About our radiotherapy service

Radiotherapy is a method of treatment for patients with cancer that uses high-energy, X-Rays on very specific parts of the body as prescribed by your consultant over a course of treatment.

We welcome approximately 1,200 new patients every year from across north London and the counties of Hertfordshire and Essex. The department has four dedicated treatment units, each of which are used to treat a wide range of cancer diagnoses including those of the head and neck, lung, breast, abdomen and pelvis.

Where are we?

You’ll find Radiotherapy located on Level 0 of the Outpatients department within the ‘Podium’ building. Enter the hospital via its main entrance opposite Bull Lane and immediately turn left towards the restaurant. We are located at the far end of this corridor.

On your arrival, identify yourself to our receptionist and notify them of your appointment time so that they can check you in. Once checked in, simply take a seat and one of our radiographers will visit you for a quick chat.

We do our best to ensure that our service runs on time, however when this doesn’t happen due to reasons beyond our control, we display up to date messages at our reception desk so you’ll always know how long you are likely to wait. Feel free to speak to our friendly reception staff if you are concerned or have any queries.

When are we open?

The Radiotherapy department is open from 8am until 4.30pm, Monday to Friday. We occasionally work extended hours to enable regular servicing of our treatment machines so we may allocate appointments up to 8pm on rare occasions.

If you are unable to attend any day, or if we do not need you to come in on a service day, we may allow you a break in your course of Radiotherapy, or make up for the missed day on a Saturday.

Patient Covid-19 testing guidance update

Patients attending for chemotherapy, radiotherapy treatment or outpatient appointments are now required to have a negative lateral flow test (LFT) before coming to the hospital. You will no longer need a PCR.

This can be done the day before you are due to come to hospital. If you are receiving a course of chemotherapy or radiotherapy treatment, LFTs must be done twice a week.

Please speak to your treating team for more information.

This is to prevent and reduce the risk of spreading Covid-19 to other patients and staff.

Ordering your test

Order your LFTs from the government website which can be found here. Please follow the step-by-step guide to order:

  • Once on the website above, click start now and select England as where you live.
  • After clicking continue, you then select whether you have symptoms of Covid-19 or not and press continue.
  • After clicking continue again on the rules for Covid-19 testing being changed, select the first option ‘You’ve been asked to take a test by a doctor or healthcare professional, or you’re eligible for Covid-19 treatments or you’re being admitted into hospital.'
  • Once selected, then select the second option 'Your doctor or healthcare professional has told you to get a test because you’re being admitted into hospital for a procedure or treatment’ on the next screen and click on continue.
  • On the next screen, type North Middlesex Hospital in the hospital you are being admitted to. You can then follow the suitable instructions when signing in, creating an account or continuing without an account.
  • During this stage, you will at some point enter your delivery address for the tests and they will then be ordered.

If you do not have access to the internet or cannot order your test online, you can order over the phone by calling the Covid-19 helpline on 119.

Testing

Completed test results MUST be uploaded via the Government website which can be found by clicking here. 

After reporting your test results - a step-by-step guide can be found below, the following applies to you. If your LFT is negative, you can attend on your day of treatment and let reception know by showing them your result when you attend.

However, if your LFT is positive, you MUST NOT come to the hospital, and you must contact the relevant team as soon as possible.

Please follow the step-by-step guide to report your LFT results:

  • Go to the Government website as linked above. Click on the start now button to report your LFT result - you will need to sign in or create an account at this stage. Once signed in, answer the following questions as appropriate: 

Step-by-step guide to testing

  • Once the questions have been completed, you should then answer when you took your LFT and on the next screen, input the test strip ID number which can be found at the top of the test (underneath the QR code). You will then need to confirm it again.
  • Then, input your details including your name, date of birth, gender, ethnic group, home address, NHS number, email address and mobile number, and then input your mobile number to receive confirmation of your result.
  • The final step you will have a summary of your answers to review. Once you are happy with it you can click continue. Then click on the result of your LFT, either positive, negative or void and you'll receive confirmation of your results.

What will happen when I arrive?

On your first day in the department, you will attend a planning session during which we take a CT scan only and no treatment is delivered. At this appointment, we will provide you with all the information you need for your course of treatment.

On day one of your course of radiotherapy, we will review this information with you again and answer any additional questions you may have. You see the same radiographers each day you attend so we will be happy to address any personal concerns you have at any stage.

If you travel to North Mid by car, please tell us at your first appointment so that we can arrange a parking permit for you to cover the duration of your course of treatment. If you are likely to bring a different car on any day of your radiotherapy, again let us know so that we can ensure you are not charged for your stay.

