NHS Therapeutic Radiographer: Pay Bands, Salary, Unsocial Hours & Progression

Band 5–8a £29,970 – £65,000

An NHS Therapeutic Radiographer is a healthcare professional within the NHS who delivers radiotherapy treatments, mainly for cancer patients. NHS Therapeutic Radiographers operate linear accelerators and CT scanners to administer high-energy radiation that targets diseased cells while limiting damage to healthy tissue. NHS Therapeutic Radiographers must hold HCPC registration to practise in the UK.

What Is an NHS Therapeutic Radiographer?

An NHS Therapeutic Radiographer is a healthcare professional who delivers radiotherapy treatments, mainly for cancer patients. NHS Therapeutic Radiographers use linear accelerators and CT scanners to administer high-energy radiation that targets diseased cells while limiting damage to healthy tissue. NHS Therapeutic Radiographers work within multidisciplinary teams, collaborating with oncologists and other healthcare providers to create and execute personalised treatment plans.

NHS Therapeutic Radiographers combine technical skills with patient support duties. NHS Therapeutic Radiographers provide emotional support and clear communication to patients throughout treatment, helping them manage side effects and understand treatment plans. NHS Therapeutic Radiographers require Health and Care Professions Council (HCPC) registration and work in hospital radiotherapy departments and specialist cancer treatment centres across the NHS. NHS Therapeutic Radiographers undertake continuous professional development to stay current with technologies and treatment methods, including proton beam therapy.

What Does an NHS Therapeutic Radiographer Do?

An NHS Therapeutic Radiographer delivers radiotherapy using advanced technologies for cancer treatment. NHS Therapeutic Radiographers use linear accelerators and CT scanners to administer targeted radiation doses to tumours, aiming to destroy diseased cells. NHS Therapeutic Radiographer duties include positioning patients accurately, verifying treatment plans, and managing radiotherapy sessions that can last up to 37 days for some patients.

Beyond technical duties, NHS Therapeutic Radiographers provide full patient care. NHS Therapeutic Radiographers support patients before, during, and after treatment, helping them cope with side effects and emotional stress. NHS Therapeutic Radiographers collaborate with oncologists to plan personalised treatment regimens and develop skills to stay current with new treatment methods. NHS Therapeutic Radiographers work in hospital radiotherapy departments, oncology clinics, and research facilities.

What Is the Difference Between a Therapeutic Radiographer and a Diagnostic Radiographer?

The primary difference between therapeutic radiographers and diagnostic radiographers lies in clinical role and objective. Therapeutic radiographers administer radiotherapy treatments aimed at treating cancerous conditions. Therapeutic radiographers work with cancer patients over extended periods, using linear accelerators to deliver precise radiation therapy that targets tumours while limiting harm to healthy tissues. Therapeutic radiographer duties require technical skill and the ability to provide emotional support to patients throughout treatment.

Diagnostic radiographers capture medical images to aid diagnosis of multiple conditions. Diagnostic radiographers use imaging techniques such as X-rays, CT scans, and MRIs to produce detailed images that help medical professionals identify and assess medical issues. Diagnostic radiographers have shorter patient interactions, focused on obtaining accurate images rather than providing ongoing treatment. Both professions require HCPC registration and follow similar educational pathways, but the day-to-day duties and clinical objectives differ notably.

What Are the Different Types of NHS Therapeutic Radiographer?

NHS Therapeutic Radiographers specialise across multiple roles within radiotherapy departments, focused on planning, delivering, and reviewing cancer treatments using high-energy radiation. The main types of NHS Therapeutic Radiographer are listed below.

  • Treatment Radiographer
  • Pre-Treatment (Planning) Radiographer
  • Specialist Therapeutic Radiographer
  • Senior/Team Leader Therapeutic Radiographer
  • Non-Medical Prescriber (NMP) Therapeutic Radiographer

NHS Therapeutic Radiographer specialisations reflect career progression and address workforce shortages, with role extension supporting rising cancer treatment demands.

Treatment Radiographer

A Treatment Radiographer is an NHS Therapeutic Radiographer who delivers radiotherapy using linear accelerators. Treatment Radiographers confirm accurate patient positioning and immobilisation to target cancerous cells with high-energy X-rays. Treatment Radiographers support patients before, during, and after sessions, managing side effects and providing care.

