SIPTU calls on minister to expand radiation therapist places or face major crisis

The Government must urgently expand the number of third-level places in radiation therapy or face a major crisis, SIPTU warned the Minister for Further and Higher Education, Research, Innovation and Science, Simon Harris, this week.

The union, along with Higher Education representatives, met with the Minister to discuss major staffing deficits in radiation therapists across country which has had a knock-on effect on patient waiting times and left vital equipment idle.

John McCamley, SIPTU Sector Organiser, said: “Radiation therapists perform a crucial job. Almost half of people with a cancer diagnosis will require radiation therapy as part of their treatment plan. This treatment is delivered by radiation therapists as part of a multi-disciplinary team and they are the only profession with the legal authority to deliver radiation therapy. These services are mainly delivered by the HSE in Dublin, Cork and Galway.

“SIPTU has successfully argued for the setting up of the radiation therapist review which will hopefully recommend measures to improve the retention of existing staff. However, there continues to be a shortage of new radiation therapist graduates and, if that continues, we are facing a major crisis.

“This week, we impressed on the Minister the need to expand undergraduate and postgraduate places to increase recruitment of radiation therapists and to offer supports for students during clinical placements. The meeting was positive and constructive. We welcome any assistance the Minister and his department can provide on this matter.”

SIPTU Radiation therapists forced to work extended days to complete cancer treatments

SIPTU members employed as radiation therapists are struggling to provide cancer treatments within the working day.

In a recent survey of members conducted among union members, 91% of respondents said that their location provided an ‘overrun service’ in order to keep on top of caseloads.

SIPTU Sector Organiser, John McCamley, said: “An overrun service occurs when the scheduled service runs beyond the normal finish time. This can happen for a variety of reasons such as the addition of an emergency patient who requires treatment, delays with scheduled treatments throughout the day, machine breakdowns and to accommodate patients on waiting lists. Most radiation therapists will continue to treat scheduled patients until they are all seen.

“Our members have said this is as the result of a stretched service which is in desperate need of more radiation therapists to meet demand. They have also said that the practice is leading to burnout and difficulties with childcare. However, they are doing it out of care for the patients they are treating.”

Separately, the survey revealed that 84% of respondents believed that the public at large was not aware of the role of the radiation therapist in treating cancer.

McCamley continued: “Critically, our members feel as though their role is not recognised as being as crucial as it is in the treatment of cancer. Respondents felt that there is an awareness of the role that chemotherapy and surgery plays in the treatment of cancer, but not radiation therapy. This is despite the fact that radiation therapy is one of the main treatments of cancer.

“There is a view among our membership that you will likely not appreciate the significance of the the role of the radiation therapist unless you’re unfortunate enough to require their help some day.”

The SIPTU Radiation Therapist survey was completed in February 2023 across public and private practice. There are currently approximately 300 radiation therapists practicing in Ireland. Radiation therapy uses targeted high energy x-rays to treat patients with cancer..

SIPTU survey of radiation therapists reveals looming staffing crisis in cancer services

A SIPTU survey of radiation therapists has found that cancer services in both public and private hospitals are facing into significant staffing issues due to most respondents saying they intend to leave the profession within the next five years.

SIPTU Sector Organiser, John McCamley, said: “The survey found that 60% of respondents did not see themselves working as a radiation therapists in five years’ time. Some cited excessive workloads, staffing issues and a lack of a career pathway as the reasons they are considering leaving the service. Some are actively applying for other roles, while others are returning to education to seek an alternative career.

“Radiation therapy is used to treat around half of cancer cases and staffing issues in the service will have a knock-on effect on treatment waiting times. The survey also found that 48% of respondents are either ‘dissatisfied’ or ‘very dissatisfied’ with their current workplace. Participants believe their pay does not reflect the level of competency required for the role and feel undervalued. Some said they are under pressure and ‘worried’ about the number of patients waiting for radiotherapy.

“The survey also found that 88% of respondents are dissatisfied with their level of pay for the functions they carry out and that the majority would not recommend radiation therapy as a profession.

“The findings of the survey are very troubling. SIPTU representatives have previously called on the Minister of Health, Stephen Donnelly, to put in place an emergency plan to deal with the imminent staffing crisis in radiation therapy. The findings of this survey demonstrate that there is a need to address staff concerns within the service.”

He added: “The survey was carried out with SIPTU members in both public and private practice among the approximately 300 radiation therapists actively working across the country during 2023. The majority of respondents were in the 18 to 34 age cohort. It is very worrying that most state that they do not see themselves working in the field long-term. It calls into question the sustainability of the service if a coherent plan is not put in place to recruit and retain staff.”

SIPTU calls for emergency plan to deal with staffing deficits in cancer services

SIPTU representatives have called on the HSE and the Minister of Health, Stephen Donnelly, to develop an emergency plan to deal with the deficits in cancer services resulting from a 30% shortfall in radiation therapists.

SIPTU Sector Organiser, John McCamley, said: “Our members have established that the staffing deficit is causing increasing delays in cancer treatment. There are currently at least four cancer treatment machines that are not in operation around the country due to a lack of qualified radiation therapists.

“These machines could treat around 30 patients a day meaning there may be as much as 120 cases not being dealt with on a daily basis due to staffing deficits. Radiation therapists perform a crucial job, as almost half of people with a cancer diagnosis will require radiation therapy as part of their treatment plan. This treatment is delivered by radiation therapists as part of a multi-disciplinary team. It is the only profession with the legal authority to deliver radiation therapy services which are mainly provided by the HSE in Dublin, Cork and Galway.

“We have successfully argued for the setting up of the Radiation Therapist Review which will hopefully recommend measures to improve recruitment and retention. The union is calling for a short-term emergency plan to bridge the gap between the present situation and when the recommendations of the Radiation Therapist Review are agreed and implemented.”

He added: “The HSE and the Minister for Health need to act decisively to avert a full-blown staffing crisis within cancer services. Our members are calling for special provision to deal with the recruitment and retention issues for radiation therapists due to their crucial role in the delivery of cancer services. They have also requested that sufficient dedicated support staff be placed in radiation therapy departments to help with patient flow and to support radiation therapists so more of their time can be focused on carrying out treatment.”

First meeting of National Radiation Therapist Review Group takes place

SIPTU have welcomed the first meeting of the National Radiation Therapist Review Group which took place today, December 1st.

This first meeting takes place at a crucial time for cancer treatment services. Radiation therapy is used in the treatment of around half of all cancer cases. This treatment is delivered by radiation therapists who, as part of a multi-disciplinary team, have the legal authority to carry out this role. SIPTU has continuously raised the crisis that exists in the recruitment and retention of radiation therapists; and the knock-on effect it is having in delayed treatment for patients. Currently there is approximately a 15% shortage of Radiation Therapists nationally.

Following the meeting Sector Organiser, John McCamley, said “The National Radiation Therapist Review Group will investigate and make recommendations on a range of matters which could alleviate the recruitment and retention crisis among radiation therapists. This will involve exploring areas around safe staffing, career progression, advanced practice, managerial structures and role development for the radiation therapist.”

It is hoped that the Review will contribute to the continued professionalisation of the service to the benefit of staff and patients.