiotherapy to people with cancer. They take planning CT scans, mark and immobilise the patient, work with clinical oncologists and physicists to design the treatment plan, then deliver daily fractions on a linear accelerator, verifying position with imaging before each treatment. Because patients attend every weekday for several weeks, radiographers also assess and manage side effects, give information and emotional support, and run on-treatment review, pre-treatment and follow-up clinics. Adults and children having radiotherapy for cancer, and their families and carers, throughout planning, daily treatment, side-effect management and follow-up.

At a specialist trust such as The Royal Marsden NHS Foundation Trust, that work means a concentrated specialist caseload, referred in from a wide area because the care needed is beyond what a district general hospital provides. Posts here are more often specialist from appointment than rotational, and some specialist centres recruit at band 6 where the work requires prior experience. Across the profession as a whole, therapeutic radiographers work in settings including NHS radiotherapy and oncology centre, linear accelerator treatment rooms, pre-treatment and CT planning units, brachytherapy suites and on-treatment review clinics — an organisation of this type will run some of those services and not others, which is why two posts with the same job title in the same city can be very different jobs.

Pay is not an employer decision. Agenda for Change is negotiated nationally and set separately in each of the four nations, so The Royal Marsden NHS Foundation Trust pays band 5 exactly what every other NHS employer in England pays it: £32,073 at the bottom of the band on the 2026/27 scale. For context, median full-time pay across all occupations in London was £49,692 in 2025. What genuinely differs between two employers is the caseload, how rotations are structured, how much protected time you get for supervision and continuing professional development, how much band 6 progression is built into the establishment, and how far you travel between sites. Those are the questions worth asking at interview.