Pre-Treatment (Planning) Radiographer

A Pre-Treatment (Planning) Radiographer handles the preparation phase of radiotherapy, including CT planning scans. Pre-Treatment Radiographers gather data to simulate treatments on planning computers, creating treatment plans that account for tumour location and patient anatomy so radiation targets diseased cells without harming healthy tissue.

Specialist Therapeutic Radiographer

A Specialist Therapeutic Radiographer, at band 6–7, undertakes advanced roles such as image approval and target delineation. Specialist Therapeutic Radiographers lead complex techniques, re-plan treatments based on imaging, and participate in multidisciplinary teams (MDTs) for new patient clinics or palliative care.

Senior/Team Leader Therapeutic Radiographer

A Senior or Team Leader Therapeutic Radiographer, at band 6 or 7, supervises teams and manages radiotherapy services. Senior/Team Leader Therapeutic Radiographers handle recruitment and oversee daily operations in treatment centres, maintaining high standards of care and efficiency.

Non-Medical Prescriber (NMP) Therapeutic Radiographer

A Non-Medical Prescriber (NMP) Therapeutic Radiographer is a qualified specialist who prescribes medications for oncology patients, either independently or under supplementary arrangements. NMP Therapeutic Radiographers improve access to care, reduce delays, and support review clinic patients.

Treatment Radiographer

A Treatment Radiographer delivers radiotherapy treatments to cancer patients. Treatment Radiographers operate linear accelerators to target and destroy cancerous cells with high-energy X-rays. Treatment Radiographers position patients using specialist equipment, maintaining stillness during the procedure to support effective radiation delivery. Treatment Radiographer duties extend beyond technical skill to include emotional support and care for patients throughout treatment. Treatment Radiographer roles demand high accuracy and strong observational skills, as Treatment Radiographers are the healthcare professionals qualified to administer radiotherapy with precision.

Pre-Treatment (Planning) Radiographer

A Pre-Treatment (Planning) Radiographer is a specialist NHS Therapeutic Radiographer role within radiotherapy. Pre-Treatment Radiographers handle the preparatory phase of cancer treatment, which involves creating detailed treatment plans. Pre-Treatment Radiographers use advanced imaging technologies, such as CT scanners, to capture precise images that guide the development of individualised radiotherapy strategies.

Pre-Treatment Radiographer duties include the following:

  • Patient Positioning: Pre-Treatment Radiographers position patients using immobilisation devices and lasers, which supports effective radiation targeting.
  • Collaboration with Oncologists: Pre-Treatment Radiographers work with oncologists and dosimetrists to outline tumour volumes and adjust plans based on patient anatomy.
  • Advanced Techniques: Pre-Treatment Radiographers use techniques such as surface-guided radiotherapy to support real-time positioning accuracy.

Pre-Treatment Radiographer roles demand technical skill and close attention to detail, as the accuracy of the planning work directly affects the effectiveness of subsequent radiotherapy treatments.

Specialist Therapeutic Radiographer

A Specialist Therapeutic Radiographer is an advanced practitioner within radiotherapy. Specialist Therapeutic Radiographers operate at NHS Agenda for Change band 7 or above, reflecting skill and leadership duties. Specialist Therapeutic Radiographers focus on set areas of cancer treatment, such as paediatric oncology, breast cancer, or advanced technologies like proton beam therapy.

Specialist Therapeutic Radiographer duties include complex tasks such as image approval, peer review of treatment plans, and managing advanced radiotherapy techniques. Specialist Therapeutic Radiographers may serve as non-medical prescribers, allowing them to prescribe medications to support patient care. Specialist Therapeutic Radiographer roles involve leading service development, contributing to research initiatives, and providing expert guidance to less experienced staff.

How Much Does an NHS Therapeutic Radiographer Earn?

NHS Therapeutic Radiographer salaries follow the NHS Agenda for Change pay scale, which categorises earnings based on experience and responsibility. Newly qualified NHS Therapeutic Radiographers start at Band 5, with annual salaries ranging from £28,000 to £34,500. In high-cost areas such as London, the NHS Therapeutic Radiographer starting salary is supplemented by a geographical allowance, raising starting pay to approximately £32,200 annually.