Who will I see?

When you attend for radiotherapy, you may be scheduled to see your Consultant or a specialised Review Radiographer who will meet with you to discuss any side effects or concerns you may have. Your appointment times will be arranged so that this all happens in one visit rather than giving you separate times.

If you have any concerns about your appointment times, you can discuss this with your radiographers however, please bear in mind that appointment schedules are finalised as far in advance as possible to minimise wait times; therefore your exact preference may not always be possible to accommodate.

If necessary, you may also be seen by the nursing team, dieticians or speech and language therapists during your visit. Again, this will depend on your treatment and will be explained to you on your first day.

At North Mid, we also offer a specialised counselling service within radiotherapy so if you feel you would benefit from this, speak to a member of our team. All requests from our patients are handled discretely and respectfully so you can feel comfortable letting us know what you feel you need, at every stage of your treatment.

What shall I wear?

On arrival, you will be asked to wait in the main reception before being called through to Radiotherapy treatment area a few minutes before you are due for treatment. Please bear in mind that unless it is your first day or you have a medical reason to be accommodated, we ask that all relatives remain in the main reception at this point.

You may be asked to change into a hospital gown or slip-on pyjama bottoms so please wear clothing that is relatively easy to remove. If you need to remove your jewellery, the radiographers will let you know. Keep your shoes on at all times, but if possible wear slip-on shoes which can be removed easily.

From start to finish, your radiographers will explain everything that is happening and you are free to ask questions at any point throughout each appointment.

How long does radiotherapy take?

Your course of radiotherapy will be prescribed for you by your consultant and may last anywhere between one day and six weeks. You will be notified before you start your first session how long your overall course of treatment will last.

Each daily treatment (called a ‘Fraction’) of radiotherapy should last between 10 and 30 minutes, depending on the complexity of your treatment.  Radiographers will always explain to you at the start of your treatment how long your daily session will take.

We offer radiotherapy of varying complexity depending on the precise area of your body we are treating. This may involve holding your breath for a few seconds at a time during treatment delivery, or wearing a face mask for example to help us re-produce your position on a daily basis with millimetre accuracy. Your radiographers will explain your personalised treatment plan and cover what is involved before you enter a treatment room.

Meet our team

Our radiotherapy department is part of the wider cancer service which North Middlesex University Hospital NHS Trust offers.

We are made up of a number of site specialist clinical consultants, a consultant radiographer, a team of therapy radiographers as well as planning staff. Together, our teams of dedicated radiotherapy nurses, speech and language therapists and dieticians provide a full time, clinical service which aims to address the needs of all our patients in one place.

  • Sharif Shaykhoun – interim head of radiotherapy
  • Zainab Butt – treatment superintendent
  • Kwokyan Man – treatment superintendent
  • Gulden Ergin – head and neck radiographer
  • Jo Keeble – pre-treatment superintendent

Where can I find more information?

Additional information about your specific type of radiotherapy and its potential side effects will be provided to you by your Consultant Clinical Oncologist.

Our department has a number of information points where you are able to help yourself to any leaflets which are of interest to you. These are available in a range of formats and languages -  just let a member of the team know what you need.

We also offer the services of the Helen Rollason Centre which is run by a cancer charity and can be found adjacent to our department’s reception area. The staff here offer support and complimentary therapies to all patients and are happy to take appointment bookings face to face when you arrive.

Prostate radiotherapy patient information YouTube videos to download:

English

Bengali

Bulgarian

Before radiotherapy: https://www.youtube.com/watch?v=QWr4UZec1qo
During radiotherapy: https://www.youtube.com/watch?v=Ehq80SopK2s
After radiotherapy: https://www.youtube.com/watch?v=62f8aQGmzRc

Polish

Before radiotherapy: https://www.youtube.com/watch?v=PtOpeL0S6_g
During radiotherapy: https://www.youtube.com/watch?v=da_08GqlKRQ
After radiotherapy: https://www.youtube.com/watch?v=NUGv5_YfHVw

Turkish

Before radiotherapy: https://www.youtube.com/watch?v=Ok-HfegxtkA
During radiotherapy: https://www.youtube.com/watch?v=FsqN9vZ3L8E
After radiotherapy: https://www.youtube.com/watch?v=fK3ZxsAWKjw

Having radiotherapy treatment for breast cancer YouTube video available to download: https://m.youtube.com/watch?v=58YtVyVsNlc&t=38s

* with thanks to our Royal Free London NHS Foundation Trust for producing this video.