NHS Therapeutic Radiographers progress to higher pay bands as they gain experience. Band 6 NHS Therapeutic Radiographer positions offer salaries between £39,959 and £48,117. Senior NHS Therapeutic Radiographer roles at Band 7 command higher compensation, reflecting advanced clinical responsibilities and specialisation. NHS Therapeutic Radiographers benefit from incremental pay progression within each band, allowing annual salary increases as they develop skills and knowledge.

NHS Therapeutic Radiographer Band 5 Salary

An NHS Therapeutic Radiographer at Band 5 earns a starting salary ranging from £28,000 to £34,500 annually. NHS Therapeutic Radiographer Band 5 is the entry-level position for newly qualified staff who have completed an approved degree in radiotherapy and registered with the Health and Care Professions Council (HCPC). Progression within NHS Therapeutic Radiographer Band 5 follows incremental pay points based on years of service and experience. In areas with a high cost of living, such as North West London, an additional 15–20% high cost area supplement (HCAS) applies, raising NHS Therapeutic Radiographer Band 5 starting pay to approximately £32,200. The NHS Therapeutic Radiographer Band 5 salary framework supports recruitment and retention in regions with elevated living expenses.

NHS Therapeutic Radiographer Band 6 Salary

NHS Therapeutic Radiographer Band 6 salary reflects progression from Band 5, tied to added skills and responsibilities. NHS Therapeutic Radiographer Band 6 staff earn between £32,073 and £39,043 per year. NHS Therapeutic Radiographer Band 6 roles cover specialist duties such as supervising junior staff or working in advanced treatment areas. Salary progression within NHS Therapeutic Radiographer Band 6 rewards continued professional development and experience, with practitioners moving through incremental pay points annually until reaching the top of the scale.

NHS Therapeutic Radiographer Band 7 Salary

NHS Therapeutic Radiographer Band 7 salary reflects advanced skills and leadership responsibilities. NHS Therapeutic Radiographer Band 7 positions include specialist radiographers, advanced practitioners, and team leaders. The NHS Therapeutic Radiographer Band 7 salary compensates for complex clinical skills and specialist knowledge required. NHS Therapeutic Radiographer Band 7 staff handle complex cases, supervise junior staff, and contribute to service development. Progression to NHS Therapeutic Radiographer Band 7 requires several years of post-qualification experience and specialist training. NHS Therapeutic Radiographer Band 7 staff bridge clinical practice with management and education, participating in research activities and quality improvement initiatives.

NHS Therapeutic Radiographer Band 8a Salary

NHS Therapeutic Radiographer Band 8a roles are senior positions within radiotherapy departments, serving as advanced specialist practitioners or service managers. NHS Therapeutic Radiographer Band 8a roles require advanced clinical skill and leadership, overseeing complex clinical services and contributing to strategic planning. NHS Therapeutic Radiographer Band 8a salaries range from £50,000 to £65,000 annually, reflecting the advanced responsibilities and skill associated with the level. NHS Therapeutic Radiographer Band 8a staff manage teams, lead service development, and implement new technologies such as proton beam therapy. Progression to NHS Therapeutic Radiographer Band 8a requires several years of experience, advanced practice evidence, and additional qualifications.

What Is the NHS Therapeutic Radiographer Pay Scale for 2026/27?

The NHS Therapeutic Radiographer pay scale for 2026/27 follows the Agenda for Change (AfC) framework, which organises salaries into bands based on experience, responsibilities, and qualifications. Newly qualified NHS Therapeutic Radiographers start at Band 5, with salaries ranging from approximately £28,000 to £34,500 annually. In high-cost areas like North West London, the NHS Therapeutic Radiographer starting salary can increase to over £32,200 due to a 15–20% high-cost area supplement.

NHS Therapeutic Radiographers progress through incremental pay points within their band as they gain experience. Band 6 NHS Therapeutic Radiographer positions require additional skills and experience and offer higher salaries reflecting advanced competencies. The NHS Therapeutic Radiographer pay scale ties compensation to the technical and patient care responsibilities of radiotherapy roles.

The exact NHS Therapeutic Radiographer figures for the 2026/27 pay scale will be determined through national NHS pay negotiations and may include annual pay awards aimed at retaining skilled staff. NHS pay negotiations confirm that NHS Therapeutic Radiographers receive competitive remuneration that reflects the role in delivering life-saving cancer treatments.

How Is NHS Therapeutic Radiographer Pay Determined by Agenda for Change?

NHS Therapeutic Radiographer pay is structured by the Agenda for Change (AfC) pay system, which establishes a standardised pay framework for non-medical NHS staff. The Agenda for Change system categorises salaries into nine pay bands, ranging from Band 3 to Band 9, based on factors such as job role, responsibilities, and experience. Newly qualified NHS Therapeutic Radiographers start at Band 5, with salaries ranging from approximately £28,000 to £34,500. NHS Therapeutic Radiographer pay progression within each band occurs through annual increments, contingent on satisfactory performance. In high-cost areas such as North West London, a high cost area supplement of 15–20% applies, raising starting pay to around £32,200. The Agenda for Change framework supports fair compensation aligned with job evaluation profiles, taking into account patient contact and technical demands.

How Much Did NHS Therapeutic Radiographer Pay Rise in 2026?

The NHS Therapeutic Radiographer pay rise for 2026 has not been specified in current sources. NHS pay increases are negotiated annually through the Agenda for Change framework, influenced by factors such as inflation and staff shortages. In 2020, a 7.6% vacancy rate existed for NHS Therapeutic Radiographers, which could affect future pay negotiations. Official updates from NHS Employers or the Society of Radiographers publish accurate and current information on NHS Therapeutic Radiographer pay rises.

How Does NHS Therapeutic Radiographer Pay Progression Work?

NHS Therapeutic Radiographer pay progression operates through a structured system based on the NHS Agenda for Change (AfC) pay scale. NHS Therapeutic Radiographers start at Band 5, with salaries ranging from approximately £28,000 to £34,500 annually. Progression within NHS Therapeutic Radiographer Band 5 occurs via annual incremental pay points, contingent on satisfactory performance and service time.

NHS Therapeutic Radiographer advancement to higher bands, such as Band 6 or Band 7, requires applying for positions that demand greater clinical responsibilities or specialisation. NHS Therapeutic Radiographer band progression is not automatic but relies on demonstrating advanced skills, undertaking additional responsibilities, or achieving further qualifications. Continuing Professional Development (CPD) supports NHS Therapeutic Radiographers in maintaining and developing skills, qualifying them for more senior roles. The Society of Radiographers offers resources and learning opportunities that support NHS Therapeutic Radiographer career advancement.

In high-cost areas, supplements such as the London weighting raise NHS Therapeutic Radiographer earnings, reflecting regional living expenses. The NHS Therapeutic Radiographer pay progression system rewards professional development and addresses workforce shortages in radiotherapy.

What Are NHS Therapeutic Radiographer Incremental Pay Points?

NHS Therapeutic Radiographer incremental pay points are structured salary steps within each Agenda for Change band. NHS Therapeutic Radiographer incremental pay points allow automatic annual pay progression based on satisfactory performance and completion of 12 months of service at the current pay point. An NHS Therapeutic Radiographer moves up one pay point each year, producing predictable salary growth without a change in band or job role. NHS Therapeutic Radiographer progression continues until reaching the top pay point of the current band. Further salary increases require promotion to a higher band, which involves a competitive application process. Each band contains multiple pay points, with NHS Therapeutic Radiographer Band 5 holding three incremental points, while higher bands may hold more, allowing gradual salary development as experience and skill grow.

How Do NHS Therapeutic Radiographers Move From Band 5 to Band 6?

NHS Therapeutic Radiographers move from Band 5 to Band 6 through a combination of experience, skill development, and application for higher-level positions. NHS Therapeutic Radiographers spend about two to three years in a Band 5 role, gaining clinical experience and demonstrating competency in advanced radiotherapy techniques.

To move to Band 6, NHS Therapeutic Radiographers apply for available positions that require greater responsibility, such as supervisory duties or specialist skills. NHS Therapeutic Radiographers develop knowledge in set treatment areas, complete additional training, and take part in Continuing Professional Development (CPD) to support the Band 5 to Band 6 progression. NHS Therapeutic Radiographers taking on roles such as mentoring students or leading projects strengthen the application for Band 6 roles.

How Do NHS Therapeutic Radiographers Move From Band 6 to Band 7?

NHS Therapeutic Radiographers move from Band 6 to Band 7 by developing advanced clinical skill and leadership ability. The NHS Therapeutic Radiographer Band 6 to Band 7 transition requires applying for Band 7 positions as they become available, demonstrating advanced competencies and readiness for increased responsibility. NHS Therapeutic Radiographers must show proficiency in specialist areas such as complex radiotherapy planning or advanced imaging techniques.

NHS Therapeutic Radiographer Band 7 roles involve greater clinical responsibility, including the supervision of junior staff and participation in service development. NHS Therapeutic Radiographers at Band 7 complete substantial Continuing Professional Development (CPD) and may take on roles in research, teaching, or management. NHS Therapeutic Radiographer Band 6 to Band 7 progression follows the NHS Agenda for Change framework, with portfolio-based applications and interviews.

How Much Do NHS Therapeutic Radiographers Earn for Unsocial Hours?

NHS Therapeutic Radiographers receive added pay for working unsocial hours. Unsocial hours include evenings, nights, weekends, and public holidays, as defined by the NHS Agenda for Change. NHS Therapeutic Radiographer unsocial hours uplifts are paid as a percentage uplift on top of the basic hourly rate, which compensates for disruption to regular working patterns.

Unsocial Hours Enhancements

NHS Therapeutic Radiographer unsocial hours uplifts are listed below.

  • Night Shifts: Night shifts attract a 30% uplift on the basic hourly rate.
  • Saturdays: Saturday work receives time-and-a-third pay.
  • Sundays and Public Holidays: Sundays and public holidays command time-and-a-half or double time, depending on trust policies.

For NHS Therapeutic Radiographers working in departments that operate extended hours or provide emergency oncology services, these payments raise annual earnings. The exact amount varies depending on individual shift patterns and departmental requirements.

How to Calculate NHS Therapeutic Radiographer Take-Home Pay

Calculating NHS Therapeutic Radiographer take-home pay involves a series of steps that account for deductions from the gross salary. The NHS Therapeutic Radiographer take-home pay steps are listed below.

1. Identify Gross Annual Salary

Identify the NHS Therapeutic Radiographer gross annual salary based on the NHS Agenda for Change band and pay point. A Band 5 NHS Therapeutic Radiographer earns between £28,407 and £34,581 annually. Include any High Cost Area Supplements or unsocial hours uplifts that apply.

2. Convert to Monthly or Weekly Pay

Divide the NHS Therapeutic Radiographer annual salary by 12 for monthly pay or by 52 for weekly pay. An annual NHS Therapeutic Radiographer salary of £32,200 produces a monthly gross pay of approximately £2,683.

3. Calculate Income Tax

Apply the UK income tax rates using the NHS Therapeutic Radiographer tax code. The standard personal allowance is tax-free, with earnings above the threshold taxed at 20% for basic rate taxpayers. Calculate the annual tax and subtract from the NHS Therapeutic Radiographer gross pay.

4. Deduct National Insurance Contributions

National Insurance is deducted based on NHS Therapeutic Radiographer earnings above a set threshold. For most NHS employees, National Insurance is calculated as a percentage of the salary, around 12% for earnings above the threshold.

5. Subtract Pension Contributions

NHS Therapeutic Radiographer pension contributions range from 5% to 14.5% of salary, depending on earnings. Pension deduction is made before net pay is received.

6. Account for Additional Deductions and Add Allowances

Account for other deductions such as union fees or student loan repayments. Add allowances such as London weighting if applicable. The final NHS Therapeutic Radiographer net pay equals the gross salary minus all deductions.

Following these steps produces an accurate NHS Therapeutic Radiographer take-home pay figure. Verify with the payslip or NHS payroll for precision, as rates and thresholds may change annually.

What Deductions Come Off an NHS Therapeutic Radiographer Payslip?

An NHS Therapeutic Radiographer payslip includes several standard deductions. Income Tax is calculated according to the Pay As You Earn (PAYE) system based on the NHS Therapeutic Radiographer tax code and salary band. National Insurance contributions are deducted, which fund state benefits including the NHS itself. NHS Therapeutic Radiographers contribute to the NHS Pension Scheme, with contribution rates varying between 5.1% and 13.5% of pensionable pay depending on salary level. Other deductions include student loan repayments for NHS Therapeutic Radiographers who funded their degree through student finance, and voluntary deductions such as union membership fees, salary sacrifice schemes, or charitable giving arrangements.

How to Become an NHS Therapeutic Radiographer

Becoming an NHS Therapeutic Radiographer involves several key steps, each designed to equip candidates with the skills and qualifications needed. The NHS Therapeutic Radiographer pathway prepares individuals to deliver effective radiotherapy treatment within the NHS framework.

1

Meet Entry Requirements

A-Levels & GCSEs

Prospective NHS Therapeutic Radiographer candidates meet set entry requirements, including two or three A levels in science subjects and five GCSEs (grades 4–9/A–C) covering English, Maths, and Science. The foundational qualifications prepare candidates for higher education in therapeutic radiography.

2

Complete an Approved Degree Programme

BSc / MSc Radiotherapy

Candidates enrol in an approved degree or master's programme in radiotherapy, lasting 3–4 years full-time. UK universities, such as Ulster University and the University of Hertfordshire, offer courses in radiotherapy and oncology, providing theoretical knowledge and practical experience.

3

Consider Alternative Training Routes

Degree Apprenticeship

Degree apprenticeships provide an alternative NHS Therapeutic Radiographer training path, with tuition fees covered by employers and the government. Apprenticeships do not qualify for student grants, but they offer a practical, cost-effective training option for aspiring NHS Therapeutic Radiographers.

4

Register with the HCPC

HCPC Registration

On completing the degree, graduates register with the Health and Care Professions Council (HCPC) to practise as NHS Therapeutic Radiographers in the UK. HCPC registration confirms that NHS Therapeutic Radiographers meet the standards for safe and effective practice.

5

Engage in Continuous Professional Development

CPD & Society Membership

NHS Therapeutic Radiographer career development runs through Continuing Professional Development (CPD). NHS Therapeutic Radiographers join The Society of Radiographers for additional learning opportunities to maintain and develop skills throughout their careers.

6

Begin NHS Employment

Band 5 Entry Role

Newly qualified NHS Therapeutic Radiographers start their careers at band 5 on the NHS Agenda for Change pay scale, working a 37.5-hour week with varied shifts. NHS Therapeutic Radiographers receive employment benefits, including pension schemes, health service discounts, and annual leave.

What Qualifications Do You Need to Be an NHS Therapeutic Radiographer?

To become an NHS Therapeutic Radiographer, a candidate completes a Health and Care Professions Council (HCPC)-approved degree in Therapeutic Radiography. The NHS Therapeutic Radiographer programme requires A levels in science subjects and five GCSEs, including English, Maths, and Science. After obtaining the degree, HCPC registration is mandatory to practise as an NHS Therapeutic Radiographer in the UK.

How Long Does It Take to Qualify as an NHS Therapeutic Radiographer?

Qualifying as an NHS Therapeutic Radiographer requires three years of full-time study for a Bachelor of Science (BSc) degree in Therapeutic Radiography. The BSc in Therapeutic Radiography is the standard entry-level qualification approved by the Health and Care Professions Council (HCPC). The NHS Therapeutic Radiographer programme combines academic coursework with clinical placements, providing hands-on experience in NHS radiotherapy departments. Accelerated postgraduate routes, such as a two-year Master of Science (MSc) pre-registration programme, are available for individuals with relevant prior degrees, but the three-year BSc remains the most common NHS Therapeutic Radiographer pathway for new entrants.

What Is HCPC Registration for NHS Therapeutic Radiographers?

HCPC registration for NHS Therapeutic Radiographers is a mandatory licensure process overseen by the Health and Care Professions Council (HCPC). HCPC registration confirms that NHS Therapeutic Radiographers meet national standards of proficiency, education, and conduct required for safe and effective practice. To qualify for HCPC registration, an NHS Therapeutic Radiographer completes an HCPC-approved degree, such as a Bachelor of Science in Therapeutic Radiography, and takes part in ongoing professional development. HCPC registration must be renewed every two years, confirming that NHS Therapeutic Radiographers maintain competence in planning and delivering precise radiotherapy while managing patient side effects. Without HCPC registration, therapeutic radiographers cannot practise within the NHS, safeguarding patient care and professional integrity.

Where Do NHS Therapeutic Radiographers Work?

NHS Therapeutic Radiographers work in hospital radiotherapy departments and specialist cancer treatment centres. NHS Therapeutic Radiographers operate within environments equipped with advanced technology, such as radiotherapy linear accelerator bunkers, to deliver precise cancer treatments. NHS Therapeutic Radiographers also work in CT and superficial treatment rooms, brachytherapy units, and oncology outpatient clinics, where they collaborate with medical teams to plan and administer treatment protocols. Some NHS Therapeutic Radiographers contribute to research departments, helping develop new treatment techniques and technologies to support patient care.

NHS Radiotherapy Treatment Centres

NHS Radiotherapy Treatment Centres are specialist hospital departments dedicated to providing radiotherapy services. NHS Radiotherapy Treatment Centres use advanced technologies, such as high-energy X-ray machines and linear accelerators, to target and destroy cancerous cells while limiting harm to surrounding healthy tissue. NHS Therapeutic Radiographers in NHS Radiotherapy Treatment Centres handle the planning, delivery, and monitoring of treatment, supporting precise patient positioning and managing side effects. Examples include Charing Cross Hospital and Hammersmith Hospital in North West London, where NHS Therapeutic Radiographers work with healthcare professionals to deliver full cancer care.

What Band Is an NHS Therapeutic Radiographer?

NHS Therapeutic Radiographers start their careers at Band 5. NHS Therapeutic Radiographer Band 5 is the entry-level position for newly qualified staff who have completed training and registered with the Health and Care Professions Council (HCPC). As NHS Therapeutic Radiographers gain experience and take on more responsibilities, they progress to Band 6, which covers specialist duties or senior roles. For NHS Therapeutic Radiographers advancing into advanced clinical practice or team leadership, Band 7 positions are available. Senior NHS Therapeutic Radiographers reach Band 8a and beyond, in management, research, teaching, or consultant-level positions. The NHS Therapeutic Radiographer band reflects the role's level of responsibility, specialisation, and experience required.

Is Therapeutic Radiography a Good NHS Career?

Yes, therapeutic radiography is a good NHS career due to its combination of advanced technological work, meaningful patient care, and strong career progression opportunities.

How Does NHS Therapeutic Radiographer Pay Compare to NHS Diagnostic Radiographer Pay?

NHS Therapeutic Radiographers and NHS Diagnostic Radiographers receive equivalent pay under the NHS Agenda for Change pay structure. Both professions start at Band 5, with salaries ranging from approximately £28,000 to £34,500 per year. Progression to higher bands, such as Band 6 and above, follows experience and additional responsibilities rather than the role itself. The base pay is similar, but individual earnings may vary due to factors such as specialty uplifts and unsocial hours worked, which affect total compensation.

Do NHS Therapeutic Radiographers Get London Weighting?

Yes, NHS Therapeutic Radiographers working in London receive London Weighting, an additional payment on top of the basic salary to account for the higher cost of living in the capital.

Can NHS Therapeutic Radiographers Prescribe Radiotherapy?

No, standard NHS Therapeutic Radiographers cannot prescribe radiotherapy. NHS Therapeutic Radiographers who have completed an approved Health and Care Professions Council (HCPC) prescribing programme may independently prescribe medicines. Advanced or consultant NHS Therapeutic Radiographers can prescribe palliative radiotherapy as part of extended roles.

Results are estimates for informational purposes only. Tax rules change — always verify with HMRC or a qualified accountant or payroll professional.